Incomplete Cervix, Cerclage, Pain.


Dear Midwife,
I am 16 weeks with my 9th pregnancy . I have an incomplete cervix along with past surgeries on my uterus. We have had 3 live births and 5 miscarriages.

I am wondering how much round ligament pain is normal. I have been in a lot more pain with this baby than with any of my other pregnancies. Do you have any suggestions or thoughts?

Blessed Be,


It is common for women to have more discomfort with stretched ligaments and more and earlier Braxton-Hicks contractions with successive pregnancies. If you are really concerned, you should have your provider check because I can't see you in person :-(.

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.