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Why is my cervix open during pregnancy? It normally opens during the start of labor. I’m not in labor, nor should I be. When the cervix opens and shortens early in labor or contractions before you are supposed to have the baby, that is called an incompetent cervix or cervical weakness. And unlike the muscles in the pelvis I’ve been doing those exercises for so I do not pee every time I sneeze after having the baby, no one has told me what I can do to control this. If you think the cervix is opening during the second trimester, you want to go to the doctor to get it under control. What could a doctor do? If you are in early labor, you may get progesterone, get told not to lift anything or have sex, be put on bed rest or even surgery to sew it shut. That does not work well when it is straining to open. And what about steroids? That is done when they do not think the kid can be kept in, so the steroids force the lungs to develop faster. So much for using steroids to strengthen that critical muscle. There are conditions like diabetes and high blood pressure that raise the risk of early cervix dilation. Depending on your situation, it may be as simple as getting prenatal diabetes under control. I do not have diabetes, and I do not have that high blood pressure pre-eclampsia condition that can trigger early labor. If you have preeclampsia, you probably won’t go into early labor but they will induce it or do a C-section so it won’t kill you. What causes the cervix to open early? In some cases, it is linked to infection. Whether the cervix opens because of the infection or infection is caused by the open cervix. It is supposed to be closed to protect the baby. The baby is at some risk if the cervix is open, but the baby is at high risk if your water has broken. I do not think that’s happened. Why does this happen? In some women, the cervix is just shorter than average and or weaker than it should be. That’s the typical cause if you’ve had prior second trimester miscarriages. I have not. The risk of an open cervix goes up if you get pregnant before the first kid is walking. Yet I hear about all these women sending in urine samples for test in stage one baby food jars. If you think the cervix is opening, talk to your doctor, and if you’re in pre-term labor, get to a hospital to improve everyone’s odds.