4 Foods To Avoid With An Incompetent Cervix & Reasons Why

The cervix, a muscular lower segment of the uterus, is characterized by its sturdy, elongated, and closed structure. 

As pregnancy advances, especially as childbirth draws nearer, changes occur in the lower part of the cervix. 

It gradually narrows and shortens, preparing for eventual delivery.

In certain cases, these changes might become apparent as early as the second trimester. 

This condition is known as an incompetent cervix or cervical incompetence. 

Signs of cervical insufficiency encompass spotting during the second trimester of pregnancy, abdominal cramping, heightened pelvic pressure, and vaginal bleeding. 

These indicators could potentially lead to complications such as miscarriage or premature labor.

Cervical incompetence, or cervical insufficiency, arises when the cervix prematurely softens, opens, or shortens before the fetus has reached the point of being ready for birth. 

The exact cause of cervical incompetence often remains unidentified. Nonetheless, infections and a delicate cervix are among the most prevalent factors associated with this condition.

If you are identified as being at risk for an incompetent cervix or if your cervix displays signs of premature dilation, your prenatal care provider may offer guidance on preventive measures to mitigate the risk of pregnancy-related complications. 

Given this context, you might naturally wonder if there are specific foods to avoid when dealing with an incompetent cervix. Keep reading to find out.

4 Foods To Avoid With An Incompetent Cervix

If you are dealing with an incompetent cervix, it’s important to note that there are specific dietary considerations to be aware of. 

There are certain foods you should limit or avoid with an incompetent cervix, as they have the potential to increase the risk of preterm labor. These include:

1) Caffeine

Caffeine has the ability to stimulate the uterus, potentially raising the likelihood of preterm labor.

2) Foods High in Sugar

High-sugar foods can lead to spikes in blood sugar levels, which might trigger contractions.

3) Spicy Food

Spicy foods have the potential to irritate the stomach and intestines, potentially resulting in contractions.

4) Alcohol

Alcohol is a known teratogen that can negatively affect the development of your baby. If you are pregnant, it’s strongly recommended to avoid alcohol entirely.

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7 Foods To Eat With Cervical Incompetence

While no food can directly prevent an incompetent cervix, you can take steps to promote overall cervical health through your diet. 

Here are some key nutrients to focus on:

1) Protein

Opt for a diet rich in protein to help promote healthy weight gain for the baby and aid in tissue formation and repair, including the cervix. 

Protein-rich sources include:

  • Poultry
  • Lean meats
  • Eggs
  • Fish
  • Beans
  • Lentils

2) Iron

Iron is essential for oxygen transport throughout the body. Incorporate the following sources into your diet:

  • Red meat
  • Fish
  • Chicken
  • Beans
  • Lentils
  • Iron-fortified foods

3) Calcium

Calcium is crucial for your baby’s bone and tooth development. Include calcium-rich foods such as:

  • Leafy green vegetables
  • Fortified products
  • Dairy products
  • Soybeans

4) Folate

Folate is a B vitamin that supports reproductive health. It may also play a role in maintaining the cervix. Foods like spinach, which is rich in folate, can be beneficial.

Besides spinach, other foods that contain folate include the following:

  • Nuts
  • Seafood
  • Beans
  • Peas
  • Meat and poultry

5) Vitamin C

Vitamin C has antioxidant properties that support overall health and may help combat cervical infections. 

Consume vitamin C-rich foods such as: 

  • Citrus fruits
  • Kiwis
  • Strawberries
  • Bell peppers

6) Vitamin E

Vitamin E, like vitamin C, has antioxidant effects. Spinach is an excellent source of both vitamins and can contribute to maintaining cervical health.

Other examples of vitamin E foods include:

  • Sunflower seeds
  • Wheat germ oil
  • Almonds
  • Avocado
  • Fish
  • Red bell peppers
  • Mango

7) Beta-Carotene

Foods high in beta-carotene can boost the immune system and potentially help prevent cervical infections.

These foods include:

  • Winter squash
  • Other orange or yellow vegetables

Remember that while a healthy diet can contribute to overall well-being, it’s essential to consult with your healthcare provider for personalized advice and recommendations based on your individual health needs and circumstances.

Foods to eatFoods to avoid
ProteinCaffeine
FolateAlcohol
Foods rich in vitamin EHigh sugar foods
CalciumSpicy foods
Vitamin C foods
Iron-rich foods
Beta-carotene

Other Tips and Treatments For Cervical Insufficiency 

Weight Management

Weight control is another essential part of relieving pressure on the cervix and avoiding the adverse effects of prolonged bed rest, which is required in cases of cervical incompetence.

Exercise

Recent evidence suggests that exercising for at least 20 minutes per day on a minimum of two days is considered safe. 

Physically demanding jobs involving repetitive lifting, heavy load carrying, or intense physical effort have been shown to increase the risk of premature birth.

If cervical insufficiency is detected, your doctor might recommend limiting specific activities and reducing exertion. 

Recommended activities include:

  • Modified yoga
  • Walking
  • Swimming
  • Stationary cycling
  • Pilates
  • Strength training

However, high-intensity activities and contact sports are discouraged.

If your doctor has advised you to rest or limit activities while maintaining mobility, circulation, and flexibility, simple and gentle exercises can provide benefits. 

Lying-down exercises like shoulder movements (raising shoulders towards the head and backward, bending elbows, pressing shoulders on the bed, and wrist rotations) can be helpful. 

Additionally, recommended exercises include Kegel exercises (pelvic floor contractions and relaxations), gentle pelvic tilts, and lower limb mobility exercises such as knee bending, ankle pumps, and rotations. 

Each exercise can be repeated 8-10 times in one set and can be performed twice per day.

Breathing Exercises

During this stage, practicing breathing exercises can be effective. Gentle deep breathing (inhaling through the nose and exhaling through the mouth) with both hands placed over the lower chest while inhaling deeply through the nose to expand it can be beneficial. 

Focusing on different chest levels while performing this exercise can be practiced. Incorporating breathing techniques during pregnancy can aid in managing labor pain.

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Additional Tips For Dealing With An Incompetent Cervix

  • Get prenatal treatment regularly: Your doctor can monitor your cervix for signs of early labor.
  • Avoid vigorous exercise: Strenuous activities might strain your cervix. Stay hydrated. Hydration is essential for general health and can help prevent contractions.
  • Get adequate sleep: Rest is essential for your mental and physical well-being.
  • Discuss your concerns with your doctor: Your doctor can help you understand your condition and devise a treatment strategy.

Tips For A Healthy Pregnancy

Other steps you can take steps to promote a healthy pregnancy include:

  1. Attend all of your prenatal appointments.
  2. Take a prenatal vitamin.
  3. Gain a healthy weight during pregnancy.
  4. Eat a nutritious, well-balanced diet.
  5. Avoid substances like alcohol and recreational drugs.
  6. Ask your healthcare provider before taking any medications or supplements.

Medical Treatments

Cervical cerclage is a technique that involves wrapping a single stitch around the cervix to help avoid premature birth or miscarriage. It is effective in 85-90% of cases. 

In some circumstances, a medical device known as a cervical pessary is used to close the cervix opening. In the third trimester, it is eliminated.

Progesterone is a vital hormone that helps your body prepare for pregnancy. As a result, doses of this hormone are regarded to be beneficial in preventing premature birth.

Conclusion

While there are no direct foods that can prevent or cure an incompetent cervix, the knowledge of certain foods to limit or avoid can help reduce the risk of preterm labor. 

Steering clear of caffeine, high-sugar foods, spicy dishes, and alcohol can contribute to a safer pregnancy journey.

Equally important, nourishing your body with essential nutrients can help support a healthier cervix. 

Prioritizing protein-rich sources, iron for oxygen transport, calcium for fetal bone growth, folate for reproductive health, and vitamins C and E for their antioxidant properties can collectively promote overall maternal and fetal wellness.

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Sources

  1. Thakur M, Mahajan K. Cervical Insufficiency. [Updated 2022 Dec 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan.
  2. Roman A, Suhag A, Berghella V. Overview of Cervical Insufficiency: Diagnosis, Etiologies, and Risk Factors. Clin Obstet Gynecol. 2016 Jun;59(2):237-40. doi: 10.1097/GRF.0000000000000184. PMID: 27015229.
  3. Brown R, Gagnon R, Delisle MF; MATERNAL FETAL MEDICINE COMMITTEE. Cervical insufficiency and cervical cerclage. J Obstet Gynaecol Can. 2013 Dec;35(12):1115-1127. doi: 10.1016/S1701-2163(15)30764-7. Erratum in: J Obstet Gynaecol Can. 2014 Jan;36(1):13. PMID: 24405880.

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