Jump to content

help - induction with unfavourable cervix?
stressed. sorry, a bit long.

  • Please log in to reply
21 replies to this topic

#1 Guest_Marquise_*

Posted 30 January 2013 - 06:57 PM

Needing to tap into the vast EB reservoirs of experience and advice.

I'm 40 +5, and had a midwives' apt today, which was supposed to be for a stretch and sweep.
During the VE she discovered that baby had retreated up a bit from last check, and that she couldn't feel my cervix (which is what I assume she meant by 'unfavourable').

We discussed induction - and had just agreed that I would be induced at 42wks on the dot (after coming in for gel the night before) when she suddenly did a double-take about my age (I'm 39) and booked me in for an obs meeting on monday to discuss, suggesting that obs would want me to be induced earlier than that.

The thing is, baby is still quite high and cervix likely to still be unfavourable by them. I haven't read very much about the implications of this for an induction  - but what I have read seems to suggest that it leads to a much more painful, intervention-laden labour. Is this the case? I have a medical history of serious childhood (congenital) illness, and I have a high pain tolerance....but I know what I'm like when I'm in pain, and I need to move around. Not be tied around the belly, on my back. Not canulated if at all possible - I have terrible veins and it regularly taken drs 5 incredibly painful goes to get it in - and so I ma VERY VERY KEEN to avoid induction and the inevitable epidural etc which seems to follow.

How much worse does an unfavourable cervix make it? and how long have older mothers gone without an induction?

thanks for all advice......

#2 elizabethany

Posted 30 January 2013 - 07:03 PM

When I was induced, despite the drip, monitoring and such stuff, the hospital recommended I was not on my back anyway.  I chose to stay on the bed, but gave birth lying on my side.

#3 Corella

Posted 30 January 2013 - 07:30 PM

I'm not sure what your age has to do with an induction tbh.

How your cervix was today doesn't indicate how it will be tomorrow or in 8 or 9 days so I wouldn't stress. Perhaps look at some acupuncture though for ripening? Internal evening primrose oil? Acupressure?

#4 Guest_Marquise_*

Posted 30 January 2013 - 07:44 PM

they are willing to let you go a full 2 weeks overdue if you are less than 35yrs, but only 9-10 days if over 35.
I've been acupuncturing away like a demon. Hope it helps!

tbh I'm more worried about the idea of inducing with an unfavourable cervix - that's the part that seems to be really bad, anecdotally.

#5 José

Posted 30 January 2013 - 07:55 PM

I was inducec with an unfavourable cervix at 41+1. Obs ordered double the amount of gel they would usually.  Midwife initially was unsure but after she took a look she felt more comfortable that the regular amount of gel just wasnt going to be enough.  Anyway the gel made contracrions start but I still had to have a drip later and bsby suctioned out with episiotomy.  I had hoped to give birth without epidural but I didn't.  So, I guess my experience can at least give you hope that the gel can start labour in someone with an unfavourable cervix.

#6 Soontobegran

Posted 30 January 2013 - 08:00 PM

OP the state of your cervix can change very quickly so an unfavorable one now may not be in a couple of days.
Everyone is different but there is no doubt that being induced with an unfavourable cervix does increase the chance of prolonged labour and intervention but of course not always.
Hopefully your body will prepare itself in good time.
Lots of good luck.

QUOTE (Corella @ 30/01/2013, 08:30 PM) <{POST_SNAPBACK}>
I'm not sure what your age has to do with an induction tbh.

Because of the increased risk of SB with advanced maternal age.

#7 lucky 2

Posted 30 January 2013 - 08:07 PM

Hi OP,

I hope I've moved your topic into the right forum for you but I thought it best to move it out of the Breastfeeding forum.

I hope all goes well with your labour and birth.

Kind regards,

lucky 2

#8 Guest_Marquise_*

Posted 30 January 2013 - 08:13 PM

jeez, how'd it get in there?

sorry - I am useless at technology......

#9 Guest_Marquise_*

Posted 30 January 2013 - 09:15 PM

sonogran, do you think I should try to see the obs earlier than monday? To check cervix? or that something my shared care GP could do?

#10 ez21

Posted 30 January 2013 - 09:21 PM


I was induced at 40+5 and a couple of days before induction my Ob was able to reach my cervix and would have been able to break my waters.  When I was in hospital for the induction a few days later, the baby had moved back up and my cervix couldn't be reached to break waters (they told me that my cervix was unfavourable).  They put the gel in, which softened the cervix and things moved down a bit.  I was in hospital overnight with waters broken the next day (the gel work enough so that this could be done).  I was put on a drip an hour later as labour didn't progress on its own.

In terms of my labour experience with a drip, it was fine.  I laboured standing up, except for the last few minutes, which I spent on the bed.  I was able to walk around too.

The drip is turned up according to how you are progressing.  I was told that they try to mimic the natural progression of labour and if things are moving too quickly they will turn the drip back a bit.  My labour was quicker than my first (spontaneous) labour but I don't think it was any harder on my body.  The pain was much the same as my first labour.  Contractions were on top of each other at the end, but the midwife turned the drip back, which made things much better.  I didn't have any intervention and only used gas.

Overall, my experience was very positive and much the same as a spontaneous labour.  Also, please don't think that an epidural is inevitable if you are induced.  It's important to consider the possible outcomes but don't get carried away.  (I was only 31 for the birth of DS2).

Best of luck, try not to stress.

#11 Soontobegran

Posted 30 January 2013 - 09:26 PM

QUOTE (Marquise @ 30/01/2013, 10:15 PM) <{POST_SNAPBACK}>
sonogran, do you think I should try to see the obs earlier than monday? To check cervix? or that something my shared care GP could do?

By Monday you'll be 41+3 so I would probably see your shared care GP earlier to perhaps arrange some monitoring for you?
If all looks well  with the baby and you're are well the Obstetrician may consider giving you a couple more days to 'ripen' but I would not wait until Monday without monitoring.
Lots of luck. original.gif

#12 Skoki

Posted 30 January 2013 - 09:30 PM

Hi. I am a similar age, and just had my first baby delivered after induction this month. Interventions are more common with inductions, and I also had to be cannulated (and I also hate cannulas) to deliver syntocin via a drip. The good news is though you will need to be monitored, they can use mobile monitors, so you can get up and move around as much as you need. I didn't have any other interventions and no pain relief. There is a risk to older mothers in going past 40/41 weeks, so suggest getting in to talk to your obstetrician as soon as you can to discuss and work out what you want to do.

#13 pinkyjim

Posted 30 January 2013 - 09:52 PM

Hi OP,

I've had 2 bubs and 2 inductions...

#1 with an unfavourable cervix (but i was only 38+3 & as I had a dinky placenta). To be honest it was quite horrid, mainly I feel due to my body not being ready, it took x4 lots of gel over 48 hours to ripen my cervix enough to break waters and get the drip going. Bub was posterior and another 24 hours later I reluctantly ended up with epidural, theatre & forceps. Awful.

#2 42 weeks and I had been doing EVERY natural induction method in the book (over and over and over again), but alas my cervix was still firm and closed on induction. This time it took 2 lots of gel to get things going and then no further intervention required. I had to be strapped to the monitor the entire time, but the labour was only 4 hours once it got going, and to be honest although it hurt like hell,  it was completely fabulous and the most amazing experience.  I was so nervous about interventions after my first birth I made sure I was well researched and well supported and had all my birth skills ready to go during the labour.

X2 inductions, X2 unfavourable cervix and x2 different labours. So I suppose the point of my story is you only have so much control,  and to a certain extent have to roll with process. Do everything you can to ripen your cervix now (evening primrose, sex, orgasms, acupuncture) see the OB monday, push for the last induction date you all feel comfortable with and if the induction date rolls around make sure you're prepared to labour! Control what you can. Have a labouring plan- TENS machine is AWESOME, especially if you can't hop in the shower/bath or move about lots.

Good luck OP, hope your bub finds its own way out.  (jeez mammoth post)

#14 Guest_Marquise_*

Posted 30 January 2013 - 09:59 PM

thank you so much for replies.

I'm slightly freaked out that my midwife didn't think I needed to be monitored until monday apt.

#15 Soontobegran

Posted 30 January 2013 - 10:06 PM

QUOTE (Marquise @ 30/01/2013, 10:59 PM) <{POST_SNAPBACK}>
thank you so much for replies.

I'm slightly freaked out that my midwife didn't think I needed to be monitored until monday apt.

Not everyone would recommend this Marquise it is just that whilst I'd be ok with 42 weeks in most women I am keen for the last week to be a monitored one.......just think it is best to be sure, especially if you are 'older' (sorry, you are young really) original.gif

#16 Guest_Marquise_*

Posted 30 January 2013 - 10:28 PM

thanks. I feel like a very geriatric pregnant and worried woman tonight. sad.gif

But I *really* appreciate the advice, thank you.

#17 BubbleBird

Posted 30 January 2013 - 10:31 PM

I have had two wonderful gel inductions that started with an unfavorable cervix.

With my first I was induced with gel at 41.5 and was told that my cervix was unfavorable and that I would likely require more gel plus further intervention. As soon as the gel went on I stated getting mild period pains. Nothing bad at all, just there IYKWIM. About seven hours after being given the gel (I was back at home by this time because it was assumed that the one lot of gel would't do much for my unfavorable cervix) I went in to full blown labour. My contractions were one minute long coming every two minutes from the onset and I was holding my baby about 2.5 hours later. It was a full on but wonderful experience. I had no further intervention after that first lot of gel (no tears or stitches either).

With my second I was induced with gel at 41 weeks and again was told my cervix was unfavorable (and I believe that because getting the gel put on was excruciating). I began to get a bit of pain here and there following the gel. My Ob examined me about four hours after having the gel put on and I was still unfavorable. He came back an hour later thinking he would need to give me more gel. Though this time he found I was 4cm dilated. He broke my waters (because he was keen to get baby out ASAP as I had developed acute pre eclampsia). I went into full blown labour about 10 minutes later and delivered my baby about 1.5 hours later. This was another full on experience but again wonderful. All intervention free and tear free again.

Good luck OP. I like to share my positive story as I know induction gets a bad wrap most of the time.

PS I have always insisted on some monitoring towards the end of my first week going overdue. I just feel more comfortable doing that.

#18 Guest_Marquise_*

Posted 31 January 2013 - 11:28 AM

thanks again.

anyone know if antenatal GPs can do VE or S&S? I've made an appointment to see mine tomorrow and I really didn't get much sleep (lol what's new) last night because I'm so worried.

#19 premmie_29weeks

Posted 31 January 2013 - 01:04 PM

My sil was induced and went on to have 30 minute labour from time of drip to baby. He started school today original.gif so intervention isn't necessarily a given. At 39 weeks I had an unfavourable cervix, still closed and high. My first son was born at 40 plus 2 at the time I was supposed to be discussing a potential induction with my ob. So things can change very quickly...try not to worry.

#20 premmie_29weeks

Posted 31 January 2013 - 01:07 PM

I don't know about an s and a but I assume that most GP's can do ve's given they do routine Pap smears? And I'm sure it's something they would need to clear with Youren,art caregiver. Unless your doing some kind of shared care?

#21 Red nut

Posted 31 January 2013 - 01:17 PM

38 year old, was induced at 8-9 days over with a completely long and closed cervix. One dose of gel got me having contractions, waters broke overnight, cervix a bit slow to open so I ended up on the syntocinon drip the next day. No epidural required! Got to fully dilated and pushing, and unfortunately the lad's head was transverse, and he got stuck, but that I think is unrelated to the induction, which all seemed to work beautifully. It can happen with an unfavourable cervix, don't despair!

#22 Soontobegran

Posted 31 January 2013 - 07:03 PM

QUOTE (Marquise @ 31/01/2013, 12:28 PM) <{POST_SNAPBACK}>
thanks again.

anyone know if antenatal GPs can do VE or S&S? I've made an appointment to see mine tomorrow and I really didn't get much sleep (lol what's new) last night because I'm so worried.

If you are doing shared care your GP must have done obstetrics so yes they are able to do VE's etc. original.gif
Please don't worry, if you are having plenty of movements then all is most likely fine. If you think your movements are reduced just forget your GP and go straight to the hospital you are delivering at.
Good luck.

1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users


Kourtney Kardashian goes nude for art

We've all done some pretty radical things after a big break-up, but Kourtney Kardashian has gone one better.

Video shows babies 'singing' to music in the womb

A new study has shown that babies may actually be able to hear from as early as 16 weeks – 10 weeks earlier than was commonly thought.

Prevent pelvic pain with pre-pregnancy exercise: study

Women who want to stave off aches and pains in pregnancy should exercise regularly before they conceive, experts say.

Dad's hilarious blog about life with twins

A stand-up comedian in the UK has plenty of new material since becoming a dad to twin boys.

Dinosaur products for babies and toddlers

Dinosaurs are one of those classic childhood crazes. We've put together a host of products for dinosaur-mad parents, babies and toddlers.

Restaurant manager sticks up for noisy baby

A mum was left upset by a note from neighbouring diners saying her screaming baby had ruined their dinner.

His name is Cayden: Mum and social media hit back after racist Facebook attack

When a man posted a selfie with a co-worker's son to Facebook, it became a magnet for racist comments.

Join the Real Mums Test Drive Team

Five new mums will join the Essential Baby Test Drive Team and discover great new baby toys from Fisher-Price & write a review to be published on Essential Baby.

The Chinese tradition for new mums that can now cost $37,000 a month

Opulent rest time is becoming the gold standard in postpartum recovery, inspired by a Chinese confinement custom known as "sitting the month".

How the media can shape our decisions when it comes to labour

We all like to think that we make our choices in fair, reasoned and well-thought out ways. Not many of us would admit that we allowed the media to influence us in our life choices.

Mum told to express in pet relief area at airport

A woman who flew from Boston to Washington says staff with United Airlines at Washington's Dulles Airport suggested she pump her breast milk in the pet-relief area.

Heartbreak as mum dies and her baby chokes to death

An Australian woman living in the US collapsed and died while feeding her baby, who then choked to death on his food. 

The hidden mental health illness of anxiety

Anxiety took over Robyn Read's life to such an extent she could not even buy the groceries and felt suicidal.

Two children fall from second storey window

Two young boys have been rushed to hospital after falling out a second-storey window of a home in Eastwood.

Mum gives birth to India's heaviest baby

An Indian woman has given birth to a baby boy weighing a whopping 5.97kg, setting a new record for the country's heaviest baby.

Grandma surprised with brand new granddaughter

Finding out you’re going to be a grandmother can be a very emotional moment. Finding out that you’re a grandmother and the baby is already here is just out of this world.

Saltwater Sandals for babies and toddlers

Many mamas are wearing Saltwater Sandals - why not buy them for your babies and toddlers too?

How to spring clean your body and mind

Whether you're pregnant, already a mum, or are just trying to be a bit more healthy, there are ways to use the rejuvenating season to give yourself a boost.


What's hot on EB

Stella McCartney honours mum with lacy bra

Fashion designer Stella McCartney has honoured her late mum, Linda McCartney, by designing a special bra for post-mastectomy patients.

Don't panic: A granddad midwife's guide for dads-to-be

Mark Harris has helped deliver 500 babies. And he's now telling fathers what to expect.

How to be a calm parent when you're feeling anything but

Being a calm parent takes a lot of work, sometimes more than is obvious to those around us.

The joy and isolation of being a stay-at-home dad

It's cool, kind of like a second childhood. I love him to bits and think, on average, I'm an okay dad. But I also want to talk about the other stuff.

How baby Teddy's short life is helping save thousands of lives

He may have only lived for 100 minutes, but that didn't stop baby Teddy from saving the lives of others.

A heartbreaking trail of missed chances in death of baby forgotten in car

A haunting reminder to stay mindful about babies in cars, especially as we approach summer.

What to do if your baby has tongue-tie

Tongue-tie can cause feeding problems. However once it is diagnosed, the condition can be easily treated.

How to move house without losing your mind

Some people move frequently, while others like to stay put. But everyone finds it stressful.

'She had nowhere to go': how new mum's life began to unravel

The birth of her first child should have been happiest of times for Campsie mother Phuong Cao, but friends say it marked the beginning of when her life began to unravel. 

Women giving birth to a son keep some of his Y chromosomes

It was an experiment doomed to failure - they were looking for male cells in female bodies. And their search was stunningly successful.

Photos: How babies fit in the womb

A gorgeous photo series shows babies in the first hours after their birth - as they were positioned in the womb.

Baby tries to persuade stubborn bulldog to walk, fails

We don't know what he's saying, but this baby has a very clear message for his bulldog pal: let's walk - NOW.

The best toddler gift ever? Nine gender-neutral play kitchen picks

Without a doubt, one of the best gifts for a toddler turning two or three is a play kitchen.

9 easy steps to improve your baby photography

With a few simple tips you can take your images from random happy snaps to lovely clean images that create beautiful lasting memories.



Can't decide?

Check out the Essential Baby Names section for some inspiration

Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.