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
Moderator

#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

Hi OP

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

 

Win a Mountain Buggy Swift

To celebrate Essential Baby reaching half a million Facebook fans, we have a Mountain Buggy Swift to giveaway to a lucky fan.

Shopping with kids: breaking the pester-power cycle

You're out shopping with your little one and they're incessantly whining that they want a treat. It's easy to say no ... the first time, at least.

eBay jacket may hold clue to murdered girl's identity

A jacket similar to the one found with the remains of a brutally murdered little girl in South Australia has been identified on eBay.

New mum forced back to work early due to paid parental leave 'technicality'

Shelley Parker had to keep driving buses until the date her baby was due and will have to rush back to work at the end of this week after being denied paid parental leave on a "technicality".

Pregnant Amanda Palmer poses naked for book drive

It has to be the most original way ever of promoting a children's book donation day.

The conception dilemma facing many parents today

Some parents who conceived through a sperm donor will be wary of telling the child, while others prefer to deal with it early on. But recent research suggests it makes little difference either way.

The wedding photo the bridesmaid would rather forget

We've probably all seen a passed-out bridesmaid at one wedding or another, but it usually happens towards the end of the night.

Pregnant TV meteorologist takes on haters

Pregnant TV meteorologist Katie Fehlinger has hit back at haters who called her a "sausage in casing".

Honest words from first-time mums

I didn't want to say anything negative to my pregnant friend, but I wish I'd been more honest.

Adorable baby experiences rain for the first time, couldn't be happier

Harper had seen rain from the comfort of indoors before, but had never had the pleasure of being outside and experiencing it first hand.

What it's really like to start a family in your fifties

Many people suppose that it must be much more tiring to have a baby in middle age, but all the mothers in the playground look exhausted, whatever their age.

'Biggest hypocrite ever': Josh Duggar admits to Ashley Madison account

An American reality TV star has been busted with a cheating website account, according to US media.

Long recovery ahead for girl hit by car weeks after baby brother's death

A little girl is more alert and starting to talk after being hit by a car a week ago, but still faces a long recovery.

How to react when a toddler lies

Q: My almost-3-year-old is starting to figure out that he can lie when asked if he ripped the book, threw the food, hit his brother, etc. Totally normal, I know. How do we respond?

The circular experience of a Centrelink client

A mum-to-be experiences the frustration of dealing with Centrelink, myGov and everything in between.

Kelly Clarkson announces live on stage: 'I'm pregnant!'

Singer Kelly Clarkson has announced she is pregnant with her second child during a concert in Los Angeles.

Hack

How to search the leaked Ashley Madison data

At least three sites are republishing Ashley Madison's user data on the public-facing internet.

Mum dances her way through labour

There are a fair few ways to distract yourself and beat pains while in labour, but it's probably a rare woman who chooses her dance her way through it.

'Rest in peace, my little lion': premmie baby Jacob passes away

Baby Jacob, whose photo of him born at just 27 weeks was deemed 'too graphic' for a fundraising site, has died.

Mum killed three young sons 'to help her daughter', prosecutor says

Niall Pilkington's death last summer apparently raised little alarm in Bellefontaine, Ohio. Tragic accidents happen, after all.

Shorter women have shorter pregnancies: study

When a group of researchers studied nearly 3500 mothers and their babies, they noticed a curious pattern.

Get your FREE Baby & Toddler Show ticket!

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

The worst 20 minutes of my life

Thirty seconds was all it took to turn a shopping trip into my worst nightmare.

Top baby names for England and Wales in 2014

George has overtaken William in the official rankings of most popular British baby names - and Game of Thrones is still having an impact on parents.

Baseball or baby? Dad's tough choice

What's more important, a baby or a baseball? That's a question this dad seems to struggle with.

Childbirth choices: five star or free?

It's not often you hear the words labour and luxury in the same sentence but for some, a 5-star start to parenthood is exactly what they seek. And with a number of private hospitals now offering packages which include a post-birth stay at a sumptuous first class resort, many mums are choosing to recover in style.

'Where did your boobies go, Mummy?' and other soul-destroying comments from kids

Most women carry a smidge of baby weight after giving birth. If you're lucky enough to have an older child in the house, they can keep you on track with your weight loss goals.

Do you read me, baby?

Is it too soon to be reading to my two-month-old son? If not, what should I read?

Minimising sibling rivalry when you've got a baby

Sibling rivalry is an act of competition, but if your children feel involved and special, this type of jealousy will be minimised.

Will studying on maternity leave take you away from your most important job?

I remember when I was trying to decide if I could combine motherhood and furthering my university education.

Win a Pacapod this Father's Day

To celebrate dads and families, we are giving away a Picos Pack from Pacapod Australia filled with a few extra goodies ENTER NOW

Preschooler hit by car shortly after baby brother's death

A mother has had a frantic race to the hospital after her daughter was hit by a car, just four weeks after her infant son died.

Gay couple and Thai surrogate in custody tug-of-war

A six-month-old baby girl is trapped in the Thai capital in a bitter custody wrangle between her Thai surrogate mother and her biological father.

Couple denied IVF over parenting concerns

A mother of six has been denied access to IVF treatment in order to have another child over concerns about her parenting skills.

The book that promises to put your children to sleep

Exhausted parents from around the world are singing the praises of a "miracle" book which promises to put even the most restless child to sleep in just minutes.

5 things every parent who feels guilty needs to know

Parenthood can make you feel bad, but you're not alone.

Royals criticise 'dangerous' attempts to photograph Prince George

The British royal family criticized paparazzi on Friday for what it called their increasingly dangerous attempts to photograph young Prince George.

'No jab, no play' rule to cover Victorian kindergartens and childcare centres

"Anti-vaxxers" face not being able to send their children to childcare centres or kindergarten if they refuse to have them immunised.

15,000 birthing kits on their way to developing countries

Giving birth in a hospital surrounded by medical experts is tough enough, but some women deliver babies without a clean sheet to lie on.

Photo of premmie 'too graphic', fundraising site says

When their son Jacob was born at just 27 weeks, Christina and Jeff Hinks were thrown into an uncertain world.

The latest Bugaboo collections: cool chevron and runner prams

Bugaboo sure likes to keep things fresh, and with the Australian spring/summer season coming up, there are two new Bugaboo pram releases.

Making room for two in the bed

Mum's room or their own room? Cot or bassinets? Deciding where twins will sleep can be tricky.

 

FREE TICKET

See Hi-5 LIVE in Sydney!

Get your free ticket to The Essential Baby & Toddler Show and save $20 - register online now!

 
Advertisement
 
 
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.