Hello and welcome, I understand your concern. Lack of cervicxal dolatation or effacement does not mean that a trial of normal labor cannot be given. There is a score called the Bishops score that helps in determining the chances of spontaneous labor. If the score is unfavorable then use of drugs like oxytocin and prostaglandins can be made to soften and dilate the cervix as well as induce contractions. They may not suceed every time but a trial is made. However the decision for induction of labor also depends upon other factors like fetal well being, size of baby and size of pelvis. If all these are favorable then induction and trial of labor is given. If not then a cesarean is planned. So please discuss all these with your doctor and then opt for the final decision. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist