Efficacy and Safety of Titrated Oral Misoprostol Solution for Labor Induction at Term

Efficacy and Safety of Titrated Oral Misoprostol Solution for Labor Induction at Term

The purpose of this study is to determine whether a titrated solution of oral Misoprostol is safe and effective at inducing labor at term, regardless of Bishop Score.

Inclusion Criteria:

1. term,
2. singleton
3. no contraindication to prostaglandins
4. vertex
5. no exposure to vaginal prostaglandins in the index pregnancy

Exclusion Criteria:

1. parity > 3
2. severe PIH: BP> 160/100, abnormal LFT's, proteinuria >1g/day
3. previous uterine surgery
4. regular uterine contractions
5. maternal age > 45
6. twins