Comparison of Vaginal Misoprostol Plus Supracervical Balloon Versus Vaginal Misoprostol Alone for Induction of Labor

Prospective Randomized Clinical Trial Comparing the Effect of Vaginal Misoprostol Synchronously With Supracervical Balloon Versus Vaginal Misoprostol Alone for Induction of Labor

Demonstrate that with concomitant and synchronous use of supracervical balloon and vaginal misoprostol for induction of labour, vaginal delivery is achieved in less time compared with vaginal misoprostol alone.

Inclusion criteria:

• Singleton pregnancy
• Cephalic presentation
• Reassuring fetal heart rate pattern
• Intact membranes
• Bishop score less than 6

Exclusion criteria

• Severe preeclampsia
• Prematurity ( < 37 weeks gestation dated by first trimester ultrasound)
• Previous cesarean section or previous uterine surgery
• Intrauterine growth restriction
• Premature rupture of membranes
• Maternal colonization with Streptococcus Agalactiae at any time during pregnancy
• Multifetal pregnancy
• Breech presentation
• Stillbirth
• Any contraindication for vaginal delivery