Using Isosorbide Mononitrate in Reducing Time in Induction of Labor in Post Date Women

Efficacy of Intravaginal Administration of Isosorbide Mononitrate Together With Misoprostol Versus Misoprostol Alone in Induction of Labor in Postdate Women

We will compare between using isosorbide mononitrate together with misoprostol versus the misoprostol alone in induction of labor in postdate women

Inclusion Criteria:

• age (20-35 yrs)
• single fetus
• gestational age > 40weeks
• not in labor
• bishop score < 7
• no medical disorder

Exclusion Criteria:

• Gestational age ≤40 weeks
• patient with a ripe cervix
• rupture of membranes
• suspected chorioamnionitis
• placenta previa
• history of major uterine surgery
• hypertonic uterine pattern
• contraindicated to receive PG
• fetal malpresentation
• multiple pregnancy
• intrauterine growth retardation
• women with any general medical disorder