What is the most effective way to induce labor in a term patient?
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Both vaginal misoprostol and amniotomy with oxytocin are strongly associated with delivery within 24 hours. Little evidence is available comparing their relative efficacies. Misoprostol is more strongly associated with delivery within 24 hours than prostaglandin E2 and F2a products. Mechanical ripening methods do not trigger labor. (SOR A, based on multiple systematic reviews.)
Evidence Based Practice 11(2): 06-07.