Is More Than One Dose of Misoprostol Needed to Expedite Vaginal Delivery in a Patient With an Unripe Cervix?

Inclusion Criteria: * Any pregnant woman undergoing induction of labor * Live singleton pregnancy ≥ 37 week gestation * Bishop score \< 6 * Category I fetal heart rate Exclusion Criteria: * Contraindications to vaginal delivery (e.g. vasa previa, placenta prevue,non-vertex presentation, umbilical cord prolapse, and active genital herpes infection.) * Pregnancies complicated by major fetal anomalies * Any contraindication to the use of misoprostol, including * History of previous c-section or major uterine surgery * Prior allergic reaction * Category II or III fetal heart rate * Regular uterine contractions ≥ 3 in a 10-minute period persistent for at least 30 minutes * Estimated fetal weight \< 10 percentile * Premature rupture of membranes * Age \< 18 years old * Women who do not have the capacity to consent