Labor Induction With Double Balloon Device, Oral Misoprostol and Concomitant Use of Both

Inclusion Criteria: * unfavourable cervix (Bishop score ≤ 4), * indication for induction of labor (medical or obstetrical), * 37 completed gestational weeks, * vertex presentation, * singleton pregnancy * intact membranes. Exclusion Criteria: * previous cesarean delivery * previous uterine surgery (eg: myomectomy) * noncephalic presentation * multiple pregnancy * pre-eclampsia with severe features * oligohydramnios (Maximal vertical pocket ≤2) * estimated fetal weight \<10% percentile * any contraindication to Vaginal delivery