A comparison of vaginal versus buccal misoprostol for cervical ripening in women for labor induction at term (the IMPROVE trial): a triple-masked randomized controlled trial.

Background: Cervical ripening is commonly needed for labor induction. Finding an optimal route of misoprostol dosing for efficacy, safety, and patient satisfaction is important and not well studied for the buccal route.

Objective: To compare the efficacy and safety of vaginal and buccal misoprostol for women undergoing labor induction at term.

Survey of Provider Preferences Regarding the Route of Misoprostol for Induction of Labor at Term.

 To survey obstetrical provider preferences regarding use of misoprostol for induction of labor (IOL).  An anonymous 25-question survey was distributed at an American College of Obstetricians and Gynecologists (ACOG) joint District V and VII Meeting in 2014 to obstetrics providers. The same survey was sent electronically to local providers.

Pseudomonoamniotic Pregnancy: Case Report and Review of Etiologic Considerations.

Pseudomonoamniotic gestations are increasingly recognized through sonographic surveillance of monochorionic twins, though etiologic factors remain undefined. We present a case of spontaneous pseudomonoamniotic twins and propose umbilical cord insertion proximity as a sonographic marker. Systematic review of the literature was performed and additional cases with similar findings were noted.