Titrated low-dose vaginal and/or oral misoprostol to induce labour for prelabour membrane rupture: a randomised trial.

Objective: To evaluate the clinical effectiveness and safety of titrated low-dose misoprostol for induction of labour (IOL) in the presence of prelabour rupture of membranes (PROM).

Design: Randomised controlled trial.

Setting: Maternity units in the UK (9) and Egypt (1).

Vaginal dilator therapy-an outpatient gynaecological option in the management of dyspareunia.

The management of 18 women complaining of superficial dyspareunia is reviewed. Primary treatment consisted of self-vaginal dilatation using graduated glass dilators on an outpatient basis. All patients were given verbal explanation and written instructions.