<prompt> Which of the following is used for cervical ripening?Dinoprostone gelMisoprostol tabletsHyaluronic acidAll the above  <response>: Ans. is d i.e., All the above o Cervical Ripening is a series of complex biochemical changes in the cervix which is mediated by the hormones. There is alteration of both cervical collagen and ground substance. Ultimately, the cervix becomes soft and pliable.Methods os cervical RipeningPharmacological MethodsNonpharmacological MethodsProstaglandins PGso Dinoprostone PGE; Gel, tablet, suppositoryo Misoprostol PGE: Tableo Stripping the membranesOxytocinProgesterone receptor antagonistso Mifepristone RU 486o Amniotomy artificial rupture of the membraneso Mechanical dilators, osmotic dilators laminariaRelaxin: a protein hormone from corpus luteum, dissolutes cervical connective tissueo Transcervical balloon catheterHyaluronic acid Estrogeo Extra-amniotic saline infusionUse oof - level of misoprostol PGE for cervical ripening is safe and effective ACOG - 2003 