Induction of labor is a worthwhile therapeutic option when the benefits to either the mother or fetus outweigh those of expectant management. A careful explanation to the patient of the process and methods is essential, particularly when induction is indicated but the cervix is unfavorable for induction. In these circumstances, preinduction cervical ripening may be beneficial but has not been conclusively demonstrated to reduce the rate of cesarean births. Although widespread, the use of serial inductions with oxytocin has not been clearly shown to be advantageous.