**6.3 Combined Methods**

Having a lack of most established single effective method for inducing labor in the obstetrics literatures, combined methods have been implemented to increase the success rate of induction [65, 66]. Combined method could be using either more than one medical methods or medical methods with mechanical methods. The most commonly used combined methods for induction are the use of oxytocin infusion that could be started either prior to or following prostaglandins or rupture of the membranes depending mainly upon the state of the cervix and head brim relation [38]. The advantages of the combined methods are**:**

1.More effective than any single procedure

2. Shortens the induction-delivery interval and thereby minimizes

