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To determine the factors associated with delayed onset of active labor following labor induction with vaginal misoprostol. We conducted a prospective cohort study over 6months at a tertiary hospital in Uganda. We enrolled mothers with pregnancies of at least 28weeks, who were undergoing labor induction with 50µg of vaginal misoprostol, administered every 6hours with a maximum of four doses, and followed them up until onset of active labor. Labor onset was considered delayed if it occurred later than 12hours after the first dose. Bivariate

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