This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'A 29 year old pregnant female is undelivered at 43 weeks gestation. She agrees to undergo induction. All of the following are options for cervical ripening except: \nSelect and explain. \nA. Laminaria, B. Cervidil (prostaglandin E2 inse), C. Misoprostol, D. Pitocin (oxytocin)', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Inducing agents include - Prostaglandin E2 preparations available as a vaginal/cervical gel (Prepidil) or vaginal inse (Cervidil). Misoprostol, a synthetic PGE1 analogue for preinduction cervical ripening. It can be administered the oral or vaginal route. Mechanical ripening of the cervix can be achieved with laminaria, which is a hygroscopic dilator that is placed in the cervical canal and absorbs water from the surrounding cervical tissue. Oxytocin is not considered a cervical ripening agent but a labor-inducing agent.', 'role': 'assistant'}]