Veronica, I would start with just one a day orally for a couple of weeks. Once you get to 36 weeks increase it to 2 orally and one vaginally at bedtime. By the time you are 37/38 weeks up your dose to 2 orally and 2 vaginally at bedtime. Do this until your bub decides it's time to slide on out I figure with all that oil they should just slide hey.