Abstract: A cervical ripening system includes a balloon catheter and a fluid pump. The fluid catheter has a balloon portion configured to pass through a cervix when contracted and to engage and pressure a uterine side of the cervix when expanded by fluid. The fluid pump is in fluid flow communication with the balloon portion of the catheter and is configured to selectively expand and contract the balloon portion of the balloon catheter by alternately pumping fluid into and out of the balloon portion of the balloon catheter to repetitively increase and decrease pressure on the uterine side of the cervix to simulate natural uterine contractions.