Obesity Study to Assess Induction of Labor
Obesity Study to Assess Induction of Labor
There are more and more pregnant women who are obese. It is very difficult for obese women to
 get into labor. That is why when women are obese, half are likely to need a Cesarean
 delivery(C-section). Unfortunately, C-sections are more dangerous for obese women. There may
 be a combination of issues that cause obese women to need C-sections. We believe one of those
 reasons is that the womb of obese women respond differently to medications and devices
 compared to non-obese women. There are commonly two ways to help women get into labor. One
 way is a medication called misoprostol. The second way is a device called Foley balloon. In
 most studies, both ways are equally effective in helping women get into labor. However, these
 studies included everyone, and didn't focus on obese women.

 So far there are no studies in this area that focus only on obese women. Therefore we need to
 design this study to focus just on obese women and what is the best way to help them get into
 labor and avoid a C-section.
Inclusion Criteria:

 -  Morbidly obese patient (BMI≥40kg/m2) at admission for induction of labor Speaks
 English Gestational age between 37and0 weeks and 41and6 weeks Cervical exam: dilation
 <4cm and Bishop score 6 or less Contractions < 2 per 10 minutes

 Exclusion Criteria:

 -  History of cesarean delivery Maternal contraindications to labor Fetal
 contraindications to labor Maternal age <18yo Fetal growth restriction with abnormal
 umbilical artery Doppler indexes Cervical dilation ≥4cm or Bishop score ≥7
 Contractions ≥3 per 10 minutes Non-reassuring fetal status Latex allergy