Induction of Labor in Morbidly Obese Patients: Comparison of 50 mcg and 25 mcg Misoprostol - A Randomized Control Trial
The goal of this randomized control trial is to compare different doses of Misoprostol (25 mcg vs 50 mcg) in induction of labor (IOL) in morbidly obese patients with BMI \>40. It is known that morbid obesity is a risk factor for failed IOL and ultimately cesarean delivery (CD.) If the rates of vaginal delivery in this population can improve, then surgical morbidity can be reduced in these patients.
• Morbidly obese (BMI ≥ 40 kg/m2) at admission for induction of labor
• Speaks English or Spanish
• Gestational age between 34 weeks and 0 days and 42 weeks and 6 days
• Age 18 years old or older
• Viable, single, cephalic fetus
• Intent to proceed with cervical ripening - cervical exam: dilation \< 5 cm
• Contractions \< 5 per 10 minutes