Effect of a Commercially Available Carbohydrate Rich Gel on Maternal Fatigue: A Randomized Controlled Trial

Exclusion Criteria

• •\- Patients younger than 18 years,
• •Patients unable or unwilling to provide informed consent,
• •Patients who are illiterate,
• •Patients who are non-English speaking or reading,
• •Patients who are University Hospital employees,
• •Patients undergoing induction of labor for maternal or fetal indications other than elective induction after 39 weeks or induction for post-term pregnancy
• •Multi-fetal gestations (\>1 intrauterine pregnancy),
• •Patients with a history of GI disorders such as hyperemesis gravidarum, inflammatory bowel disease or irritable bowel syndrome
• •Patients with an increased risk of aspiration such as BMI \>35 kg/m\^2, severe GERD, gastroesophageal motility disorders,
• •Patients with acute or chronic platelet dysfunction (e.g.: idiopathic thrombocytopenic purpura, HELLP syndrome) which may necessitate need for general anesthetic for Cesarean delivery
• •Patients with history of peptic ulcer disease,
• •Patients who have a contraindication to epidural placement and would require general anesthestetic in event of Cesarean delivery
• •Patients with suspected or proven placenta accreta, increta or percreta,
• •Patients with excessive nausea or vomiting during labor
• •Patients with a history of food allergies or allergies to specific components found in the energy gel.