Inpatient Versus Outpatient Foley Cervical Ripening Study

Exclusion Criteria

• •Any contraindication for vaginal birth by institutional policy
• •Multiple gestation
• •History of cesarean delivery
• •Oligohydramnios/polyhydramnios/anhydramnios (MVP \<2cm)
• •Rupture of membranes
• •Poorly controlled diabetes (Hgb A1C\>8% and/or fingerstick glucose above target \>50% of the time in the past week)
• •Poorly controlled chronic hypertension, gestational hypertension or preeclampsia (patient requiring IV antihypertensives within 4 hours of arrival)
• •Vaginal bleeding
• •Any conditions that require continuous electronic fetal monitoring either by institutional policy or provider determination (intrahepatic cholestasis of pregnancy, intrauterine growth restriction, abnormal non-stress test, others)
• •Fetal anomaly with anticipated neonatal intensive care unit admission
• •Fetal demise
• •HIV infection, presence of genital herpetic lesion
• •History of substance abuse during this pregnancy
• •History of precipitous delivery (delivery \<3hrs from onset of labor)
• •Poor access to care (social, distance to hospital \> 45 min, limited transportation)
• •Poor social situation, history of domestic violence, untreated/uncontrolled psychiatric condition
• •Inability to give informed consent, history of mental retardation
• •Strong preference for inpatient management
• •Inability to understand English or Spanish