A Pilot Study: High Versus Low Oxytocin Dosing for Induction of Labor in Pregnant Patients With Obesity

Exclusion Criteria

• •1. Fetal demise
• •2. Major fetal congenital malformation or known chromosomal abnormality
• •3. Prior uterine surgery (e.g., cesarean, myomectomy)
• •4. Non-reassuring fetal wellbeing as indication for induction
• •5. Intraamniotic infection suspected or diagnosed prior to randomization
• •6. Non-English
• •7. Multifetal gestation
• •8. Gestational age \<37 weeks
• •9. Spontaneous labor
• •10. Cervical dilation \> 4 cm at initiation of induction
• •11. Initiation of oxytocin in the second stage of labor
• •12. Use of oxytocin prior to randomization or planned use of oxytocin with foley catheter for cervical ripening
• •13. Fetal malpresentation
• •14. Estimated fetal weight \>4500 g in a patient with diabetes, or estimated fetal weight \>5000 g in a non-diabetic patient
• •15. Abnormal placentation (e.g. previa, suspected placenta accreta spectrum)
• •16. Physician/provider or patient refusal