Induction of Labor Affected Fetus / Newborn Clinical Trial
Official title:
Cervical Ripening in Obese Women: a Prospective, Randomized Trial Comparing Efficacy of 25 mcg Versus 50 mcg of Misoprostol
This is a prospective clinical trial to determine if 50 mcg versus 25 mcg po every four hours of misoprostol has improved efficacy and similar safety in obese women undergoing cesarean section.
We will perform a prospective, randomized, double-blind clinical trial with parallel
assignment.
Obese women (delivery BMI 30 or more) who agree to participation will be randomly designated
to receive either 25 mcg po q 4 hour (control) misoprosol versus 50 mcg po q 4 hours. Our
primary outcome will be the rate of successful induction. Secondary outcomes will include
ability to achieve a Bishop score greater than 7, time to active labor, and safety data
including rate of tachysystole, non-reassuring fetal status, NICU admission.
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