Induction of Labor in Morbidly Obese Patients

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity of Maryland, Baltimore

About this 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.

Eligibility criteria

Qualifiers

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

Disqualifiers

History of cesarean delivery

Contraindication to prostaglandin administration (significant myomectomy, prior cesarean delivery)

Contraindication to vaginal delivery (placenta previa, vasa previa, HIV with high viral load)

Contraindications to labor (cardiac, neurosurgical, need for cesarean)

Trial design

Treatments tested in this trial

  • Misoprostol

Treatment groups

162 Participants
are divided into 2 treatment groups