RecruitingMorbid ObesityPregnancy
Induction of Labor in Morbidly Obese Patients
Eligible age
18+ yrs
Accepts
Women
Locations
1 state
Healthy volunteers
No
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About this study
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.
Sponsor: University of Maryland, Baltimore
You may qualify if…
- ✓ 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
- ✓ Viable, single, cephalic fetus
- ✓ Intent to proceed with cervical ripening - cervical exam: dilation \< 5 cm
- ✓ Contractions \< 5 per 10 minutes
You may not qualify if…
- ✕ 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)
- ✕ Age \< 18yo
- ✕ Fetal growth restriction with abnormal umbilical artery Doppler indices
- ✕ Cervical dilation \>5 cm
- ✕ Contractions \>5 per 10 minutes
Where it's recruiting
Maryland
Baltimore
Source: ClinicalTrials.gov · NCT06199154 · last updated 2025-07-03