Induction of Labor After Cesarean Using Foley Alone vs. Concurrent Foley and Oxytocin

Labor Induction After Cesarean: A Randomized Trial Of Cervical Balloon With or Without Oxytocin

A randomized trial of patients undergoing a term (≥37 weeks) induction of labor with a history of one prior Cesarean delivery, wherein the provider intends to use a Foley catheter for cervical ripening. The investigators will be comparing Foley alone with concurrent Foley and Oxytocin use at the start of the induction. With this trial, the investigators aim to test our central hypothesis that concurrent Foley and Oxytocin will decrease time to delivery without increasing risks, compared to Foley alone.

Inclusion Criteria:

• Eligible for induction of labor
• Live singleton gestation ≥37 weeks
• History of 1 cesarean delivery
• ≥18 years of age
• Cephalic presentation
• Intact membranes
• English or Spanish speaking (Able to read/understand consent and instructions)
• Cervical dilation <3cm and Bishop score <8

Exclusion Criteria:

• >1 prior Cesarean delivery
• Known chorioamnionitis
• Major fetal anomaly