Oral Intake During Labor

Inclusion Criteria: * Active Duty and Department of Defense (DoD) beneficiary Pregnant women 18 years of age and older * 37 weeks gestation or greater at time of admission * singleton fetus * cephalic presentation * who plan to labor/deliver at DGMC (military beneficiaries). Exclusion Criteria: * Morbid/severe obesity (pre-pregnancy BMI ≥40 kg/m2 * diabetes * hypertension (to include pre-eclampsia or eclampsia) * previous cesarean section * uncontrolled gastroesophageal reflux disease (GERD) (symptomatic with medication) * past history or current diagnosis of hyperemesis gravidarum * food allergies to any items contained in the gastric/soft bland diet * patients utilizing nitrous oxide for labor analgesia (should this treatment be available at DGMC) * Difficult airway as defined by the anesthesia staff. * Mallampati score 3 or 4 * Thyroid mental distance less than 7 cm or 3 finger breaths * Mouth opening less than 3 finger breaths * Short thick neck, Micrognathia * Further indications as determined by the anesthesia provider doing the anesthesia preoperative assessment (pregnancy in and of itself will not be considered a disqualification due to airway changes during labor)" in order to define difficult airway per anesthesia. * Under age 18 * Additional clinical risk factors as determined by the care provider