The MODE Trial: Planned Caesarean Section Versus Induction of Labour for Women With Class III Obesity

Inclusion Criteria: * Capability of participant to comprehend and comply with study requirements * Age ≥18 years at time of consent * Nulliparous (never given birth after 19+6/7 weeks of gestation) * Pre-pregnancy BMI or calculated BMI obtained in the first 13 weeks of pregnancy ≥40kg/ m2 * Participant plans to give birth in a participating site * Gestational age 34+0/7 - 36+6/7 weeks (based on estimated date of conception (EDC) assigned at the first ultrasound performed after 7+0/7 and prior to 20 +0/7 weeks) * Live fetus, documented positive heart rate at visit 1 prior to randomization * Singleton fetus in cephalic presentation at the time of randomization * No maternal or fetal contraindications to vaginal delivery Exclusion Criteria: * Known major fetal anomaly, confirmed by ultrasound or genetic testing * Multiple gestation * Known documented evidence of alcohol or drug abuse in this current pregnancy * Currently enrolled or has participated in another clinical trial within 3 months of the date of randomization (at discretion of Trial Coordinating Centre)