Cervical Ripening With Foley Bulb Versus Dilapan-S at Home

Inclusion Criteria: * Singleton gestation. Twin gestation reduced to singleton, either spontaneously or therapeutically is not eligible unless the reduction occurred before 14 weeks 0 days gestational age. * Gestational age at randomization between 39 weeks and 40 weeks 6 days (based on reliable EGA defined as ultrasound performed before 14 weeks 0 days, or a certain LMP consistent with ultrasonography before 21 weeks and 0 days.) * Patient prefers outpatient cervical ripening * Patient lives within a one-hour commute from the hospital. Exclusion Criteria: * Project gestational age at date of first ultrasound is \> 20 weeks 6 days * Refusal of blood products * Participation in another interventional study that influences management of labor at delivery or perinatal morbidity or mortality * Delivery planned elsewhere at a non-Christiana site * Major maternal medical illness associated with increased risk for adverse pregnancy outcomes that would preclude her from an outpatient induction (e.g. any diabetes mellitus, lupus, any hypertensive disorder, cardiac disease, renal insufficiency) * Medical indication for induction prior to 40 weeks 5 days due to any maternal * Heparin or low-molecular weight heparin use during the current pregnancy * Cerclage in current pregnancy * Prior uterine or cervical surgery (cesarean, myomectomy, cerclage, LEEP, cone biopsy, etc.) * Known HIV positivity because of modified delivery plan * Iodine or latex allergy * Fetal demise or known major f…