Quantifying the Impact of the Peanut Ball on the Duration of the Active Stage of Labor

Inclusion Criteria: * Fetus must be vertex in position at the time of admission to L\&D * Pregnant patients age 16 years old and above * Singleton pregnancy (ie. one fetus) * Patients who receive induction and augmentation of labor may be included * Include both nulliparous and multiparous women * Patients with HTN, diabetes, and obesity at any point in their pregnancy may be included * Patients may be included in the study regardless of whether or not they received an epidural * Patients who have been randomly assigned to receive a peanut ball must be placed on the peanut ball at 6cm dilation, not earlier. * Patients who present to L\&D dilated to 4cm may be included Exclusion Criteria: * TOLACs and VBACs will be excluded * Multiple gestation will be excluded * Category 3 fetal tracing will be excluded * Chorioamnionitis will be excluded * Patients who present to L\&D at 6cm cervical dilation will be excluded * Patients placed on the peanut ball before 6cm cervical dilation will be excluded * Patients with fetal malpresentation will be excluded