Foley Balloon Study for Cervical Ripening - Cost Comparison Between Outpatient and Inpatient Cervical Ripening

Inclusion Criteria * Pregnant women at ≥39 weeks gestation by reliable dating criteria as determined by the American College of Obstetricians and Gynecologists * Scheduled induction of labor with indication and timing supported by Lehigh Valley Health Network -Labor and Delivery Units (Cedar Crest \& Muhlenberg) * Singleton gestation * Cephalic presentation * Amniotic fluid index normal * Formal prenatal ultrasound during the pregnancy documenting the absence of placenta previa * Bishop score \<6 and cervical dilation \<3cm at the time of decision to induce labor * The woman is able to give appropriate consent and has undergone an informed consent process. * Maternal age ≥ 18 years old at the time of consent * English speaking Exclusion Criteria * Undergoing outpatient antenatal testing for any medical or obstetric condition * Need for inpatient observation or continuous fetal monitoring during their cervical ripening * New diagnosis requiring immediate hospitalization for monitoring (such as new onset hypertensive disease of pregnancy) * Vaginal bleeding * Active labor * Premature rupture of membranes * Uterine tachysystole (\>5 contractions in 10 minutes) * Non-reassuring fetal heart tracing before Foley placement * Intrauterine fetal demise diagnosed after enrollment and before placement of balloon * Contraindication to vaginal delivery, relative or absolute (i.e. transfundal uterine surgery) * Abnormal placentation including a low lying placenta * Prior cesarean delive…