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Early Versus Late Amniotomy During Induction of Labor in Obese Gravida [37I]

METHODS: This is a secondary analysis of a retrospective cohort study that obtained IRB approval to investigate induction and augmentation of labor and BMI. Obese women undergoing induction of labor, with term, vertex, singleton pregnancies, with amniotomy as an intervention from 2012 to 2017 were included. Our primary outcome was mode of delivery. Secondary outcomes included length of labor, maximum dose of oxytocin required, adverse neonatal and maternal outcomes. Comparisons were made between those with early amniotomy at cervical exam #4 cm, and late amniotomy with cervical exam .4cm.