Paidas Teefey C, Reforma L, Koelper NC, et al. - In this retrospective cohort study, researchers evaluated the risk factors correlated with cesarean delivery in women with class III obesity (body mass index [BMI, calculated as weight in kilograms divided by height in meters squared] 40 or higher) who are undergoing induction of labor. The sample consisted of obese women (n = 485) with a BMI of 40 or higher and singleton pregnancy of 34 weeks of gestation or longer who had induction of labor at two large teaching institutions from January 2013 to December 2015. Data reported that the overall cesarean delivery rate was 49.1%. The authors concluded that the cesarean delivery rate approaches 50% in women with class III obesity who had labor induction. The most significant risk factors for cesarean delivery were nulliparity, height, and unfavorable cervical examination. This information can be used to increase counseling for the induced obese patient.