The patient is a 37 year old gravida 5 para 4 who presents at 39+ weeks gestation with a cephalic intra uterine pregnancy with favorable cervix and desire for induction of labor.

1. What are her risk factors?

2. What labs would you want?

The pregnancy is complicated by advanced maternal age. The triple screen was low risk for abnormalities. She declined amniocentesis. She had 4 previous normal vaginal deliveries at term. She had no history of alcohol, drugs or tobacco.