Decision Aid to Assist Low-Risk Nulliparous Women Considering Induction of Labor At 39 Weeks

Inclusion Criteria: * Low-risk nulliparous women- no previous pregnancy \> 23 weeks * 18-50 years of age * Singleton gestation * Between 34.0 and 36.6 weeks at the time of screening. Randomization must occur between 37.0-37.6 weeks inclusive. Exclusion Criteria: * 1\. First sonographic examination after 20 weeks 2. Women with any of the following comorbidities (at the time of randomization): 1. Autoimmune disorders (antiphospholipid antibody, lupus, rheumatoid arthritis, scleroderma) 2. Cerclage in the index pregnancy 3. Diabetes mellitus-gestational or pre-gestational 4. Hematologic disorders (coagulation defects, sickle cell disease, thrombocytopenia, thrombophilia) 5. Hypertension (chronic or pregnancy induced) before enrollment 6. HIV (human immunodeficiency virus) 7. Institutionalized individuals (prisoners) 8. Prior obstetric history of: 1) intrauterine growth restriction, 2) preterm birth before 34 weeks, 3) severe preeclampsia, eclampsia, HELLP syndrome, and 4) stillbirth after 24 weeks or neonatal death 9. Preterm labor or ruptured membranes before enrollment 10. Psychiatric disorder (bipolar, depression) on medication 11. Placenta previa / 3rd trimester bleeding 12. Renal insufficiency (serum creatinine \> 1.5 mg/dL) 13. Restrictive lung disease 14. Fetal red blood cell isoimmunization 15. Seizure disorder on medication 16. Thyroid disease on medication 17. Body Mass Index (BMI) above 40 kg/m 3. Major fetal Anomaly including: anencephaly, spina bifida, bilateral renal agenesis, cystic hygroma with hydrops, diaphragmatic hernia, or congenital heart defects 4. Unable to understand consent in English or Spanish