Patients who are randomized to this arm will be allowed discharged home for 12 hours after fetal status is assessed and noted to be reassuring with the foley bulb in place. They will return sooner if they experience rupture of membranes or enter active labor or if the foley bulb falls out.

In this arm, the fetus will be assessed and a foley bulb placed but these patients will be kept in the hospital.

Pregnancy

The patient will be discharged home after fetal status is evaluated and noted to be reassuring. A 16 French foley bulb insufflated with 30 cc of normal saline will be placed and secured to the patient's inner thigh.

Patient discharged home after foley bulb placement.

The patients will not be discharged home after assessment and placement of the foley catheter.

Inpatient

Cedars-Sinai Medical Center

Patient Satisfaction of Cervical Ripening in an Outpatient Setting

Safety, Efficacy, and Patient Satisfaction of Cervical Ripening With Transcervical Use of the Foley Catheter in an Outpatient Setting

Patient satisfaction. Administering a questionaire on which the patient will rate her pain/discomofrt during the placement of the foley bulb and her pain/discomfort while undergoing labor. The Wong Baker Faces scale will be used to assess this measure.

Gregory W. Lau, MD

Fellow, Maternal Fetal Medicine

Subjects will use dust mite Dermatophagoides pteronyssinus (Dp) extract or placebo nasal spray at home for 2 weeks, with a 1 month washout period followed by 2 weeks of the other nasal spray.

ALLERGIC RHINITIS

intervention will be to stop study drug or placebo

dust mite extract or placebo

Usf Asthma Allergy and Immunology Cru

Repeated Nasal Challenge in Skin Prick-puncture Negative and Intradermal Positive Dust Mite Allergic Rhinitis Patients

Repeated Nasal Challenge in Skin Prick-puncture Negative and Intradermal Positive Dust Mite Allergic Rhinitis Patients.

Mean increase in nasal lavage PGD2 and ECP by greater than 15 percent from baseline levels. Correlation between the orthogonol diameter of the wheal and flare of the intradermal skin test and the degree of symptom worse

cedrela/hemorragia

Patient Satisfaction of Cervical Ripening in an Outpatient Setting

Repeated Nasal Challenge in Skin Prick-puncture Negative and Intradermal Positive Dust Mite Allergic Rhinitis Patients

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