Inclusion Criteria:  Pregnant patients between ages 18 to 45 years Singleton, live gestation Nulliparous Gestational age between 37 weeks 0 days - 42 weeks 0 days Fetus in cephalic presentation Patients admitted for labor induction Patients who are not in labor with intact membranes Patients with no contraindication for vaginal delivery (placenta previa, vasa previa, active genital herpes) Patients with no contraindications for mifepristone (undiagnosed adnexal mass, chronic adrenal failure, concurrent long-term corticosteroid therapy, history of allergy to mifepristone, or other prostaglandins, hemorrhagic disorders or concurrent anticoagulant therapy, inherited porphyria, or an intrauterine device (IUD) in place) Patients with a Bishop score <6 at time of randomization Transcervical balloon in place <3 hours prior to the time of randomization without prior cervical preparation  Exclusion Criteria:  Significant cardiac, renal, or hepatic maternal comorbidities, severe gestational hypertension or preeclampsia with severe features Pregnancies complicated by major fetal anomalies Patients with a uterine scar Pregnancies complicated by fetal growth restriction (Estimated fetal weight <10%) Pregnancies complicated by oligohydramnios Fetuses with an estimated fetal weight >4500 gm by recent ultrasound or Leopold's exam on admission Patients with morbid obesity (BMI >40) Fetuses with a category 2 or 3 fetal heart tracing at labor induction admission Vaginal bleeding at the time of randomization Any indication for scheduled CD Hypersensitivity to oxytocin Uterine contractions equal to or greater than 5 in 10 minutes for sustained 30 minutes Lactose allergy