A Comparison of Balloon Catheter Versus Ocytocin for Cervical Ripening on Scarred Uterus With Unfavorable Cervix

NCT ID: NCT01711060

Last Updated: 2016-10-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

204 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Brief Summary

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Increasing cesarean rate in France is worrying. Different methods are described for ripening labor : the use of prostaglandins is described but maybe dangerous for patients with scarred uterus and is not recommended.

Intracervical balloon is an efficient alternative methods which as already been tested for unfavorable cervix ripening on nulliparous women.

But it was rarely tested on women with scared uterus and unfavorable cervix (bishop score \<4).

The investigators propose a prospective randomised trial comparing cervix ripening with intracervical balloon inflated by 50 ml sterile water during 12 hours versus ocytocin (reference method).

The investigators expect to demonstrate what it's a safe method to increase vaginal delivery for women with previous cesarean section who need an induction of labour.

Detailed Description

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Conditions

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Scarred Uterus

Study Groups

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oxytocin

Group Type EXPERIMENTAL

oxytocin

Intervention Type DRUG

balloon catheter

Dufour 1859H18

Group Type EXPERIMENTAL

balloon catheter

Intervention Type PROCEDURE

Interventions

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oxytocin

Intervention Type DRUG

balloon catheter

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Pregnancy over 37 weeks
* Singleton pregnancy
* Vertex presentation
* Previous caesarean section with unique Transversal segmentary incision
* Medical indication of induction of labor
* Unfavorable cervix with Bishop score \< 4
* No Premature Rupture Of Membranes
* Informed consent

Exclusion Criteria

* Before 18 years old
* Placenta Praevia
* Premature Rupture Of Membranes
* Uterine scar other than transversal segmentary incision
* Cervical infection (except Streptoccoccus Agalactiae carrier) or choriamnionitis
* Multiple pregnancy
* Fetal malpresentation
* Cesarean indication
* Latex allergy
* No informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Poitiers University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Service Gynécologie Obstétrique

Angoulême, , France

Site Status

Service Gynécologie Obstétrique

Bressuire, , France

Site Status

Service Gynécologie Obstétrique

Châtellerault, , France

Site Status

Service Gynécologie Obstétrique

Nancy, , France

Site Status

Service Gynécologie Obstétrique et médecine de la reproduction

Poitiers, , France

Site Status

Service Gynécologie Obstétrique

Rennes, , France

Site Status

Service Gynécologie Obstétrique

Toulouse, , France

Site Status

Countries

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France

References

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de Vaan MD, Ten Eikelder ML, Jozwiak M, Palmer KR, Davies-Tuck M, Bloemenkamp KW, Mol BWJ, Boulvain M. Mechanical methods for induction of labour. Cochrane Database Syst Rev. 2023 Mar 30;3(3):CD001233. doi: 10.1002/14651858.CD001233.pub4.

Reference Type DERIVED
PMID: 36996264 (View on PubMed)

Other Identifiers

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CICATAC

Identifier Type: -

Identifier Source: org_study_id

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