Cervical Ripening With the Double Balloon Device for 6 Hours Compared With 12 Hours
NCT ID: NCT03045939
Last Updated: 2019-03-05
Study Results
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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UNKNOWN
NA
200 participants
INTERVENTIONAL
2017-03-01
2019-03-01
Brief Summary
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Detailed Description
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1. To assess and compare the Bishop score when removing the DBD 12 hours' vs 6hours' after insertion.
2. To compare the efficacy (vaginal delivery rate and time to VD) in the two arm groups
200 women are expected to be randomized in to two arms. One will be randomized to DBD removal after 12 hours and the other to DBD removal after 6 hours.
Each patient will sign an informed consent.
The following screening will be completed: medical and gynecological history, general physical and gynecological examination, ultrasonography to exclude contraindication to vaginal delivery or insertion if the DBD and non stress test (NST) for baseline. Bishop score will be assessed.
After confirming eligibility for study, randomization into the following groups will take place.
Insertion of the DBD and removal 6 hours following its insertion. Insertion of the DBD and removal 12 hours following its insertion.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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12 hours
This arm is the standard management that includes insertion of the DBD into the cervical canal according to manufacture guidelines, removal after 12 hours followed by artificial rupture of membranes and oxytocin infusion according to departments protocol. (a total of 10 units of oxytocin is infused, initiated with 10 cc/h, increased by 10cc every 20-30 min until 3-5 contractions are present, total of not more than 120 cc\\h)
cervical ripening device
insertion of the double balloon device for 12 hours (standard care) vs 6 hours, following oxytocin IV infusion according local protocol guidelines as mentioned above
6 hours
Removal of the DBD after 6 hours, followed by artificial rupture of membranes and oxytocin infusion according to departments protocol. (a total of 10 units of oxytocin is infused, initiated with 10 cc/h, increased by 10cc every 20-30 min until 3-5 contractions are present, total of not more than 120 cc\\h)
cervical ripening device
insertion of the double balloon device for 12 hours (standard care) vs 6 hours, following oxytocin IV infusion according local protocol guidelines as mentioned above
Interventions
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cervical ripening device
insertion of the double balloon device for 12 hours (standard care) vs 6 hours, following oxytocin IV infusion according local protocol guidelines as mentioned above
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Diagnosed to be parous pregnant women with an indication for induction of labour.
3. Having a Bishop score of 5 or less.
4. Diagnosed as having a singleton pregnancy in a vertex presentation, with intact membranes, and no significant regular uterine contraction at gestational age of 37 completed gestational weeks or more.
5. Willingness to comply with the protocol for the duration of the study.
6. Have signed the informed consent.
\-
Exclusion Criteria
2. Placenta previa
3. Ruptured membranes
4. Documented labour
5. Foetal distress necessitating immediate intervention
6. Proven malignancy of the cervix
7. Active inflammatory or purulent condition of the lower genital tract
8. Twin pregnancy
9. Any other contraindication for vaginal delivery
18 Years
FEMALE
Yes
Sponsors
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Bnai Zion Medical Center
OTHER_GOV
Responsible Party
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Inna.bleicher
principle investigator Dr. Inna Bleicher
Locations
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Bnai Zion Mc
Haifa, , Israel
Countries
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Central Contacts
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Facility Contacts
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INNA BLEICHER, MD
Role: primary
References
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Sammour R, Dikopoltsev E, Sagi S, Vitner D, Bleicher I. Cervical ripening with a double balloon device for 6 h in patients with a long cervix: Secondary analysis of a randomized controlled trial. Int J Gynaecol Obstet. 2025 Mar;168(3):1055-1059. doi: 10.1002/ijgo.15955. Epub 2024 Oct 24.
Bleicher I, Dikopoltsev E, Kadour-Ferro E, Sammour R, Gonen R, Sagi S, Eshel A, Nussam L, Vitner D. Double-Balloon Device for 6 Compared With 12 Hours for Cervical Ripening: A Randomized Controlled Trial. Obstet Gynecol. 2020 May;135(5):1153-1160. doi: 10.1097/AOG.0000000000003804.
Other Identifiers
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BNZ-0115-16
Identifier Type: -
Identifier Source: org_study_id
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