Trial Outcomes & Findings for Tension Versus Tension- Free Foley Balloon for Cervical Ripening (NCT NCT05404776)

NCT ID: NCT05404776

Last Updated: 2025-08-06

Results Overview

Time to vaginal delivery measured from time of initial Foley balloon placement to delivery

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

279 participants

Primary outcome timeframe

Foley bulb placement to vaginal delivery, up to 24 Hours

Results posted on

2025-08-06

Participant Flow

The intervention is assigned at the cluster (weekly) level; the total number of participants enrolled will be reported as a single total and not separated by clusters.

Participant milestones

Participant milestones
Measure
Without Tension (Tension Free)
A Foley balloon is introduced into the cervix either manually or under direct visualization, but the foley will not be taped or under tension. Placement of Foley balloon for cervical ripening without tension. A Foley balloon will be placed for cervical ripening without tension.
Tension
The control group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be pulled to create tension and will then be taped to the patient's inner thigh. Placement of Foley balloon for cervical ripening with tension. A Foley balloon will be placed for cervical ripening with tension.
Overall Study
STARTED
141
138
Overall Study
COMPLETED
141
138
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tension Versus Tension- Free Foley Balloon for Cervical Ripening

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Without Tension (Tension Free)
n=141 Participants
The study group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be left free of tension and will hang freely. Placement of Foley balloon for cervical ripening without tension.: A Foley balloon will be placed for cervical ripening without tension.
Tension
n=138 Participants
The control group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be pulled to create tension and will then be taped to the patient's inner thigh. Placement of Foley balloon for cervical ripening with tension.: A Foley balloon will be placed for cervical ripening with tension.
Total
n=279 Participants
Total of all reporting groups
Age, Continuous
23 years
n=93 Participants
22 years
n=4 Participants
22 years
n=27 Participants
Sex: Female, Male
Female
141 Participants
n=93 Participants
138 Participants
n=4 Participants
279 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
94 Participants
n=93 Participants
88 Participants
n=4 Participants
182 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
47 Participants
n=93 Participants
50 Participants
n=4 Participants
97 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
Asian
4 Participants
n=93 Participants
0 Participants
n=4 Participants
4 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=93 Participants
14 Participants
n=4 Participants
34 Participants
n=27 Participants
Race (NIH/OMB)
White
115 Participants
n=93 Participants
122 Participants
n=4 Participants
237 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Region of Enrollment
United States
141 Participants
n=93 Participants
138 Participants
n=4 Participants
279 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Foley bulb placement to vaginal delivery, up to 24 Hours

Time to vaginal delivery measured from time of initial Foley balloon placement to delivery

Outcome measures

Outcome measures
Measure
Without Tension (Tension Free)
n=99 Participants
The study group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be left free of tension and will hang freely. Placement of Foley balloon for cervical ripening without tension.: A Foley balloon will be placed for cervical ripening without tension.
Tension
n=91 Participants
The control group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be pulled to create tension and will then be taped to the patient's inner thigh. Placement of Foley balloon for cervical ripening with tension.: A Foley balloon will be placed for cervical ripening with tension.
Time to Vaginal Delivery
1608 minutes
Interval 430.0 to 3438.0
1595.5 minutes
Interval 507.0 to 3323.0

SECONDARY outcome

Timeframe: Placement of Foley balloon until removal of Foley balloon in minutes (up to 12 hours)

Request for IV pain medications or epidural following placement of Foley balloon

Outcome measures

Outcome measures
Measure
Without Tension (Tension Free)
n=141 Participants
The study group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be left free of tension and will hang freely. Placement of Foley balloon for cervical ripening without tension.: A Foley balloon will be placed for cervical ripening without tension.
Tension
n=138 Participants
The control group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be pulled to create tension and will then be taped to the patient's inner thigh. Placement of Foley balloon for cervical ripening with tension.: A Foley balloon will be placed for cervical ripening with tension.
Number of Participants That Requested Analgesia Following Placement of the Foley Balloon
119 Participants
114 Participants

SECONDARY outcome

Timeframe: Placement of Foley balloon until cesarean delivery, up to 24 Hours

Number of participants that had a primary cesarean delivery

Outcome measures

Outcome measures
Measure
Without Tension (Tension Free)
n=141 Participants
The study group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be left free of tension and will hang freely. Placement of Foley balloon for cervical ripening without tension.: A Foley balloon will be placed for cervical ripening without tension.
Tension
n=138 Participants
The control group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be pulled to create tension and will then be taped to the patient's inner thigh. Placement of Foley balloon for cervical ripening with tension.: A Foley balloon will be placed for cervical ripening with tension.
Number of Participants That Had a Primary Cesarean Delivery
42 Participants
47 Participants

SECONDARY outcome

Timeframe: Placement of Foley balloon until delivery, up to 24 Hours

Number of participants with chorioamnionitis

Outcome measures

Outcome measures
Measure
Without Tension (Tension Free)
n=141 Participants
The study group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be left free of tension and will hang freely. Placement of Foley balloon for cervical ripening without tension.: A Foley balloon will be placed for cervical ripening without tension.
Tension
n=138 Participants
The control group will undergo induction of labor by placement of a transcervical Foley balloon. The balloon tubing will be pulled to create tension and will then be taped to the patient's inner thigh. Placement of Foley balloon for cervical ripening with tension.: A Foley balloon will be placed for cervical ripening with tension.
Number of Participants With Chorioamnionitis
40 Participants
48 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Placement of Foley balloon until 24 hours postpartum

Population: Outcome measure not assessed

Number of participants with postpartum hemorrhage

Outcome measures

Outcome data not reported

Adverse Events

Without Tension (Tension Free)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Tension

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Meagan Benson, DO

University of Texas Medical Branch

Phone: 409-772-0982

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place