Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06438081
Other study ID # UW 24-172
Secondary ID
Status Not yet recruiting
Phase Phase 4
First received
Last updated
Start date June 1, 2024
Est. completion date December 1, 2025

Study information

Verified date May 2024
Source The University of Hong Kong
Contact Yin Fong Leung, MBBS
Phone 852 22554517
Email lyf971@hku.hk
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

We aimed to compare efficacy and safety of Propess versus Cooks double-balloon catheter for cervical ripening with an unfavorable cervix in term pregnancy.


Description:

Previous studies focused on use of PGE2 instead of Propess, which is a preparation of PGE2 packaged in a hydrogel polymer matrix and release 10mg dinoprostone at 0.3mg per hour for 24 hours. Compared with PGE2, Propess can achieve a shorter induction-to-birth interval, a higher rate of vaginal delivery within 24 hours, and a smaller number of vaginal examinations during delivery. However local studies comparing the efficacy and satisfaction of cervical priming between Cook double-balloon catheter and Propess were lacking. We aimed to compare efficacy and safety of Propess versus Cooks double-balloon catheter for cervical ripening with an unfavorable cervix in term pregnancy.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 28
Est. completion date December 1, 2025
Est. primary completion date June 1, 2025
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 50 Years
Eligibility Inclusion Criteria: - Viable singleton pregnancy - Cephalic presentation - Bishop score <7 - At term (>=37+0 weeks of gestation) - Nulliparous women Exclusion Criteria: - Gestation <37weeks - Multiple pregnancy - Bishop score <7 - Malpresentation - Contraindication to vaginal delivery - Previous Caesarean section - History of myomectomy - Maternal fever - Suspected infection - Abnormal fetal heart-rate patterns - Rupture of membranes - Intrauterine growth restriction - Not fit for giving consent - Allergic to Propess or PGE2

Study Design


Related Conditions & MeSH terms


Intervention

Combination Product:
Cook double-balloon catheter
To compare whether Cook double-balloon catheter or Propess able to achieve vaginal delivery with a shorter priming to delivery interval

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
The University of Hong Kong

Outcome

Type Measure Description Time frame Safety issue
Primary Priming to delivery interval Time for priming (device placement) to delivery interval 1 year
Secondary Vaginal delivery within 24 hours after priming delivery within 24 hours 1 year
Secondary Caesarean section rate need of resort to Caesarean section and the corresponding indication 1 year
Secondary Vaginal delivery rate included instrumental delivery, e.g. vacuum extraction, forcep delivery 1 year
Secondary Priming to induction interval Time from priming to induction 1 year
Secondary Need of induction with oxytocin Chance of going into spontaneous labor after priming 1 year
Secondary Amount of oxytocin use calculate the amount of oxytocin use 1 year
Secondary Malpresentation after priming to confirm if cephalic presentation before start of induction 1 year
Secondary Failed induction rate defined as cervix failed to dilate to more than 3cm after 12 hours use of oxytocin 1 year
Secondary Uterine hyperstimulation defined by a single contraction lasting for more than 2 minutes or more than 5 contractions in 10 minutes for 30 minutes 1 year
Secondary Suspected intrauterine infection rate infection rate that require antibiotics treatment 1 year
Secondary Primary postpartum haemorrhage Blood loss >500ml within 24 hours of delivery 1 year
Secondary Length of hospital stay calculate length of hospital stay after delivery 1 year
Secondary Maternal satisfaction with the procedure on a visual analogue scale of 0-10, 10 is most satisfactory 1 year
See also
  Status Clinical Trial Phase
Recruiting NCT04421768 - Effects of Systematic Cervical Exam Training on Labor and Delivery Care N/A
Recruiting NCT04663971 - Fertility and Pregnancy After Surgery IBD Audit
Completed NCT05155826 - Effect of Virtual Reality for Pain Management During Intracervical Balloon Placement for Artificial Childbirth Induction N/A
Completed NCT05962918 - Perineal Massage Performed During the Labour N/A
Not yet recruiting NCT05468658 - The Effect of Feng Shui Delivery Room Design on Maternal and Infant Health N/A