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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05874024
Other study ID # DBK-Trial
Secondary ID
Status Completed
Phase
First received
Last updated
Start date January 1, 2021
Est. completion date January 12, 2023

Study information

Verified date April 2023
Source Jena University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The objective of this study is to provide a comprehensive analysis of various time intervals (1:1). In addition to evaluating the time interval until delivery after completion of induction, the study also aims to investigate the rate of vaginal births and the type of combination therapy used (including the method of implementation and subsequent induction).


Description:

Approximately 22% of births in Germany are induced annually using either medicinal, mechanical, or sequential mechanical/medicinal methods, with oxytocin and prostaglandins being the available drug options. Double balloon catheters have been used in clinics for over a decade for mechanical induction of labour, resulting in cervical ripening and possible onset of labour through endogenous prostaglandin release. This method is associated with low rates of uterine tachysystole and maternal and neonatal morbidity. The recommended placement time for the double balloon catheter is 12 hours, typically performed at night in an inpatient setting, which may cause early exhaustion and fatigue for patients. However, a study has shown that a shorter insertion time of 6 hours is equally safe and effective, without any time savings beyond the shortened insertion time. This study aims to investigate the feasibility and effectiveness of shortening the induction birth interval from 12 to 6 hours. The investigators hypothesize that this will result in a shorter induction birth interval with comparable maternal and neonatal outcomes. This analysis will test the effectiveness of the shortened induction birth interval.


Recruitment information / eligibility

Status Completed
Enrollment 248
Est. completion date January 12, 2023
Est. primary completion date December 31, 2021
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 46 Years
Eligibility Inclusion Criteria: - destational age above or equal 37/0 weeks of gestation - desired spontanous delivery - Bishop-Score below or equal to 5 - cranial position - single pregnancy Exclusion Criteria: - unable to consent - pathological CTG according FIGO criteria

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
induction of labour with double balloon catheter placement for 6 hours
catheter placement for 6 hours beginning in the morning at around 8 a.m.
induction of labour with double balloon catheter placement for 12 hours
catheter placement for 12 hours in the evening at around 8 p.m.

Locations

Country Name City State
Germany Jena University Hospital Jena Thuringe

Sponsors (1)

Lead Sponsor Collaborator
Jena University Hospital

Country where clinical trial is conducted

Germany, 

Outcome

Type Measure Description Time frame Safety issue
Primary induction to delivery interval the induction to delivery interval measured in minutes From date and time of beginning of labour induction to date and time of birth, assessed as long as needed, but not longer than 5 days
Secondary number of participants with sequential drug induction of labour the need for additional drugs for inductionof labour after the assigned placement time of the double balloon catheter assessd after double balloon catheter placement until time of birth, but not longer than 3 days
Secondary prostaglandin to delivery interval the prostaglandin to delivery interval measured in minutes From date and time of beginning of prostaglandin treatment to date and time of birth, assessed as long as needed, but not longer than 3 days
Secondary mode of delivery resulting mode of delivery after induction of labour expressed as spontaneous vaginal, vaginal operative or caesarean section after induction of labour at time of delivery
Secondary blood loss during delivery maternal outcome blood loss during delivery in ml at time of delivery
Secondary number of participants with uterine rupture maternal outcome uterine rupture at time of delivery
Secondary arterial umbilical pH neonatal outcome arterial umbilical pH measured directly after delivery at time of delivery
Secondary arterial umbilical base excess neonatal outcome arterial umbilical base excess measured directly after delivery at time of delivery
Secondary number of participants neonatal acidosis neonatal outcome arterial umbilical pH < 7.1 at time of delivery
Secondary apgar 5 min neonatal outcome apgar 5 min (A- appearance, P-Pulse, G- grimace, A- activity, R-respiration) with a range between 0-10 with higher values as better outcome 5 minutes after delivery
Secondary number of participants with pathological cardiotocography (CTG) neonatal outcome pathological CTG (cardiotocography) at time of labour induction at time of labour induction
Secondary number of participants with meconium-containing amniotic fluid neonatal outcome meconium-containing amniotic fluid measured as visible green stained amniotic fluid at time of delivery at time of delivery
See also
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Completed NCT05885087 - 'Extended Balloon Catheter' Labour Induction; a Single Arm Pilot Trial' N/A