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The paucity of published data concerning the issue of mechanical labor induction in the setting of Term PROM has led us to undertake the present clinical trial. This study is designed to compare the efficacy and safety of the standard Oxytocin induction protocol with the double-balloon catheter device with concurrent oxytocin administration in patients with Term PROM and unfavorable cervical conditions.
This will be a prospective randomised trial. Two hundred pregnant women with term PROM and an unfavourable cervix (Bishop Score ≤ 4) are expected to be entered into the study (see statistical analysis below).
All eligible women will be presented with the study protocol by a study coordinator. Women interested in participating will read and sign the informed consent. Subsequently, the following screening medical procedures will be completed: medical and gynecological history, physical and vaginal examination, ultrasonography to: (i) Confirm fetal vertex presentation, (ii) Exclude placenta previa and (iii) Assess cervical length and posterior cervical angle. (iv) Asses bio-physical profile score
A non-stress test will be performed in order to monitor:
If the patient will be determined eligible for study entry, and following the informed consent, randomisation into the following groups will take place:
GROUP 1: Oxytocin infusion alone (Standard Protocol). GROUP 2: insertion of the double balloon device and concurrent oxytocin administration.
GROUP 3: Expectant management
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP 1: Oxytocin infusion alone | Experimental | GROUP 1: Oxytocin infusion alone |
|
| double balloonand oxytocin | Experimental | insertion of the double balloon and oxytocin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| COOK RIPENENIG BALLOON+PITOCN | Device | GROUP 2: insertion of the double balloon device and concurrent oxytocin administration. |
|
| Measure | Description | Time Frame |
|---|---|---|
| PPROM/PROM to delivery interval | Time from rupture of mambrane to delivery From hospitalization until delivery | 3year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elad Mei-Dan, Dr | Contact | 972-4-6188243 |
| Name | Affiliation | Role |
|---|---|---|
| Elad Mei-Dan, DR | Hillel Yaffe Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hillel Yaffe Medical Center | Hadera | 38101 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36996264 | Derived | 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. |
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| ID | Term |
|---|---|
| D010121 | Oxytocin |
| ID | Term |
|---|---|
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
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| PITOCIN | Drug | : Oxytocin infusion alone (Standard Protocol |
|
|
| double balloonand oxytocin | Other | balloonand oxytocin |
|
|
| ballon and oxytocin | Other | double- balloon catheter device with concurrent oxytocin |
|
|
| double balloonand and oxytocin | Procedure | balloon catheter device with concurrent oxytocin |
|
|
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |