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Cervical Ripening With Cook Catheter Plus Low Dose Oxytocin

Not Applicable
Completed
Conditions
Cervical Ripening
Interventions
Device: Cook catheter
Registration Number
NCT02465164
Lead Sponsor
Henry Ford Health System
Brief Summary

The purpose of this study is to compare if using a Cook Cervical Ripening Balloon in conjunction with low dose oxytocin is more effective at shortening labor induction times than the Cook Cervical Ripening Balloon alone. After obtaining consent, patients will be randomly divided into a Balloon with oxytocin or Balloon only group. The Balloon will be placed by either Resident or Attending Physicians and left in place for 12 hours (protocol) in both groups or until it falls out. After either 12 hours or the Balloon falls out, oxytocin will be used for the remainder of the induction per current hospital protocol. Time to delivery, mode of delivery, average number of hours Balloon remained in place, non-reassuring fetal heart tracings, adverse outcomes (ie fetal malpresentation, postpartum hemorrhage) will be recorded.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
26
Inclusion Criteria
  1. singleton pregnancy
  2. reassuring fetal status at time of presentation
  3. Bishop Score <6
Exclusion Criteria
  1. Closed cervix
  2. Breech presentation
  3. Multiple gestations
  4. Recent vaginal bleeding
  5. Placenta previa
  6. non reassuring fetal status
  7. Active genital herpes infection

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cook catheterCook catheterControl
Cook catheter plus low dose oxytocinOxytocinTest group
Cook catheter plus low dose oxytocinCook catheterTest group
Primary Outcome Measures
NameTimeMethod
Time to Delivery (in Hours)Up to 60 hours

Cook Only group Cook + Pitocin group N Mean (hrs) (SD) 16 27.9 (9.6) 10 23 14.6)

Secondary Outcome Measures
NameTimeMethod
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