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Same-day Cervical Preparation Before Dilation and Evacuation

Not Applicable
Completed
Conditions
Cervical Dilation Prior to Dilation and Evacuation
Registration Number
NCT03002441
Lead Sponsor
Planned Parenthood of Greater New York
Brief Summary

The purpose of this randomized trial is to compare same-day cervical preparation using Dilapan-S™ plus buccal misoprostol to overnight cervical preparation using Dilapan-S™ before D\&E at 16.0 to 20.0 weeks.

Primary objective: To compare D\&E operative time. We hypothesize that same-day Dilapan-S™ plus buccal misoprostol is non-inferior to overnight Dilapan-S™ with respect to operative time.

Secondary objectives: To compare treatment groups for the following: Pre-operative cervical dilation; need for mechanical dilation and ease of dilation if required; ability to complete D\&E without further cervical preparation; ease of D\&E; complications; pain; side effects; patient and provider satisfaction.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
54
Inclusion Criteria
  • 18 years of age and older
  • Seeking pregnancy termination from 16 0/7 to 19 6/7 weeks of gestation on the day of enrollment.
  • Eligible for pregnancy termination at PPNYC
  • Able to give informed consent
  • English speaking
Exclusion Criteria
  • Active bleeding or hemodynamically unstable at enrollment
  • Signs of chorioamnionitis or clinical infection at enrollment
  • Signs of spontaneous labor or cervical insufficiency at enrollment
  • Spontaneous intrauterine fetal demise
  • Allergy to Dilapan-S™ or misoprostol

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Operative timeFrom initiation of D&E procedure to completion of D&E procedure, Study Day 2
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Planned Parenthood of Greater New York

🇺🇸

New York, New York, United States

Planned Parenthood of Greater New York
🇺🇸New York, New York, United States

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