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Pilot Study of the Addition of Osmotic Dilators to Preparation Prior to Labor Induction Abortion

Not Applicable
Terminated
Conditions
Abortion, Induced
Interventions
Device: osmotic dilator insertion
Registration Number
NCT00855842
Lead Sponsor
Boston University
Brief Summary

One the day prior to medical abortion (labor induction) in the second trimester, insertion of osmotic dilators is added to the routine procedures. The study is to see whether the addition of dilators decreases the abortion time (time for the pregnancy to be expelled)

Detailed Description

This is a pilot study and is an uncontrolled, non-randomized series. Women having a medical abortion in second trimester undergo several procedures the day before the medication to cause contractions occurs. On the day before admission, they take mifepristone orally, and have a feticidal injection. to this would be added the insertion of cervical osmotic dilators (the intervention). On the day of induction, the dilators would be removed and misoprostol started to cause contractions. We are hoping the median abortion time will drop from the present 9-10 hours to 4-6 hours. women who do not abort in 6 hours will have option of surgical completion of the abortion (dilation and evacuation) if medically appropriate.

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
4
Inclusion Criteria
  • Requesting abortion 19-23 weeks
  • No contraindication to induction abortion
Exclusion Criteria
  • Fetal demise
  • Ruptured membranes
  • Evidence of pelvic infection
  • Inability to give informed consent

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
osmotic dilatorosmotic dilator insertionosmotic dilator
Primary Outcome Measures
NameTimeMethod
Length of Medical Abortionhours since the start of medical abortion

This is the time elapsed from the first dose of misoprostol (the agent to induce abortion) and expulsion of the fetus

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

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