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Patient Satisfaction With Mechanical Cervical Ripening

Completed
Conditions
Satisfaction, Patient
Interventions
Device: mechanical cervical ripening
Registration Number
NCT04683081
Lead Sponsor
Etlik Zubeyde Hanım Women's Health Care, Training and Research Hospital
Brief Summary

In this study, we aimed to compare three mechanical methods such as foley catheter, cook balloon catheter and modified double-balloon Foley catheter for cervical ripening in terms of patient satisfaction

Detailed Description

This is a prospective observational study. The planned sample size is 34 pregnant women per group with 90% power and 0.05 alpha error.

VAS score systems and Salmon's item list were used to evaluate the satisfaction level.

The inclusion criteria are age between 18 and 40, singleton pregnancy, vertex presentation, bishop score \<6, using a foley catheter cook balloon catheter or modified double-balloon Foley catheter for cervical ripening and high-risk pregnancy (Oligohydramnios, polyhydramnios, intrauterine growth retardation, pregestational or gestational diabetes, hypertensive disorders).

The exclusion criteria are being younger than 18 or over 40, communication problems, bishop score \>6, being at active labor, multifetal pregnancy, non-vertex presentation, scarred uterus (cesarean or myomectomy), known fetal structural or chromosomal anomaly, presence of non-reassuring fetal cardiotocography before cervical ripening, regional anesthesia during the first stage, operative delivery, presence of maternal, fetal or neonatal complication.

The primary outcomes are the differences in satisfaction level between methods with using either the VAS score system or Salmon's item list and pain scores.

The secondary outcomes are the effects of giving birth within 24 hours, parity status, the length of the first stage of labor education level and cesarean section due to failed induction on the satisfaction level.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
34
Inclusion Criteria
  • Age between 18 and 40
  • Singleton pregnancy
  • Vertex presentation
  • Bishop score <6
  • Using a Foley catheter cook balloon catheter or modified double-balloon Foley catheter for cervical ripening
  • High-risk pregnancy (Oligohydramnios, polyhydramnios, intrauterine growth retardation, pregestational or gestational diabetes, hypertensive disorders).
Exclusion Criteria
  • Being younger than 18 or over 40
  • Communication problems
  • Bishop score >6
  • Being at active labor
  • Multifetal pregnancy
  • Non-vertex presentation
  • Scarred uterus (cesarean or myomectomy)
  • Known fetal structural or chromosomal anomaly
  • Presence of non-reassuring fetal cardiotocography before cervical ripening
  • Regional anesthesia during the first stage
  • Operative delivery
  • Presence of maternal, fetal or neonatal complication.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cook balloon catheter groupmechanical cervical ripeningpregnant women who were applied Cook balloon catheter for cervical ripening
Foley catheter groupmechanical cervical ripeningpregnant women who were applied Foley catheter for cervical ripening
Modified double-balloon Foley catheter groupmechanical cervical ripeningpregnant women who were applied modified double-balloon Foley catheter for cervical ripening
Primary Outcome Measures
NameTimeMethod
Patient satisfaction levelwithin the first 24 hours after birth

Overall patient satisfaction score is obteined by VAS score system and Salmon's items list

Pain scoresimmediately after application

Pain scores are obteined by VAS score system

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Health Sciences, Etlik Zubeyde Hanim Women's Health Care, Training and Research Hospital

🇹🇷

Ankara, Turkey

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