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Artificial Induction of Labour in Full-term Singleton Pregnancy : Comparative Randomized Trial of Two Strategies (BESTWAY)

University Hospital Center (CHU) logo

University Hospital Center (CHU)

Status

Completed

Conditions

Pregnancy Related

Treatments

Procedure: Vaginal Dinoprostone system (Propess®)
Procedure: Dilatation balloon

Study type

Interventional

Funder types

Other

Identifiers

NCT04452747
7756 (Other Identifier)
RECHMPL19_0044

Details and patient eligibility

About

Labour induction is an obstetrical procedure, which artificially starts the process of cervix dilation, in order to induce labour. Several methods of labour induction exist : mechanical ones (using dilatation balloons) or pharmacological ones (using prostaglandins or oxytocin). This trial aims to compare, in case of non-favourable cervix, the strategy of labour induction using the Propess® method first (Dino-first) versus the strategy beginning with the use of a dilatation balloon (Ballon-first), with respect of the usual practice and the current guidelines.

Enrollment

450 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Women with singleton pregnancy
  • Fetus with cephalic presentation
  • Intact membranes between 37 and 42 weeks of amenorrhea
  • Medical indication for labour induction according to the "Haute Autorité de Santé" (HAS) guidelines
  • Unfavourable cervix (Bishop scoring < 7)
  • Age > 18 years-old
  • Person affiliated to a healthcare system
  • Good understanding of the French language

Exclusion criteria

  • Previous C-section or uterine incision
  • Placenta previa
  • Metrorrhagia of unknown origin
  • Lethal foetal abnormality
  • Hyperreactivity to one of the molecules used for the induction (dinoprostone or oxytocin) or to latex
  • Subject participants to another biomedical research
  • Subject under legal guardianship or curatorship

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

450 participants in 2 patient groups

Dino-first
Active Comparator group
Description:
Labour will be induced by the use of the vaginal Dinoprostone system (Propess®) first.
Treatment:
Procedure: Vaginal Dinoprostone system (Propess®)
Balloon-first
Active Comparator group
Description:
Labour will be induced by the use of a cervix dilatation balloon first.
Treatment:
Procedure: Dilatation balloon

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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