A Randomized Study on Comparing the Efficacy of Foley Catheter and Extraamniotic Saline Infusion for Labor Induction

This study has been completed.
Sponsor:
Information provided by:
Rush University Medical Center
ClinicalTrials.gov Identifier:
NCT00366951
First received: August 18, 2006
Last updated: December 28, 2007
Last verified: December 2007

August 18, 2006
December 28, 2007
April 2004
Not Provided
The time interval from placement of Foley catheter to vaginal delivery
Same as current
Complete list of historical versions of study NCT00366951 on ClinicalTrials.gov Archive Site
  • Cesarean delivery rate
  • Incidence of maternal complications
  • Incidence of neonatal complications
Same as current
Not Provided
Not Provided
 
A Randomized Study on Comparing the Efficacy of Foley Catheter and Extraamniotic Saline Infusion for Labor Induction
A Randomized Clinical Trial Comparing the Efficacy and Safety of Foley Catheter Balloon With Oxytocin and Extraamniotic Saline Infusion (EASI) With Oxytocin for Induction of Labor Requiring Cervical Ripening

Our purpose was to compare the efficacy and safety of Foley catheter with oxytocin and extraamniotic saline infusion with oxytocin for induction of labor requiring cervical ripening.

Induction of labor is indicated when the benefit to either the mother or fetus outweighs that of continuing the pregnancy. Labor induction in the presence of an unripened cervix is associated with prolonged labor, chorioamnionitis, and cesarean delivery. Numerous mechanical and pharmacological methods have been used for cervical ripening. There are limited numbers of rigorous studies comparing the efficacy of the various methods. One of the most common mechanical methods for cervical ripening is placement of a Foley catheter with a 30 cc balloon inside the cervix, with or without the use of oxytocin. The Foley balloon will disrupt the amniotic membrane surface and cause the release of prostaglandin, a natural chemical from the cervix, to facilitate the ripening process. Oxytocin will be used concurrently as the induction agent. Recently, a modification of this method, extraamniotic saline infusion (EASI) has become more popular. The EASI method involves similar procedure including the placement of Foley catheter inside the cervix; in addition, saline solution will be infused through the catheter. This additional step is thought to further facilitate the disruption of amniotic membrane surface. Both methods are safe and become the standard treatment for cervical ripening. However, there are no published trials so far comparing the two methods. The objective of this study is to compare the efficacy and safety of Foley catheter with oxytocin and EASI with oxytocin for induction of labor requiring cervical ripening. The study is designed to be a single masked randomized trial.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind
Primary Purpose: Treatment
  • Cervical Ripening
  • Labor, Induced
  • Procedure: Foley catheter only
  • Procedure: Extraamniotic saline infusion
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
200
November 2005
Not Provided

Inclusion Criteria:

  • singleton gestation
  • cephalic vertex presentation
  • intact membrane
  • gestational age between 30 and 42 weeks
  • Bishop score less than or equal to 5

Exclusion Criteria:

  • suspected chorioamnionitis
  • placenta previa
  • low lying placenta
  • unexplained vaginal bleeding
  • intrauterine fetal demise
  • HIV
  • any contraindication to vaginal delivery
Female
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00366951
ORA#: 03111102
Not Provided
Not Provided
Rush University Medical Center
Not Provided
Principal Investigator: Yukmei R Lam, MD Rush University Medical Center
Rush University Medical Center
December 2007

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP