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Assessment of Pain With Insertion of the Foley Catheter for Induction of Labour

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ClinicalTrials.gov Identifier: NCT01235364
Recruitment Status : Completed
First Posted : November 5, 2010
Last Update Posted : August 11, 2011
Sponsor:
Information provided by:
Uppsala University Hospital

Brief Summary:
The purpose of this study is to assess pain in women randomised to digital or speculum placement of a Foley catheter. Pain during cervical ripening with the Foley catheter is also to be evaluated as well as maternal satisfaction with induction of labour.

Condition or disease Intervention/treatment Phase
Pain Device: Foley catheter Not Applicable

Detailed Description:

The most common method described for placing the Foley catheter is under direct visualisation of the cervix during a sterile speculum examination. Another method is to place the catheter during a digital cervical examination.

Maternal discomfort/pain during speculum placement of the catheter has been evaluated in a few studies whereas studies that compare the digital method with the speculum method of placement are lacking.

The visual analogue scale is used to subjectively assess pain. With a skin conductance algesimeter an objective assessment of pain is possible.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 42 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Study Start Date : August 2009
Actual Primary Completion Date : August 2010
Actual Study Completion Date : October 2010

Arm Intervention/treatment
Experimental: Digital
The patient was randomized to digital insertion of the Foley catheter
Device: Foley catheter
The Foley catheter was placed with the digital method
Experimental: Speculum Device: Foley catheter
The Foley catheter was placed with a speculum



Primary Outcome Measures :
  1. Pain assessed by VAS and SCA, in women randomised to digital or speculum placement of a Foley catheter. [ Time Frame: At insertion of Foley catheter ]

Secondary Outcome Measures :
  1. To assess pain with VAS and SCA during cervical ripening with the Foley catheter and to evaluate maternal satisfaction. To evaluate if markers of stress in blood and amniotic fluid correlate with VAS and SCA. [ Time Frame: During treatment with Foley catheter. At expulsion of Foley catehter ]


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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • singleton fetus in cephalic presentation with a Bishop score of 3-5 and
  • indication for induction of labour

Exclusion Criteria:

  • low-lying placenta,
  • undiagnosed vaginal bleeding,
  • more than one previous caesarean section,
  • previous use of an induction or pre-induction agent during the same pregnancy,
  • signs of infection (maternal fever)
  • non- proficiency in the Swedish language.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01235364


Locations
Sweden
Department of obstetrics and gynecology, Uppsala university hospital
Uppsala, Sweden, 751 85
Sponsors and Collaborators
Uppsala University Hospital

Responsible Party: Dr. Maria Jonsson, Department of obstetrics and gynecology, Uppsala University Hospital. Uppsala
ClinicalTrials.gov Identifier: NCT01235364     History of Changes
Other Study ID Numbers: D-nr 2009/ 218
First Posted: November 5, 2010    Key Record Dates
Last Update Posted: August 11, 2011
Last Verified: August 2009

Keywords provided by Uppsala University Hospital:
Foley catheter
induction
labour
skin conductance
visual analogue scale
mechanical method