Expired Study
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Saint Louis, Missouri 63110


The purpose of this study is to compare the efficacy of the combination of the supracervical foley bulb and vaginal misoprostol to vaginal misoprostol alone for labor induction. We hypothesize that use of the foley bulb plus vaginal misoprostol will result in shorter induction to delivery time.

Study summary:

More than 22% of all gravid women undergo induction of labor in the United States for various indications. Although there are several techniques and methods for induction of labor, the best agent and method still remains uncertain. To date, there has been no randomized trial comparing foley bulb plus vaginal misoprostol versus vaginal misoprostol alone. The combination of a mechanical device (foley bulb) and synthetic prostaglandin may have an additive or synergistic effect, resulting in greater degree of cervical ripening and shorter induction to delivery time (IDT). The addition of a synthetic prostaglandin to the foley bulb may also overcome the frequent observation of cervical dilation to 4cm by the foley bulb without effacement.


Inclusion Criteria: - singleton pregnancy - vertex presentation - unfavorable cervix(Bishop's score less than or equal to 6) - greater than 24 weeks gestation Exclusion Criteria: - fetal malpresentation - multifetal gestation - spontaneous labor - more than 5 uterine contractions in 10 minutes - contraindication to prostaglandins - non-reassuring fetal heart rate tracing - intrauterine growth restriction - anomalous fetus - fetal demise - previous cesarean delivery or other significant uterine surgery



Primary Contact:

Principal Investigator
Jeanine F Carbone, MD
Washington University School of Medicine

Backup Contact:


Location Contact:

Saint Louis, Missouri 63110
United States

There is no listed contact information for this specific location.

Site Status: N/A

Data Source: ClinicalTrials.gov

Date Processed: August 31, 2019

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