About this trial
The goal of this clinical trial is to learn if a cervical ripening balloon (Foley balloon) works to prepare the cervix before same-day outpatient dilation and evacuation (D\&E). The main questions it aims to answer are:
* Is cervical preparation with cervical ripening balloon for same-day outpatient D\&E non-inferior to cervical preparation with osmotic dilators? * How feasible and safe is cervical preparation with cervical ripening balloon for same-day outpatient D\&E? * How acceptable is cervical preparation with cervical ripening balloon for same-day outpatient D\&E?
Participants will:
* Have cervical preparation with cervical ripening balloon (experimental group) or osmotic dilators (usual care group) * Complete two surveys, one about the cervical preparation and one about the D\&E procedure
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals who desire outpatient dilation and evacuation (D&E)
At least 18 years of age
Able and willing to consent
Gestational duration between 18 weeks 0 days and 19 weeks 6 days as determined by ultrasound
Disqualifiers
Medical conditions that require procedural management in the operating room
Preference for D&E procedure in the operating room
Trial design
Parallel
Treatments tested in this trial
Cervical Ripening Balloon
Device30 milliliter Foley balloon
Osmotic Dilators
DeviceDilapan-S
Treatment groups
Trial outcomes
Primary outcomes
D&E procedure length (minutes)
From insertion of first instrument to removal of speculum
Secondary outcomes
Starting dilation (French gauge)
Pratt dilator size in French gauge (sequential numbered instruments with size corresponding to diameter)
Additional dilation (French gauge)
Pratt dilator size in French gauge (sequential numbered instruments with size corresponding to diameter)
Estimated blood loss (milliliters)
Amount of blood loss, measured in milliliters throughout the procedure
Additional sedation medication administered
yes/no
Sponsors and contacts
Click on the lead sponsor to view all of their trials.