Cervical Preparation for Same-Day Dilation & Evacuation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age16+
SponsorBoston Medical Center

About this trial

This is a noninferiority randomized control trial of two cervical preparation methods prior to same-day Dilation \& Evacuation (D\&E). Cervical preparation is a process that softens and dilates the cervix prior to a procedure.

The primary objective is to evidence noninferiority of cervical preparation using a single-balloon catheter method when compared to a group receiving osmotic dilators, specifically in D\&E operative time.

Secondary objectives will compare the two methods for adequate dilation, ability to complete the operation in the same day, participant pain, satisfaction and safety.

Eligibility criteria

Qualifiers

Between 16 weeks 0 days - 18 weeks 6 days gestational age who are pursuing termination, based on reliable gestational age (defined as ultrasonography performed by a clinical provider, or a certain last menstrual period)

Able to provide informed consent

English- or Spanish-speaking

Singleton intrauterine pregnancy

Disqualifiers

Allergy to betadine, aquacryl hydrogel, latex-free silicone single-balloon catheter, synthetic or natural osmotic dilators

Fetal demise or known fetal anomaly

BMI >45

Incarceration or other inability to give informed consent

Trial design

Treatments tested in this trial

  • Transcervical single-balloon catheter
  • Synthetic osmotic dilators

Treatment groups

32 Participants
are divided into 2 treatment groups

Sponsors and collaborators