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Recruiting NCT06799052

NCT06799052 Cervical Preparation for Same-Day Dilation & Evacuation

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Clinical Trial Summary
NCT ID NCT06799052
Status Recruiting
Phase
Sponsor Boston Medical Center
Condition Abortion, Second Trimester
Study Type INTERVENTIONAL
Enrollment 32 participants
Start Date 2025-06-12
Primary Completion 2026-09

Trial Parameters

Condition Abortion, Second Trimester
Sponsor Boston Medical Center
Study Type INTERVENTIONAL
Phase N/A
Enrollment 32
Sex FEMALE
Min Age 16 Years
Max Age N/A
Start Date 2025-06-12
Completion 2026-09
Interventions
Transcervical single-balloon catheterSynthetic osmotic dilators

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Brief Summary

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

Inclusion Criteria: * 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 Exclusion Criteria: * 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 * Decide to undergo cervical preparation overnight prior to next-day D\&E

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