Cervical Ripening Balloons for Same-Day Cervical Prep (CRB)
Study on Outpatient Dilation and Evacuation (D&E) Procedures
Brief description of study
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 of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Dilation and Evacuation
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Age: 18 years or above
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Gender: All
Inclusion Criteria:
- 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
- Able to read and understand English or Spanish
- Able to obtain reliable post-procedure transportation
- Able to observe fasting guidelines of 6 hours prior to the D&E procedure
Exclusion Criteria:
- Medical conditions that require procedural management in the operating room
- Preference for D&E procedure in the operating room
This study investigates outpatient dilation and evacuation (D&E) procedures for individuals within a specified gestational duration. Dilation and evacuation is a medical procedure used to terminate a pregnancy, typically performed in the second trimester. It involves dilating the cervix and removing pregnancy tissue using surgical instruments and suction.
Participants in the study will undergo the D&E procedure in an outpatient setting. They must follow specific guidelines, such as observing fasting rules before the procedure and arranging reliable transportation post-procedure.
- Who can participate: Participants must be at least 18 years old, fluent in English or Spanish, and able to consent. They should be between 18 weeks 0 days and 19 weeks 6 days of gestation and able to follow fasting and transportation guidelines.
- Study details: Participants will undergo an outpatient D&E procedure.