Balloon vs. drug: which induces labor better for Slower-Growing babies?
NCT ID NCT05774236
First seen Jul 27, 2026 · Last updated Jul 28, 2026 · Updated 1 time
Summary
This trial tests whether a soft balloon (Cook's balloon) placed in the cervix is better than a vaginal medication (dinoprostone) for starting labor in full-term pregnancies where the baby is growing slowly. The main goal is to see which method leads to more vaginal deliveries and fewer cesarean sections. The study includes 172 women with a single baby in head-down position.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cook's balloon (mechanical cervical ripening device) and vaginal dinoprostone (medication)
- What this could lead to
- If the balloon works better, it could offer a safer, more effective way to induce labor in pregnancies with fetal growth restriction, reducing cesarean sections.
- What could go wrong
- This is a single trial with 172 participants, so results may not apply to all cases. Both methods carry risks like infection or fetal distress.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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172 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Singleton pregnancy * Age ≥ 18 years * Gestational age (GA) dated by first trimester ultrasound ≥ 37+0 weeks * Cephalic presentation * Stage I fetal growth restriction, defined as the presence of at least one of these two criteria: 1. Estimated fetal weight (EFW) \< 3rd percentile 2. EFW \< 10th percentile and at least one of the following: 2.1) Umbilical artery pulsatility index \> 95th percentile or 2.2) Cerebral-placental index \< 5th percentile * Bishop score \< 7 * Intact fetal membranes * No previous caesarean section * No contraindications for vaginal delivery or labor induction. Exclusion Criteria: * Major fetal malformation * Fetal genetic abnormality * Fetal congenital infection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hospital Clinic i Provincial
Barcelona, Barcelona, 08028, Spain
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Hospital Clinico Universitario Virgen de la Arrixaca
Murcia, Murcia, 30120, Spain
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Hospital Sant Joan de Déu
Esplugues de Llobregat, Barcelona, 08950, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, Barcelona, 08035, Spain
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Hospital Universitario 12 de Octubre
Madrid, Madrid, 28041, Spain
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