Balloon vs drug: which is safer for inducing labor in overdue pregnancies?
NCT ID NCT02907060
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested two ways to soften the cervix (cervical ripening) in women with prolonged pregnancies (41+ weeks). One method uses a drug called Propess (dinoprostone), the other uses a soft balloon device placed in the cervix. The goal was to see which method leads to fewer C-sections due to signs of fetal distress. Over 1,200 women took part. The results could help doctors choose the safest approach for overdue babies.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dinoprostone (Propess) and a double transcervical balloon (Cook Cervical Ripening Balloon)
- What this could lead to
- If the balloon works better, it could offer a safer, gentler way to start labor in overdue pregnancies, reducing emergency C-sections.
- What could go wrong
- This trial is already completed, so results are known. The balloon may not reduce C-sections as hoped, and both methods have risks like infection or uterine hyperstimulation.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
1,224 people
The number who actually took part.
- Started
-
Jan 2017
- Finished
-
Dec 2018
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Female participants only
- Healthy volunteers
-
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: * Pregnant women * ≥ 18 years old * With a singleton cephalic pregnancy between ≥41+0 weeks and ≤ 42+0 weeks of gestation * Gestational age estimated from the first trimester ultrasound (realized between 11 and 13+6 weeks of gestation) * With a decision of induction of labour * Written informed consent obtained from subject * Subject covered by or having the rights to the French Social Security system Exclusion Criteria: * Bishop score ≥ 6 (favourable cervix) * Non cephalic presentation (breech, transverse) * Severe preeclampsia defined as the presence of preeclampsia with at least one of the following items : * Severe maternal hypertension (systolic blood pressure ≥ 160 mm Hg and/or diastolic blood pressure ≥ 110 mm Hg) * Renal failure with oliguria (\< 500 ml/24h) or creatinine \> 135μmol/L, or proteinuria \> 5 g/day * Pulmonary oedema, epigastric pain or HELLP syndrom (hemolysis, elevated liver enzyme, low platelets) * Eclampsia or neurologic persisting symptoms (visual disturbances, headache, increased reflexes) * Thrombopenia \< 100 G/L * Prior caesarean section or uterine scar * Placenta praevia * Suspected genital herpes infection * Known VIH seropositivity (confirmed by blood serology) * Premature rupture of membranes (PROM - continual leaking of amniotic fluid or positive test in favour of PROM) * Foetus with suspected severe congenital abnormalities * Pathological fetal heart rate * Contra-indications to Propess® * Contra-indications for using Cook® Cervical Ripening Balloon * Women under guardianship or trusteeship
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Prolonged pregnancy are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
CHU CAEN
Caen, 14033, France
-
Ch Chartres
Chartres, France
-
Ch Departemental Vendee
La Roche-sur-Yon, 85925, France
-
Ch Pontoise
Cergy-Pontoise, 95303, France
-
Chi Poissy
Poissy, France
-
Chru Tours
Tours, 37044, France
-
Chu Brest
Brest, France
-
Chu Clermont-Ferrand
Clermont-Ferrand, 63001, France
-
Chu Nantes
Nantes, 44093, France
-
Chu Reims
Reims, 51092, France
-
Chu Rennes
Rennes, France
-
Chu Saint Etienne
Saint-Priest-en-Jarez, 42270, France
-
Chu Toulouse
Toulouse, France
-
Hopital Saint Joseph
Marseille, 13008, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.