Mechanical cervicAl ripeninG for Women With PrOlongedPregnancies

Launched by UNIVERSITY HOSPITAL, TOURS · Sep 14, 2016

Keywords

ClinConnect Summary

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Gender

FEMALE

Eligibility criteria

• 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