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Oxytocin vs Prostaglandins for Labor Induction of Women With an Unfavorable Cervix After 24h of Cervical Ripening

Launched by UNIVERSITY HOSPITAL, TOURS · Jun 25, 2021

Trial Information

Current as of July 24, 2025

Recruiting

Keywords

Cervical Ripening Oxytocin Prostaglandin Cesarean Delivery

ClinConnect Summary

This clinical trial is studying the best way to help women with an unfavorable cervix (which means their cervix isn’t ready for labor) after they have undergone 24 hours of cervical ripening, a procedure used to prepare the cervix for labor. The trial will compare two methods: using a medication called oxytocin to start labor versus continuing the cervical ripening process with another medication called prostaglandins. The goal is to find out which approach leads to safer deliveries and greater satisfaction for mothers, while also reducing the chances of needing a cesarean delivery.

To participate in this study, women must be at least 18 years old, pregnant with a single baby, and between 37 and 42 weeks into their pregnancy. They should have already undergone 24 hours of cervical ripening and have an unfavorable cervix, as indicated by a specific scoring system. If you join this trial, you’ll either receive oxytocin to induce labor or continue with cervical ripening. The trial is currently recruiting participants and aims to help improve the experience and outcomes for women during labor induction.

Gender

FEMALE

Eligibility criteria

  • Inclusion Criteria:
  • Pregnant woman
  • ≥ 18 years old
  • With a singleton cephalic pregnancy
  • Between ≥37+0 weeks and ≤ 42+0 weeks of gestation
  • Gestational age estimated from the first trimester ultrasound (realized between 11+0 and 13+6 weeks of gestation)
  • With a medical indication of labor with a previous pharmacological or mechanical cervical ripening of 24 hours
  • Bishop score ≤ 6 at inclusion (unfavorable cervix)
  • French health insurance policy holder
  • Written informed consent
  • Exclusion Criteria:
  • Any measures of legal protection
  • Prior caesarean section or uterine scar
  • Contra-indications to a vaginal delivery
  • Foetus with suspected severe congenital abnormalities
  • Pathological foetal heart rate
  • Contra-indications to ANGUSTA® (oral misoprostol, cervical ripening agent)
  • Contra-indications to PROPESS® (vaginal slow releasing system of dinoprostone, cervical ripening agent)
  • Contra-indications to PROSTINE® (vaginal gel of dinoprostone, cervical ripening agent)
  • Contra-indications for using oxytocin
  • Woman in labor or with more than 3 contractions / 10 minutes

About University Hospital, Tours

The University Hospital of Tours, a leading academic medical institution in France, is dedicated to advancing healthcare through innovative clinical research and patient-centered care. With a strong emphasis on collaboration between researchers, clinicians, and community partners, the hospital fosters a dynamic environment for conducting high-quality clinical trials across various medical disciplines. Its commitment to excellence in patient safety, ethical standards, and scientific integrity positions the University Hospital of Tours as a pivotal contributor to the development of new therapies and health solutions, ultimately enhancing patient outcomes and public health.

Locations

Angers, , France

Bordeaux, , France

Brest, , France

Clermont Ferrand, , France

Marseille, , France

Nantes, , France

Paris, , France

Poitiers, , France

Saint étienne, , France

Tours, , France

Patients applied

0 patients applied

Trial Officials

Caroline DIGUISTO, MD

Study Director

University Hospital, Tours

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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