Comparison of Cook Double Balloon and Dilapan-S Hygroscopic Cervical Dilators for Labor Induction After Previous Cesarean Section An Open Randomized Controlled Trial

What this Trial Is About

This trial investigates the use of two mechanical devices, the Dilapan-S and the Cook double balloon catheter, for inducing labor in women who have had a previous cesarean section. There is limited data comparing these two methods for this patient group, and both methods are currently used off-label. The main goal is to measure the time from device placement to delivery, with additional outcomes including cesarean delivery rates and patient satisfaction with the induction methods. The study involves two groups: one receiving the Cook double balloon catheter and the other receiving the Dilapan-S hygroscopic cervical dilators. Both devices are inserted transcervically and remain in place until spontaneous expulsion or the start of active labor, or for up to 12-24 hours. If labor does not start, the devices are removed and oxytocin is given along with amniotomy. If the cervix remains unfavorable after oxytocin treatment, cesarean delivery is performed. The Dilapan-S device may offer benefits such as better mobility and comfort during induction. Participants will be monitored for the induction-to-delivery interval and other outcomes over a 72-hour period. Assessments include cervical status, labor progress, and patient feedback on satisfaction. Safety is closely observed, and cesarean delivery is considered if induction fails or complications arise. The study includes women aged 18 to 60 with a prior cesarean and requires careful follow-up during the labor induction process.

Comparison Between Two Medical Devices for Labor Induction After Previous C-section