RecruitingPhase 3NCT06498908

Intracervical Balloon Placement With Nitrous Oxide Administration

Success Rate of Intracervical Balloon Placement With Nitrous Oxide Administration. A Randomized Control Study


Sponsor

Maimonides Medical Center

Enrollment

162 participants

Start Date

May 15, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This randomized controlled trial aims to compare the effectiveness of nitrous oxide versus oxygen in facilitating the successful placement of a Foley balloon catheter for cervical ripening and induction of labor.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Inclusion Criteria2

  • Patients admitted to labor and delivery for induction of labor (term inductions, medically indicated preterm inductions).
  • Pregnant patients who are eligible for intracervical balloon placement.

Exclusion Criteria12

  • Pregnant patients with contraindications to receiving nitrous oxide.
  • Inability to safely self-administer nitrous oxide
  • Allergy to nitrous oxide
  • History of malignant hyperthermia,
  • Concomitant administration of magnesium sulfate
  • Less than 35 weeks gestational age
  • Non-reassuring fetal heart tracing
  • Use of intravenous or intramuscular opioid within 4 hours
  • Vitamin B12 deficiency
  • Gas-trapping conditions such as pneumothorax or small bowel obstruction
  • Patients requesting neuraxial anesthesia
  • Non-English speaking patients.

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Interventions

DRUGNitrous oxide

Nitrous oxide, commonly known as laughing gas, is a colorless, non-flammable gas with a slightly sweet odor, used for its analgesic and anesthetic properties in medical and dental procedures to provide pain relief and sedation.

DRUGOxygen

Oxygen is a colorless, odorless gas essential for human respiration and used medically to treat conditions resulting from low oxygen levels in the blood. In this trial Oxygen is being used as a placebo.


Locations(1)

Maimonides Medical Center OB/GYN

Brooklyn, New York, United States

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NCT06498908


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