Overview
The goal of this clinical trial is to learn if a cervical ripening balloon (Foley balloon) works to prepare the cervix before same-day outpatient dilation and evacuation (D&E). The main questions it aims to answer are:
- Is cervical preparation with cervical ripening balloon for same-day outpatient D&E non-inferior to cervical preparation with osmotic dilators?
- How feasible and safe is cervical preparation with cervical ripening balloon for same-day outpatient D&E?
- How acceptable is cervical preparation with cervical ripening balloon for same-day outpatient D&E?
Participants will:
- Have cervical preparation with cervical ripening balloon (experimental group) or osmotic dilators (usual care group)
- Complete two surveys, one about the cervical preparation and one about the D&E procedure
Eligibility
Inclusion Criteria:
- Individuals who desire outpatient dilation and evacuation (D&E)
- At least 18 years of age
- Able and willing to consent
- Gestational duration between 18 weeks 0 days and 19 weeks 6 days as determined by ultrasound
- Able to read and understand English or Spanish
- Able to obtain reliable post-procedure transportation
- Able to observe fasting guidelines of 6 hours prior to the D&E procedure
Exclusion Criteria:
- Medical conditions that require procedural management in the operating room
- Preference for D&E procedure in the operating room