Artificial Induction of Labour in Full-term Singleton Pregnancy : Comparative Randomized Trial of Two Strategies (BESTWAY)

  • End date
    Dec 1, 2023
  • participants needed
  • sponsor
    University Hospital, Montpellier
Updated on 4 October 2022
induction of labor


Labour induction is an obstetrical procedure, which artificially starts the process of cervix dilation, in order to induce labour. Several methods of labour induction exist : mechanical ones (using dilatation balloons) or pharmacological ones (using prostaglandins or oxytocin). This trial aims to compare, in case of non-favourable cervix, the strategy of labour induction using the Propess® method first (Dino-first) versus the strategy beginning with the use of a dilatation balloon (Ballon-first), with respect of the usual practice and the current guidelines.

Condition Pregnancy Related
Treatment Vaginal Dinoprostone system (Propess®), Dilatation balloon
Clinical Study IdentifierNCT04452747
SponsorUniversity Hospital, Montpellier
Last Modified on4 October 2022


Yes No Not Sure

Inclusion Criteria

Women with singleton pregnancy
Fetus with cephalic presentation
Intact membranes between 37 and 42 weeks of amenorrhea
Medical indication for labour induction according to the "Haute Autorité de Santé" (HAS) guidelines
Unfavourable cervix (Bishop scoring < 7)
Age > 18 years-old
Person affiliated to a healthcare system
Good understanding of the French language

Exclusion Criteria

Previous C-section or uterine incision
Placenta previa
Metrorrhagia of unknown origin
Lethal foetal abnormality
Hyperreactivity to one of the molecules used for the induction (dinoprostone or oxytocin) or to latex
Subject participants to another biomedical research
Subject under legal guardianship or curatorship
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