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Vaginal DeliveryNCT07707804

Bionic Balloon-assisted Delivery Technology on the Labor Process

A study testing Bionic Balloon-assisted Delivery and Routine Labor Management in people with Vaginal Delivery, run by Peking Union Medical College Hospital at 4 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This multicenter, prospective, randomized controlled trial will evaluate the efficacy and safety of bionic balloon-assisted delivery technology in nulliparous women planning vaginal delivery. Eligible participants will be randomly assigned in a 1:1 ratio to either the intervention group or the control group. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Vaginal Delivery
What is being tested?
Bionic Balloon-assisted Delivery and Routine Labor Management
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
4 sitesChina
Study dates
15 Jul 2026to 15 Jul 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age: 18-45 years;
  • Nulliparous women with singleton, term pregnancy, cephalic presentation, and no contraindications to vaginal delivery;
  • Latent phase longer than 3 hours, cervical dilation greater than 4-5 cm (entry into the active phase), fetal head engagement, and no obvious cephalopelvic disproportion;
  • Voluntary participation in this study and signing of written informed consent.

Who cannot join

  • Multiparous women;
  • Non-cephalic presentation;
  • Genital tract infection;
  • High-risk pregnancy score classified as "red ball," "purple ball," or some "orange ball" categories, including severe medical or surgical comorbidities, placenta previa, scarred uterus, etc.;
  • Presence of cephalopelvic disproportion, abnormal fetal heart rate, or other conditions unsuitable for vaginal delivery and requiring cesarean section;
  • Other conditions considered unsuitable for enrollment by the clinician.

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yifeng Zhong, Associate Professor contact

+86 18612708860

ZYFL1026@163.com

China4 sites
  • Beijing Obstetrics and Gynecology Hospital

    Beijing

    Yifeng Zhong, +86 18612708860, ZYFL1026@163.com

  • Beijing Tongren Hospital

    Beijing

    Yifeng Zhong, +86 18612708860, ZYFL1026@163.com

  • Peking Union Medical College Hospital

    Beijing

    Yifeng Zhong, +86 18612708860, ZYFL1026@163.com

  • Cangzhou Central Hospital

    Cangzhou, Hebei

    Yifeng Zhong, +86 18612708860, ZYFL1026@163.com

Other trials in China

About this study

Official title: Study on The Impact of Bionic Balloon-assisted Delivery Technology on the Labor Process and Maternal and Neonatal Outcomes

This multicenter, prospective, randomized controlled trial will evaluate the efficacy and safety of bionic balloon-assisted delivery technology in nulliparous women planning vaginal delivery. Eligible participants will be randomly assigned in a 1:1 ratio to either the intervention group or the control group. Participants in the control group will receive routine labor management, while participants in the intervention group will receive bionic balloon-assisted delivery in addition to routine labor management after entering the active phase of labor.

The primary outcome is the duration of labor, including the first, second, and third stages of labor. Secondary outcomes include intrapartum cesarean conversion rate, intrapartum and postpartum complications, neonatal outcomes, postpartum pelvic floor dysfunction, postpartum depression, and maternal satisfaction. This study aims to determine whether bionic balloon-assisted delivery can shorten labor duration, reduce intrapartum cesarean conversion, and improve maternal and neonatal outcomes without increasing adverse events.

Read the detailed description

Bionic balloon-assisted delivery is a physical delivery-assistance technique designed to simulate the pressure and stimulation exerted by the fetal presenting part on the cervix and birth canal during labor. By providing controlled mechanical dilation of the upper and lower vagina during the active phase of labor, this technique may promote labor progress without the use of additional pharmacologic agents.

This study is a multicenter, prospective, randomized controlled trial designed to evaluate the efficacy and safety of bionic balloon-assisted delivery technology in nulliparous women planning vaginal delivery. Eligible participants will be women aged 18 to 45 years with singleton, term pregnancy, cephalic presentation, no contraindications to vaginal delivery, latent phase longer than 3 hours, cervical dilation greater than 4 to 5 centimeters indicating entry into the active phase of labor, fetal head engagement, and no obvious cephalopelvic disproportion. After written informed consent is obtained, participants will be randomly assigned in a 1:1 ratio to either the intervention group or the control group.

Participants in the control group will receive routine labor management for vaginal delivery. This includes close monitoring after the onset of labor, artificial rupture of membranes when cervical dilation reaches more than 4 to 5 centimeters and the fetal head is engaged, continued observation of uterine contractions, fetal heart rate, and amniotic fluid characteristics, and operative vaginal delivery or emergency cesarean section when clinically indicated.

Participants in the intervention group will receive bionic balloon-assisted delivery in addition to routine labor management. After the participant enters the active phase of labor and the fetal head is engaged, the KCB-II automatic bionic balloon-assisted delivery device will be used with a sterile latex balloon dilation handle. The balloon will be placed in the upper vagina near the fornix after artificial rupture of membranes and inflated according to the study protocol to mechanically dilate the birth canal. Other labor management procedures will follow routine clinical practice.

The primary outcome is the duration of labor, including the first, second, and third stages of labor. Secondary outcomes include intrapartum cesarean conversion rate; intrapartum and postpartum complications such as intrapartum fever, postpartum hemorrhage, postpartum infection, urinary retention, soft birth canal laceration, episiotomy, and operative vaginal delivery; neonatal outcomes including birth weight, Apgar scores, umbilical artery blood gas analysis results when available, neonatal complications, and admission to the neonatal intensive care unit; postpartum pelvic floor dysfunction; postpartum depression assessed using the Edinburgh Postnatal Depression Scale; and maternal satisfaction.

Participants will be followed through delivery, discharge, and the routine postpartum visit at 42 days after delivery. The study aims to determine whether bionic balloon-assisted delivery can shorten labor duration, reduce intrapartum cesarean conversion, and improve maternal and neonatal outcomes without increasing adverse events.

Being tested
Bionic Balloon-assisted Delivery, Routine Labor Management
Keywords
Bionic balloon-assisted delivery, Labor duration, Maternal outcomes, Neonatal outcomes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bionic Balloon-assisted DeliveryDevice

    Bionic balloon-assisted delivery will be performed using the KCB-II automatic bionic balloon-assisted delivery device with a sterile latex balloon dilation handle. The balloon will be placed in the upper vagina near the fornix after artificial rupture of membranes and inflated according to the protocol to mechanically dilate the birth canal. Routine labor management will also be provided.

  • Routine Labor ManagementProcedure or surgery

    Routine labor management includes standard monitoring and clinical management during vaginal delivery, artificial rupture of membranes when indicated, continued observation of labor progress and fetal status, operative vaginal delivery when necessary, and emergency cesarean section if indications such as arrest of labor, cephalopelvic disproportion, or abnormal fetal heart rate occur.

Study groups in NCT07707804
Study groupRoleWhat they receive
Balloon GroupExperimentalParticipants in this group will receive bionic balloon-assisted delivery in addition to routine labor management. After entering the active phase of labor, when cervical dilation reaches 4-5 cm or more and the fetal head is engaged, bionic balloon-assisted delivery will be performed using the KCB-II automatic bionic balloon-assisted delivery device. Other labor management procedures will follow routine clinical practice.
Receives: Device: Bionic Balloon-assisted Delivery
Control GroupActive comparatorParticipants in this group will receive routine labor management for vaginal delivery. This includes close monitoring after the onset of labor, artificial rupture of membranes when cervical dilation reaches more than 4-5 cm and the fetal head is engaged, observation of uterine contractions, fetal heart rate, and amniotic fluid characteristics, and operative vaginal delivery or emergency cesarean section when clinically indicated.
Receives: Procedure: Routine Labor Management

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Duration of Labor

    The duration of labor will be measured, including the first, second, and third stages of labor. The first stage of labor is defined as the period from the onset of labor to full cervical dilation; the second stage is defined as the period from full cervical dilation to delivery of the fetus; and the third stage is defined as the period from delivery of the fetus to delivery of the placenta.

    Measured: From onset of labor to delivery of the placenta.

Secondary outcomes (21)
  1. Intrapartum Cesarean Conversion Rate

    The proportion of participants who undergo emergency cesarean section during trial of vaginal delivery due to indications such as arrest of labor, cephalopelvic disproportion, or abnormal fetal heart rate.

    Measured: During labor and delivery

  2. Incidence of Intrapartum Fever

    Percentage of participants with body temperature greater than or equal to 38 degrees Celsius after the onset of labor.

    Measured: From onset of labor to delivery

  3. Incidence of Postpartum Hemorrhage

    Percentage of participants with postpartum hemorrhage, defined as blood loss of at least 500 milliliters after vaginal delivery or at least 1000 milliliters after cesarean delivery within 24 hours after delivery.

    Measured: Within 24 hours after delivery

  4. Incidence of Postpartum Infection

    Percentage of participants with postpartum infection requiring antibiotic treatment after delivery.

    Measured: From 24 hours to 48 hours after delivery

  5. Incidence of Urinary Retention

    Percentage of participants with intrapartum or postpartum urinary retention.

    Measured: From onset of labor to 48 hours after delivery

  6. Incidence of Soft Birth Canal Laceration

    Percentage of participants with soft birth canal laceration after delivery.

    Measured: At delivery

  7. Incidence of Episiotomy

    Percentage of participants who undergo episiotomy during vaginal delivery.

    Measured: At delivery

  8. Incidence of Operative Vaginal Delivery

    Percentage of participants who undergo forceps-assisted or vacuum-assisted vaginal delivery.

    Measured: At delivery

  9. Neonatal Birth Weight

    Birth weight of the newborn.

    Measured: At birth

  10. Apgar Score at 1 Minute

    Apgar score assessed 1 minute after birth.

    Measured: 1 minute after birth

  11. Apgar Score at 5 Minutes

    Apgar score assessed 5 minutes after birth.

    Measured: 5 minutes after birth

  12. Apgar Score at 10 Minutes

    Apgar score assessed 10 minutes after birth.

    Measured: 10 minutes after birth

  13. Umbilical Artery Blood pH

    Umbilical artery blood pH value when available.

    Measured: At birth

  14. Admission to the Neonatal Intensive Care Unit

    Percentage of newborns admitted to the neonatal intensive care unit.

    Measured: From birth to 48 hours after birth

  15. Incidence of Neonatal Infection

    Percentage of newborns with neonatal infection.

    Measured: From birth to 48 hours after birth

  16. Incidence of Meconium Aspiration

    Percentage of newborns with meconium aspiration.

    Measured: From birth to 48 hours after birth

  17. Incidence of Neonatal Hypoxia

    Percentage of newborns with neonatal hypoxia.

    Measured: From birth to 48 hours after birth

  18. Incidence of Perinatal Death

    Percentage of perinatal deaths.

    Measured: From birth to 7 days after birth

  19. Maternal Satisfaction

    Maternal satisfaction with the delivery process will be assessed using a patient satisfaction survey before discharge.

    Measured: 2-3 days postpartum before discharge

  20. Incidence of Postpartum Pelvic Floor Dysfunction

    Postpartum pelvic floor function will be assessed by routine pelvic floor evaluation, including pelvic floor quantitative electromyography, muscle tone, muscle fatigue, muscle strength, quality-of-life assessment, and pain assessment.

    Measured: 42 days postpartum

  21. Incidence of Postpartum Depression

    Postpartum depression will be assessed using the Edinburgh Postnatal Depression Scale according to routine clinical practice.

    Measured: 42 days postpartum

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jul 2026
  2. Study start15 Jul 2026 (estimated)
  3. Primary completion15 Jul 2027 (estimated)
  4. Study completion15 Jul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a multicenter, prospective, randomized controlled trial using a parallel assignment model. Eligible participants will be randomly assigned in a 1:1 ratio to either the intervention group or the control group. The intervention group will receive bionic balloon-assisted delivery in addition to routine labor management, while the control group will receive routine labor management alone. Outcomes will be compared between the two groups to evaluate the efficacy and safety of bionic balloon-assisted delivery technology.
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07707804
Sponsor's protocol ID
I-26PJ1429
Status last verified
Jul 2026
First submitted
6 Jul 2026
Last updated
16 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared publicly due to participant privacy and confidentiality considerations. De-identified aggregate results may be reported in scientific publications or presentations.

Publications

  • Zhang M, Xy Z. Clinical application of airbag bionic midwifery technology in vaginal delivery of pregnancy with scarred uterus. Afr J Reprod Health. 2024 Nov 30;28(11):78-84. doi: 10.29063/ajrh2024/v28i11.8.

    PubMed 39756009

Questions about this trial

What is this clinical trial studying?

A study testing Bionic Balloon-assisted Delivery and Routine Labor Management in people with Vaginal Delivery, run by Peking Union Medical College Hospital at 4 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 16 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yifeng Zhong, Associate Professor (+86 18612708860, ZYFL1026@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Duration of Labor (time frame: From onset of labor to delivery of the placenta.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07707804, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jul 2026.

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