Induction of labour after 37 weeks of pregnancy using foley’s catheter: traction versus non-traction method


  • Jaydeep J. Bhatu Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Junagadh, Gujarat, India
  • Disha Patel Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Junagadh, Gujarat, India



Foley’s induction, Induction of labour, Bishops score, Chorioamnionitis, Cerviprim gel, APGAR score


Background: Cervical Foley’s catheter used now a days for induction of labour alone as well as a combined with cerviprim gel. The objective of the study was to assess the effectiveness of 750 cc traction on Foley catheter with no traction for labour induction in >37 weeks pregnancy.

Methods: A randomized controlled trial performed on pregnant women at >37 weeks who were admitted for induction of labour with unfavourable cervix. They were randomly assigned into two groups, Foley’s with 750 cc traction and without traction. The primary outcomes were improvement in Bishop Score, number of favourable cervix following induction and the mode of delivery. The secondary outcomes were neonatal outcome, and maternal infection.

Results: A total of 80 pregnant women were randomized into traction group (n=46) and non-traction group (n=34). Traction group had significantly (p=0.0462) higher number of vaginal delivery compared to non-traction group. Participants were comfortable using both methods. There was no difference in neonatal outcomes and risk of maternal infections in both groups.

Conclusions: Application of traction did result in more vaginal delivery.

Author Biography

Jaydeep J. Bhatu, Department of Obstetrics and Gynaecology, GMERS Medical College and Hospital, Junagadh, Gujarat, India

He is third year resident in department of obstetrics and gynecology.he is well know obstretian surgeon and decorated fellow in gynecology.


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Original Research Articles