Abstract :
Background: Labor induction is a common obstetric intervention, with mechanical methods like the Foley catheter gaining popularity due to their safety profile and effectiveness. This study aimed to compare the efficacy and safety of traction versus non-traction methods in Foley catheter-induced labor induction.Materials and Methods: This randomized controlled trial, conducted at Karnataka Institute of Medical Sciences, Hubli, over 12 months, involved 200 pregnant women with singleton pregnancies. Participants were randomly allocated into two groups of 100 each: Group A (traction method) and Group B (non-traction method) for Foley catheter-induced labor. Inclusion criteria encompassed primigravidae, multigravidas with previous vaginal deliveries, singleton cephalic pregnancies, previous LSCS >18 months, and gestational age 37-41 weeks. Exclusion criteria included premature membrane rupture, multiple pregnancies, malpresentations, intrauterine death, previous 2 LSCS, polyhydramnios, fetal compromise, and gestational age 41 weeks. Outcome measures included Bishop scores, mode of delivery, complications, infection rates, APGAR scores, and NICU admissions. Data collected was entered in excel sheet and analysed using SPSS version 20. Chi-square test and independent t test was used to study the significance.Results: The traction group demonstrated significantly shorter induction-to-expulsion time (median 6 vs 12.5 hours, p
Keyword :
Labor induction, Foley catheter, Traction method, Non-traction method, Maternal outcomes, Neonatal outcomes.