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Grand Rounds

Does Tension on the Foley Catheter Impact Time to Delivery?

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PURPOSE:

This study by  Fruhman et al (AJOG, 2016) sought to determine if tension on the transcervical Foley catheter resulted in faster time to delivery.

METHODS:

Prospective Randomized Controlled Trial (RCT)

RESULTS:

In this study 140 women underwent cervical ripening with the use of transcervical catheters. Tension was applied to 67 women, and 73 women had no tension applied to their catheters.  Vaginal delivery time was not significantly affected by applying tension, nor was there a significant change in the cesarean section rate. Tension did decrease the time for the catheter to be expelled.

Learn More – Primary Sources:

Tension compared to no tension on a Foley transcervical catheter for cervical ripening: a randomized controlled trial

ACOG Practice Bulletin 107:  Induction of Labor

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Related ObG Topics:

Practical info on evidence based medicine for your women's healthcare practice
Misoprostol or Foley catheter for an unfavorable cervix at term?

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