This study by Fruhman et al (AJOG, 2016) sought to determine if tension on the transcervical Foley catheter resulted in faster time to delivery.
Prospective Randomized Controlled Trial (RCT)
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.
ACOG Practice Bulletin 107: Induction of Labor
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