Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
Tugging the Foley catheter balloon every 3 h in nulliparous induction of labor: A randomized controlled trial.
Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Tugging the Foley catheter balloon every 3 h in nulliparous induction of labor: A randomized controlled trial.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Trial
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Authors and funding
6 authors.
Funding
Abstract
objectiveThis study evaluates forceful Foley balloon tugging for 30 s 3-hourly to retrieve a comfortably retained balloon compared to usual care (without tugging) during the 12 h of planned passive placement. The primary outcomes were the induction (Foley insertion) to delivery duration and patients' satisfaction.
methodParticipants were recruited into a randomized controlled trial in a university hospital in Malaysia from March 2023 to December 2023. Nulliparas admitted for induction of labor by Foley balloon were enrolled. After Foley insertion, participants were randomized to 3-hourly tugging or usual care. Following balloon retrieval (whether tugged out, spontaneously expelled, or at scheduled removal), suitability for amniotomy was assessed by vaginal examination. Follow-on labor induction management was guided by the cervical finding.
resultsA total of 264 patients were randomized, with 132 in each study arm. The primary outcomes of induction to birth duration median [interquartile range] was 33.2 [25.3-43.4] versus 37.2 [27.9-45.8] hours (P = 0.058) and participant satisfaction score (0-10 numerical rating scale [NRS]) with the labor induction process was 9 [7-10] versus 9 [7-10] P = 0.437 for tugging versus usual care, respectively. Secondary outcomes with P < 0.05 were Foley removal as planned at 12 h, Foley displacement after tugging, compliance to protocol, and umbilical artery blood pH. However, pH ≤7.10 was 2/126 (1.6%) versus 3/129 (2.3%) relative risk 0.67 95% CI 0.11-3.95 P > 0.99 for tugging vs. usual care.
conclusionAt nulliparous Foley induction of labor with a planned 12-h ballon placement, tugging the Foley 3-hourly compared to usual care did not expedite birth or increase patient satisfaction.
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