Tension Versus no Tension With Foley Bulb Induction

A Prospective, Randomized Comparison of Tension Versus no Tension With Foley Transcervical Catheters for Pre-induction Cervical Ripening

To compare the application of tension versus no tension in Foley transcervical catheters for pre-induction cervical ripening.

Patients who are scheduled to undergo labor induction will be offered inclusion in the study which will attempt to determine if placing tension on the foley ballon will shorten the interval between induction initiation and delivery.

Inclusion Criteria:

• Nulliparas with singleton live intrauterine pregnancies undergoing labor induction at Kapiolani Medical Center for Women and Children.
• Cephalic presentation
• Intact fetal membranes
• Bishop score less than or equal to 6
• Age greater than or equal to 18 years

Exclusion Criteria:

• Multiparas
• Multiple gestation
• Previous uterine/cervical surgery
• Ruptured fetal membranes
• Fetal malpresentation
• Any contraindication to vaginal delivery at time of admission