{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T09:59:37Z","timestamp":1784627977067,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effectiveness in preventing cesarean section for failed induction by using Foley catheter for cervical ripening in comparison to Foley catheter with a weight attached to it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized control trial conducted between November 2018 and July 2020, which looked at induction of labor with 30\u2010ml Foley catheter in one arm and the Foley placed with a 500\u00a0ml weight attached to it in the other arm. Primary outcome was the cesarean section rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We randomized 399 women. Modes of delivery were similar in both groups. Numbers undergoing cesarean section for failed induction were higher in the group that underwent induction with Foley with weight but this was not statistically significant (45.7% vs 26.5%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.1). There was a shorter time to expulsion of the Foley with weight attached (mean\u00a0\u00b1\u00a0standard deviation: 2.6\u00a0\u00b1\u00a03.3\u00a0h vs 10.9\u00a0\u00b1\u00a03.2\u00a0h, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) but this did not translate into a difference in time to active labor or time to delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Placing a weight at the end of the Foley catheter for induction of labor does not affect the time to delivery or the rate of cesarean deliveries, although there is faster expulsion of the Foley.<\/jats:p><jats:p>Clinical trial registration no.: CTRI\/2018\/10\/016154.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13729","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T18:58:58Z","timestamp":1619809138000},"page":"159-164","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Induction of labor using Foley catheter with weight attached versus without weight attached: A randomized control trial"],"prefix":"10.1002","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0751-3709","authenticated-orcid":false,"given":"Anne George","family":"Cherian","sequence":"first","affiliation":[{"name":"Department of Community Health Christian Medical College and Hospital  Vellore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobey Ann","family":"Marcus","sequence":"additional","affiliation":[{"name":"Department of Community Health Christian Medical College and Hospital  Vellore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunny","family":"Sebastian","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Christian Medical College and Hospital  Vellore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swathi","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Christian Medical College and Hospital  Vellore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiji Elizabeth","family":"Mathews","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Christian Medical College and Hospital  Vellore Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"World Health Organization, Reproductive Health and Research","author":"World Health Organization","year":"2011"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-2182(99)00059-2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.03.014"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61484-0"},{"key":"e_1_2_7_6_1","unstructured":"Perinatal Outreach Program of Southwestern Ontario PERINATAL MANUAL CHAPTER 20 \u2013 INDUCTION OF LABOR."},{"key":"e_1_2_7_7_1","first-page":"2123","article-title":"Methods for cervical ripening and induction of labor","volume":"67","author":"Tenore JL","year":"2003","journal-title":"Am Fam Physician"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.03.033"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136856"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70090-6"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.11.029"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349.2010.499447"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200609000-00018"},{"key":"e_1_2_7_14_1","unstructured":"Safe Prevention of the Primary Cesarean Deliveryn.d.https:\/\/www.acog.org\/en\/Clinical\/ClinicalGuidance\/ObstetricCareConsensus\/Articles\/2014\/03\/SafePreventionofthePrimaryCesareanDelivery(accessed January 18 2021)."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-108"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70072-3"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200609000-00022"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1067\/S0002-9378(03)00842-1"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01843.x"}],"container-title":["International Journal of Gynecology &amp; 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