{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:14:28Z","timestamp":1747149268380,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004386","name":"Universiti Malaya","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004386","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate expectant compared to immediate return to hospital upon outpatient Foley catheter expulsion predicated on maternal satisfaction and amniotomy\u2010titrated oxytocin infusion to delivery interval.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This randomized trial was conducted in a tertiary university hospital in Malaysia from September 2020 to February 2022. A total of 330 nulliparous women at term with unripe cervices (Bishop score \u22645), singleton viable fetus in cephalic presentation, reassuring preinduction fetal heart rate tracing and intact membranes who underwent planned outpatient Foley catheter induction of labor (IOL) were included. Women were randomized to expectant or immediate return to hospital if the Foley was spontaneously expelled at home before their scheduled hospital admission the following day. Primary outcomes were amniotomy\u2010titrated oxytocin infusion to delivery interval and maternal satisfaction on the induction process (assessed by 0\u201310 visual numerical rating scale [VNRS]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Amniotomy\u2010titrated oxytocin infusion to delivery interval was 8.7\u2009\u00b1\u20094.1 versus 8.9\u2009\u00b1\u20093.9\u2009h, <jats:italic>P<\/jats:italic>\u2009=\u20090.605 (mean difference\u2009\u2212\u20090.228 95% CI: \u22121.1 to +0.6\u2009h) and maternal satisfaction VNRS score was median (interquartile range) 8 (7\u20139) versus 8 (7\u20139), <jats:italic>P<\/jats:italic>\u2009=\u20090.782. Early return to hospital rates were 37\/165 (22.4%) versus 72\/165 (43.6%), RR 0.51 (95% CI: 0.37\u20130.72), <jats:italic>P<\/jats:italic>\u2009\u2264\u20090.001, Cesarean delivery rates were 80\/165 (48.5%) versus 80\/165 (48.5%), RR 1.00 (95% CI: 0.80\u20131.25), <jats:italic>P<\/jats:italic>\u2009=\u20091.00 and duration of hospital stay was 54.4\u2009\u00b1\u200922.9 versus 56.7\u2009\u00b1\u200922.8\u2009h, <jats:italic>P<\/jats:italic>\u2009=\u20090.364 for the expectant versus immediate return groups respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In outpatient Foley catheter IOL, expectant compared to immediate return to hospital following Foley dislodgement results in similarly high maternal satisfaction. The amniotomy\u2010titrated oxytocin to delivery duration is non\u2010inferior with expectant management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15199","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T06:39:06Z","timestamp":1697524746000},"page":"265-274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Two different regimens of outpatient Foley catheter induction of labor in nulliparas: A randomized trial"],"prefix":"10.1002","volume":"165","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8585-2357","authenticated-orcid":false,"given":"Jesrine","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sreella","family":"Raghavan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayub","family":"Siti\u00a0Nordiana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0971-7481","authenticated-orcid":false,"given":"Rahmah","family":"Saaid","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3699-6535","authenticated-orcid":false,"given":"Narayanan","family":"Vallikkannu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8713-6581","authenticated-orcid":false,"given":"Peng Chiong","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"WHO.WHO recommendations: induction of labour at or beyond term. 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