Cervical ripening of an unfavorable cervix can be achieved by placement of a trans-cervical catheter. The aim of this study was to assess the effectiveness of 750 ml traction on Foley’s catheter compare to no traction for labour induction.

Methodology: It is a randomized controlled trial performed on pregnant women at 37-41 week who were admitted for induction of labour with unfavorable cervix. They were randomly assigned into two groups, Foley’s with 750 ml traction and without traction. The outcome measured were change in Bishop Score, mode of delivery, risk of maternal and fetal infection, pain score and successful VBAC.

Result: Total of 160 women were randomized into traction group (n=80) and control group (n=80). The mean change in Bishop Score was similar in both groups. Traction group had significantly (p=0.006) higher number of vaginal delivery (70%) compared to control group. The rate of successful VBAC was also significantly (p= 0.001) higher in the traction group. Participants were comfortable using both methods with low pain score. There was no difference in the neonatal outcome and risk of maternal infection in both groups.

Conclusion: Application of traction did result in more successful vaginal delivery and vaginal birth after Caesarean section.

Keywords: Cervical ripening, Foley’s catheter, labour induction, previous scar, VBAC