Objective: To study the effect of transcervical Foley catheter on labor induced with misoprostol.

Methods: This analytic prospective cohort study was carried out between 1st March associatedand 31st August 2025. Pregnant women ≥37th week’ gestation with poor Bishop scores whose labor were induced with 50 µg misoprostol (inserted vaginally) and an inflated transcervical Foley catheter (group A) or with 50 µg misoprostol alone (group B) were recruited and followed up till delivery. The mothers and newborns were followed up till their discharge from the hospital. The main variables recorded included labor progression, mode of delivery, Apgar score, maternal and perinatal outcomes. Fisher exact test and t-test were used for comparison. P<0.05 was considered statistically significant.

Results: We recruited 35 women in group A and 43 in group B. The main indications for labor induction were prolonged pregnancies and hypertensive diseases of pregnancies. Women of group A had significantly less labor augmentation (P=0.003), shorter labor duration (P˂0.001), reduced cesarean section risk (P=0.001), best 5th minute Apgar score (P=0.013) and less neonatal asphyxia (P=0.015).

Conclusion: The association of inflated transcervical Foley catheter with misoprostol for labor induction significantly reduces labor duration and risk of cesarean section and also improves neonatal outcomes.