Publication: Cesarean Section without Urethral Catheterization: A Randomized Control Trial
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Date
2012
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu university
Abstract
ABSTRACT
Background
Urethral catheterization is done as a routine procedure in cesarean section. It is
associated with high incidence of urinary tract infections, discomfort, delayed
ambulation and longer hospital stay
Objective
To determine the feasibility and safety of cesarean section without urethral
catheterization.
Methods
A prospective, randomized controlled trial was carried out from April 2008 to
March 2009, in the Department of Obstetrics and Gynecology, B. P. Koirala Institute
of Health Sciences. Among 150 patients who had undergone cesarean section 75
were catheterized and 75 were uncatheterized.
Results
First void discomfort was significantly associated with the use of indwelling
catheter (OR 6.95, CI 95 %, 3.74 to 12.95; P< 0.001).Significant number of patients
with indwelling catheter had signs and symptoms of urinary tract infection (OR
6,CI 95%, 2.59 to 13. 86; P < 0.001). Positive urinalysis for urinary tract infection
was high in catheterized group (P <0.001). Hospital stay was shorter in patients
without catheter (p < 0.05). None of the patients had bladder injury. There were
no significant differences in duration of surgery and ambulation time between two
groups of patients.
Conclusions
Cesarean section can be done safely without urethral catheterization with reduced
morbidities.
KEY WORDS
Cesarean section, urethral catheterization, Urinary tract infection
Description
Acharya S,1 Uprety DK,2 Pokharel HP,2 Amatya R,2 Rai R2
1Department of Obstetrics and Gynecology, College of Medical Sciences, Bharatpur
2Department of Obstetrics and Gynecology, B. P. Koirala Institute of Health Sciences, Dharan