Publication:
Cesarean Section without Urethral Catheterization: A Randomized Control Trial

creativeworkseries.issn1812-2027
dc.contributor.authorAcharya, S
dc.contributor.authorUprety, DK
dc.contributor.authorPokharel, HP
dc.contributor.authorAmatya, R
dc.contributor.authorRai, R
dc.date.accessioned2025-08-24T05:37:25Z
dc.date.available2025-08-24T05:37:25Z
dc.date.issued2012
dc.descriptionAcharya 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
dc.description.abstractABSTRACT 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
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1945
dc.language.isoen_US
dc.publisherKathmandu university
dc.titleCesarean Section without Urethral Catheterization: A Randomized Control Trial
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage22
oaire.citation.startPage18
relation.isJournalIssueOfPublication1ddf3250-936e-4d86-bc6c-f0192fb2314e
relation.isJournalIssueOfPublication.latestForDiscovery1ddf3250-936e-4d86-bc6c-f0192fb2314e
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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