Volume 5, Issue 5, September 2017, Page: 56-59
Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients
Amat-Al Karem Ali Hamad Al Huri, Department of Obstetrics and Gynecology, Faculty of Medicine, Sana'a University, Sana’a, Yemen
Athmar Hussein Ali, Department of Obstetrics and Gynecology, Faculty of Medicine, Sana'a University, Sana’a, Yemen
Abdelrahman Hasan Al Harazi, Department of Obstetrics and Gynecology, Faculty of Medicine, Thamar University, Sana’a, Yemen
Received: Jul. 17, 2017;       Accepted: Jul. 24, 2017;       Published: Aug. 14, 2017
DOI: 10.11648/j.jgo.20170505.11      View  2366      Downloads  131
Abstract
A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1st to Sep 30th 2015). One hundred women who admitted to delivery unit and delivered by cesarean section were enrolled in the study. They were divided randomly into study group (non catheterized, n = 50) and control group (catheterized, n = 50). There were no significant differences between the study and control group regarding maternal age, parity and the indications for cesarean section. Of the study group, only one women developed bladder distension at the end of surgery. First voiding discomfort was detected among 86% of the control group vs. 50% of the study cases (P < 0.05). The mean time till ambulation was 8.2 ± 2.1 h for the study group compared to 14.1 ± 2.9 h for the control group (P < 0.001). Urinary tract infection was significantly higher among the control group (28%) vs (8%) of the study cases (P= 0.009). This study showed that nonuse of urinary catheter during cesarean section is associated with significantly low rate of UTI, less first voiding discomfort and early ambulation. Therefore, urinary catheter can be avoided safely in hemodynamecally stable patients.
Keywords
Cesarean Section, Urethral Catheterization, Urinary Tract Infection
To cite this article
Amat-Al Karem Ali Hamad Al Huri, Athmar Hussein Ali, Abdelrahman Hasan Al Harazi, Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients, Journal of Gynecology and Obstetrics. Vol. 5, No. 5, 2017, pp. 56-59. doi: 10.11648/j.jgo.20170505.11
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
M 1 Feneley RC, Hopley IB, Wells PN. Urinary catheters: history, current status, adverse events and research agenda. J Med Eng Technol 2015; 39: 459-70.
[2]
Lang JF, Bowen JC, Strong P. Use of indwelling urinary catheter at cesarean delivery. Obstetrics & Gynecology. 2001 Apr 1; 97 (4): S 66.
[3]
Onyegbule O A, Udigwe G O, Ezebialu I, Nduka A C, Okolie V E and Okor O L. Catheter-Associated Urinary Tract Infection Following Caesarean Section in Nnewi, Nigeria: A Prospective Comparative Study British Microbiology Research Journal 4(9): 1025-1034, 2014.
[4]
Ghorieshi J. Indwelling urinary catheters in cesarean delivery. Int J Gynecol Obstet. 2003; 83 (3): 267-70.
[5]
Ercole FF, Macieira TG, Wenceslau LC, Martins AR, Campos CC, Chianca TC. Integrative review: evidences on the practice of intermittent/indwelling urinary catheterization. Revista latino-americana de enfermagem. 2013 Feb; 21 (1): 459-68.
[6]
Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL. Harrison’s principles of internal medicine. 16th ed. McGraw-Hill Publishers; 2005: 1717-18.
[7]
Senanayake H. Elective cesarean section without urethral catheterization. J Obstet. Gynaecol 2005; 31: 32-7.
[8]
Acharya S, Uprety DK, Pokharel HP, Amatya R, Rai R. Cesarean section without urethral catheterization: a randomized control trial. Kathmandu University Medical Journal. 2013 Jan 3; 10 (2): 18-22.
[9]
Nasr AM, Elbigawy AF, Abdelamid AE, Al-Khulaldis, Al-Inany HG, Sayed EH. Evaluation of the use Vs nonuse of urinary catheterization during caesarean delivery: A prospective, multicenter, randomized controlled trial. J Perinatol. 2009; 29: 416-21.
[10]
Pandey D, Mehta S, GroverA, Goel N. Indwelling Catheterization in Caesarean Section: Time To Retire It! Journal of Clinical and Diagnostic Research. 2015, 9 (9): 1-4.
[11]
Arlyn E, Antonia E. Habana. Early removal of urinary catheter in caesarean delivery in a tertiary training hospital. Philippine journal of Obstetrics & Gynecology. 2007; 31 (2): 69-74.
[12]
Beeson PB. The case against the catheter. Am J Med. 2000; 24: 1-6.
[13]
Liang CC, Wu MP, Chang YL, Chueh HY, Chao AS, Chang SD. Voiding dysfunction in women following cesarean delivery. Taiwanese Journal of Obstetrics and Gynecology. 2015 Dec 31; 54 (6): 678-81.
[14]
Darrah DM, Griebling TL, Silverstein JH. Postoperative urinary retention. Anesthesiology clinics. 2009 Sep 30; 27 (3): 465-84.
[15]
Rochelle L In: Cunningham FG, MacDonald PC, Gant NF (eds). Williams Obstetrics. 22nd edn. Vol 23 McGraw-Hill: New York, 2005, pp 523.
[16]
National Institute for Clinical Excellence. Caesarean section [guidan ce.nice.org.uk/CG 13]. Last accessed 10 September 2016.
[17]
Humburg J. Postpartum urinary retention – without clinical impact? Ther Umsch 2008; 65: 681–5.
[18]
Li L, Wen J, Wang L, et al. Is routine indwelling catheterisation of the bladder for caesarean section necessary? A systematic review. BJOG 2011; 118: 400.
Browse journals by subject