NDLI: Cesarean section without urethral catheterization: a randomized control trial.

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Cesarean section without urethral catheterization: a randomized control trial.

Content Provider	Semantic Scholar
Author	Acharya, Sarita Uprety, Dhruba Kumar Pokharel, Hanoon P. Amatya, Roshana Rai, Rubina
Copyright Year	2012
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 less than 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 less than 0.001). Positive urinalysis for urinary tract infection was high in catheterized group (P less than 0.001). Hospital stay was shorter in patients without catheter (p less than 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.
Starting Page	18
Ending Page	22
Page Count	5
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.nepjol.info/index.php/KUMJ/article/download/7337/5950
PubMed reference number	23132469v1
Volume Number	10
Issue Number	38
Journal	Kathmandu University medical journal
Language	English
Access Restriction	Open
Subject Keyword	Catheter related infection Cesarean section Gynecology Indwelling Device Insertion of indwelling urinary catheter Malaise Morbidity - disease rate Patients Urinalysis Urinary Bladder Urinary Catheterization Urinary tract infection Urination bladder injury
Content Type	Text
Resource Type	Article

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