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Bladder drainage during labor: a randomized controlled trial.

Colleen Rivard¹, Michael Awad, Maike Liebermann

¹Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL 60153, USA. clrivard@lumc.edu

The Journal of Obstetrics and Gynaecology Research

|May 1, 2012

Summary

This summary is machine-generated.

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...

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For laboring women with epidurals, indwelling bladder catheterization is recommended. This method showed similar delivery times and costs compared to intermittent catheterization, with a preference from nursing staff.

Area of Science:

Obstetrics and Gynecology
Urology

Background:

Bladder management during labor with epidural anesthesia is crucial.
Comparing indwelling versus intermittent urinary catheterization is important for optimizing patient care and resource utilization.

Purpose of the Study:

To compare indwelling and intermittent bladder catheterization methods during labor.
To evaluate the impact on time to delivery, cost, and nursing preference.

Main Methods:

A randomized trial involving 139 women in labor with an anticipated vaginal delivery and indication for bladder catheterization (epidural).
Participants were assigned to either indwelling or intermittent catheterization.
Primary outcome was time to delivery; secondary outcomes included cost and nursing preference.

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Main Results:

No significant difference in time to delivery between indwelling (13.8 h) and intermittent (14.4 h) catheterization groups.
Route of delivery and cost estimates were similar between the two groups.
Nurses expressed a preference for the indwelling catheterization method.

Conclusions:

Indwelling catheterization is recommended as the standard method for bladder drainage in laboring women receiving epidural anesthesia.
This method offers comparable outcomes to intermittent catheterization with greater nursing preference.