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Indwelling Catheterization in Caesarean Section: Time To Retire It!
Divya Pandey1, Sumita Mehta2, Anshul Grover3
1Assistant Professor, Department of Obstetrics and Gynaecology, NDMC Medical College, Hindu Rao Hospital , Delhi, India .
Journal of Clinical and Diagnostic Research : JCDR
|October 27, 2015
Summary
Routine indwelling catheterization before Caesarean section is unnecessary. Non-catheterized patients experienced earlier ambulation, shorter hospital stays, and fewer urinary tract infections (UTIs).
Area of Science:
- Obstetrics and Gynecology
- Surgical Patient Care
- Urology
Background:
- Routine preoperative indwelling catheterization in Caesarean sections lacks scientific validation.
- Current practices may not align with evidence-based patient care standards.
Purpose of the Study:
- To assess the impact of routine indwelling catheterization on postoperative ambulation.
- To evaluate effects on morbidity and hospital stay in women undergoing Caesarean section.
Main Methods:
- A case-control study involving 150 women undergoing primary Caesarean section.
- Random allocation into non-catheterized and 24-hour postoperative catheterized groups.
- Key parameters included ambulation time, voiding discomfort, UTI incidence, and hospital stay duration.
Main Results:
- No significant difference in surgery duration or postoperative urinary retention observed.
- Non-catheterized patients demonstrated significantly earlier ambulation and shorter hospital stays.
- Reduced incidence of urinary tract infections (UTIs) and voiding discomfort in the non-catheterized group.
Conclusions:
- Routine indwelling catheterization for Caesarean sections is unscientific and not recommended.
- Selective catheterization based on individual patient needs is advised over routine practice.
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