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Bladder drainage for caesarean section under epidural analgesia
British Journal of Obstetrics and Gynaecology
|January 1, 1986
Summary
For caesarean sections, indwelling urinary catheters are better than in-out catheters. Indwelling catheters prevent the need for recatheterization, with similar infection rates.
Area of Science:
- Urology
- Anesthesiology
- Obstetrics
Background:
- Urinary catheterization is common during caesarean sections.
- The type of urinary catheter used may impact patient outcomes.
Purpose of the Study:
- To compare the efficacy of 'in-out' versus indwelling urethral catheters in patients undergoing caesarean section.
- To assess the need for recatheterization and the incidence of bacteriuria in both groups.
Main Methods:
- Prospective randomized study.
- Fifty patients undergoing elective caesarean section under epidural analgesia were assigned to either an 'in-out' or an indwelling urethral catheter group.
- Outcomes measured included need for recatheterization and significant bacteriuria.
Main Results:
- 44% of patients with 'in-out' catheters required recatheterization.
- All patients with indwelling catheters voided spontaneously upon removal.
- Significant bacteriuria rates were similar between the two groups.
Conclusions:
- Indwelling urethral catheters are superior to 'in-out' catheters for caesarean section patients.
- Indwelling catheters reduce the need for recatheterization without increasing infection risk.