Comparing the outcomes of urinary catheter removal 6 hour and 12 to 24 hours after cesarean delivery

Document Type : Original Article

Authors

1 Professor, Department of Obstetrics & Gynecology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Associate Professor, Department of Obstetrics & Gynecology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

3 Gynecologist, Birjand, Iran.

4 Associate Professor, Department of Epidemiology & Biostatics, Health Promotion Research Center, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.

Abstract

Introduction: There is controversy about indwelling urinary catheter and the ideal time to remove it after cesarean delivery in different treatment centers. This study was performed with aim to determine the outcomes of urinary catheter removal 6 and 12-24 hours after cesarean delivery.
Methods: This randomized controlled trial was performed on 220 women who were candidate for cesarean delivery in Zahedan in 2014. Participants were randomly allocated to 2 groups (n=110 in each group) of removal of urinary catheter 6 hours and removal during 12-24 hours after cesarean delivery. The two groups were evaluated for postoperative outcome, length of hospital stay, possible complications and patient's satisfaction. Data were analyzed by SPSS software (version 18) and Chi -squared and T-tests. P<0.05 was considered significant.
Results: There was no significant difference between two groups in terms of demographic characteristics and operation variables. In early removal group, time of first urination (p<0.05), time of ambulation (p<0.05), urgency in urination (p=0.03) and postoperative pyuria (p=0.001) were significantly lower and patient's satisfaction (p<0.001) was more than late removal group. But, there was no significant difference between two groups regarding voiding discomfort (p=0.61), frequency (p=0.84), dysuria (p=0.61) and hospital stay (p=0.567).
Conclusion: Removal of urinary catheter 6 hours after cesarean section has better outcomes than removal of it 12-24 hours after operation.

Keywords

References

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Azarkish F, Latifnejad R, Seeyyedi Alavi CH, Khajeh Karamoddin M, Esmaeeli H. The effect of early removal of indwelling urinary catheter after cesarean delivery on the urinary tract. Infections 2003; 5:15-6.

The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 20, Issue 9
November 2017
Pages 1-7

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