Outcome of use and non- use of indwelling Foley's catheter during cesarean section in Qena University Hospital : Randomized controlled trial

Document Type : Original research articles

Authors

1 Obstetrics & Gynecology Department, Faculty of Medicine, South Valley University, Qena, Egypt

2 Obstetrics&Gynecology Department, Faculty of Medicine, Al- Azhar University, Assiut branch, Egypt

Abstract

Background: A prospective randomized study was used to effect of urinary bladder catheterization
on UTI, time of first-void discomfort, time of ambulation, hospital stay, and urinary retention in
women undergoing cesarean section.
Objectives: The aim of study was to assess the feasibility and outcome of cesarean section without
Foley's Catheter.
Patients and Methods: This Study included 100womens who had the Foley's catheter inserted just
before cesarean section and 100womens who had not use Foley's catheter during section in
Obstetric and Gynacology department in Qena University Hospital. Prospective method were used
to assess patient discomfort with the first postoperative void after , time of ambulation , time
hospital stay and need for cathetherization.
Result: This study included 200 patients 100 patient with urinary catheter and 100 without urinary
catheter mean age of the studied group 25.8±5.5, mean gestational age 37.9 ±1.1 weeks, mean for
No. of C.S 1.08±.7, mean duration of C.S 48.5 ±5 minutes. 99% of patients have no bladder injury
while 1% have bladder injury.99%of patients complaining of urine retention .mean time of retention
4.8 minutes .mean for post voiding volume 18.02 cc. 4%of patient complaining of voiding
difficulty.6.5% of patients complaining of dysuria . urine analysis before C.S(pus cell) 4.2 ±1.43
Urine analysis after 1 week 33.3 ±5.8Uncatheterized patients had a shorter hospital stay.
Conclusion: Routine use of indwelling urinary catheter in cesarean section patient with a stable
hemodynamic condition is not necessary.

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