Indwelling urinary catheter during epidural anesthesia in labour for preventing postpartum urinary tract infection

None listed

Epidural anesthesia for pain control during labor is know to inhibit natural voiding and is high risk factor for postpartum urinary retention. There has not enough evidence to help Obstetricians and Midwives choose indwelling urinary catheter or intermittent straight urinary catheter for bladder care during labor. The aim of this study is to know does indwelling urinary catheter help to reduce the rate of postpartum urinary retention for women who have epidural anesthesia and vaginal delivery. The study have 2 arms: arm1 (intervention arm) using indwelling urinary catheter after women receive epidural anesthesia, this catheter remain in place until delivery time. Arm 2 (control arm) using intermittent urinary catheter as needed during labour. The primary outcome is postpartum retention urinary with bladder residual volume equal or more than 400ml, which measure by using bladder scanner at 6 hour after giving birth. The secondary outcome are: (1) the rate of PUR with BRV is equal or more than 150ml; (2): the rate of catheter associated urinary tract infection; (3): the satisfaction of pregnant women after giving birth and the sensation of catheterization during birthing. The study expect to enrol 750 pregnant women for each arm, time expected to completed this study is 20 months. The methodology of this study is randomized control trial, planed to take place at Hung Vuong hospital, maternal hospital, located in Ho Chi Minh city, Viet Nam.

No related papers found yet.