Urinary Retention
Conditions
Brief summary
The investigators intend to compare the rate of urinary retention among female patients after vaginal delivery under epidural anesthesia, depending on bladder catheterization type, either by a foley catheter inserted adjacent to epidural anesthesia or intermittent catheterization applied every 4 hours during labor.
Detailed description
An explanation about the study will be delivered to each participant and each participant will sign a confirmed consent. Patients will be randomized between 2 groups of treatment: 1. intermittent catheterization applied every 4 hours during labor. 2. foley catheter inserted adjacent to epidural anesthesia. In patients with a foley catheter, the catheter will be removed soon after delivery. Participants will be followed by a clinician post labor. An abdominal US will be performed either 4 hours after delivery or after the participant urinates to check the bladder volume. Patient information including demographic information, information regarding the patient's pregnancy and delivery will be collected from the patient's electronic record.
Interventions
Extended bladder catheterization after epidural anesthesia.
Intermittent catheterization every 4 hours after epidural anesthesia.
Performance of epidural anesthesia by a certified anesthesiologist.
Sponsors
Study design
Eligibility
Inclusion criteria
* Female patients in labor designated for vaginal delivery with epidural anesthesia.
Exclusion criteria
* Patients with neurological problems including gestational diabetes. * Patients either designated for elective cesarean delivery or emergent cesarean delivery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of urinary retention after vaginal delivery with epidural anesthesia | Up to 3 days |
Secondary
| Measure | Time frame |
|---|---|
| Rate of urinary tract infections | Up to 3 days |
Countries
Israel