urine retention and urinary tract infection following catheterization after caesarean section
Conditions
Interventions
G12
Sponsors
Dr Loretta Nnakwe
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Pregnant women scheduled for elective caesarean section at term. Elective caesarean section done under spinal anaesthesia Participants who gave consent for the study Participants with no pre-operative clinical evidence of urinary tract infection.
Exclusion criteria
Exclusion criteria: Pregnant women whose condition require emergency caesarean section. Elective caesarean section done under general or epidural anaesthesia Pregnant women who did not give consent for the study. Participants who withdrew their consent in the course of the study. Pregnant women with pre-operative clinical evidence of urinary tract infection. Participants with intra-operative bladder injury. Pregnant women with medical condition like cardiac, renal or liver disease. Pregnant women with retroviral disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Urine retention which is the inability of the patient to void spontaneously within 6-hours of the removal of urethral catheter following elective caesarean section despite palpable full bladder. ;Significant bacturiuria defined as the presence of greater than or equal to 100,000 colony forming units of pathogenic organisms per millilitre of mid-stream urine sample collected from the subjects pre-operatively and day-2 post-operatively following urine culture.;Symptomatic urinary tract infection defined as the presence of significant bacturiuria with at least one of the following signs and symptom- fever, urinary frequency, urgency, dysuria, suprapubic tenderness or renal angle pain or tenderness. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to ambulate defined as the first time of getting off hospital bed and taking a walk, with or without assistance after completion of skin closure.;Length of hospital stay defined as the period starting from the complete closure of skin incision to hospital discharge.;Patient satisfaction defined as participants preference to have same timing of urethral catheter removal during a repeat caesarean section. Also participants who agree to recommend the same timing of urethral catheter removal in index delivery to a friend or relative. | — |
Countries
Nigeria
Contacts
Public ContactLoretta Nnakwe
Senior Registrar Department of Obstetrics and Gynaecology University of Benin Teaching Hospital.
Outcome results
None listed