Catheter-associated urinary tract infection (CAUTI) and significant asymptomatic bacteriuria 2. For Pregnancy and Childbirth Urological and Genital Diseases Postpartum urinary retention following emergency caesarean section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women scheduled for emergency caesarean section (primary or repeat lower segment CS) Provided written informed consent Emergency CS defined as delivery indicated by immediate maternal or fetal compromise requiring expedited delivery (consistent with RCOG categories 1 and 2)
Exclusion criteria
Exclusion criteria: Positive UTI screening Chorioamnionitis Severe haemorrhage Severe pre-eclampsia/eclampsia Obstructed labour Uterine rupture General anaesthesia Iatrogenic bladder or ureteric injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acute urinary retention, defined as inability to void within 6 hours of catheter removal, with a painful, palpable bladder, necessitating recatheterization with drainage =150 mL | — |
Secondary
| Measure | Time frame |
|---|---|
| Significant bacteriuria, defined as =105 colony-forming units (CFU)/mL on urine culture at 48 hours postoperatively;Urinary symptoms including dysuria, urgency, frequency, suprapubic pain, straining, incontinence, and haematuria;Postoperative fever;Recovery indices: time to first void, time to ambulation, time to bowel sounds, length of hospital stay;Catheter-related discomfort (NRS 0-10) | — |
Countries
Nigeria
Contacts
Lecturer II FCVMLT Vom