The effect of intermittent versus continuous bladder catheterization on labor duration and postpartum urinary retention and infection: a randomized trial
| Autor: | Vladimir Dimitrochenko, Vadim Khazin, Mona Boaz, Oscar Sadan, Alexander Sherman, Tiberiu Ezri, Shmuel Evron |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Anesthesia Epidural Time Factors medicine.drug_class Postpartum urinary tract infection Asymptomatic law.invention Hospitals University Young Adult Randomized controlled trial Labor Stage Second Pregnancy law Independent samples medicine Anesthesia Obstetrical Humans Single-Blind Method Prospective Studies Anesthetics Local Young adult Prospective cohort study Labor Obstetric Dose-Response Relationship Drug Urinary retention business.industry Local anesthetic Postpartum Period Bladder catheterization Urinary Retention medicine.disease Obstetric Labor Complications Treatment Outcome Anesthesiology and Pain Medicine Anesthesia Urinary Tract Infections Female medicine.symptom Urinary Catheterization business Labor duration Postpartum period |
| Zdroj: | Journal of Clinical Anesthesia. 20:567-572 |
| ISSN: | 0952-8180 |
| DOI: | 10.1016/j.jclinane.2008.06.009 |
| Popis: | Study Objective To assess the effect of intermittent versus continuous bladder catheterization on labor duration and local anesthetic consumption. Design Randomized, controlled, prospective, single-blind trial. Setting University-affiliated hospital. Patients 209 ASA physical status I and II, primiparous parturients who received patient-controlled epidural analgesia for labor. Interventions Patients were randomly allocated to either the intermittent bladder catheterization group (Group IC; n=109) or the continuous catheterization group (Group CC; n=100). Measurements Duration of the second stage of labor, dose of local anesthetics given, and primary outcomes were compared by group using the t-test for independent samples. Main secondary outcomes were postpartum urinary retention and rate of postpartum urinary tract infection (UTI; asymptomatic bacteruria). Main Results Duration of the second stage of labor was longer in Group CC than Group IC: 105 ± 72 vs. 75 ± 52 min ( P = 0.002). This finding was associated with increased local anesthetic dose requirement in Group CC during both stages of labor (73 ± 25 mL vs. 63 ± 26 mL; P = 0.005). The rate of UTI was similar (30%) in both study groups. Conclusion Intermittent bladder catheterization was associated with shorter second-stage labor and less local anesthetic, but the same frequency of postpartum urinary retention and UTI was seen with both catheterization groups. |
| Databáze: | OpenAIRE |
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