Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients

Amat-Al Karem Ali Hamad Al Huri; Athmar Hussein Ali; Abdelrahman Hasan Al Harazi

doi:doi:10.11648/j.jgo.20170505.11

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Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients

Amat-Al Karem Ali Hamad Al Huri, Athmar Hussein Ali, Abdelrahman Hasan Al Harazi

Published in Journal of Gynecology and Obstetrics (Volume 5, Issue 5)

Received: 17 July 2017 Accepted: 24 July 2017 Published: 14 August 2017

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Abstract

A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1^st to Sep 30^th 2015). One hundred women who admitted to delivery unit and delivered by cesarean section were enrolled in the study. They were divided randomly into study group (non catheterized, n = 50) and control group (catheterized, n = 50). There were no significant differences between the study and control group regarding maternal age, parity and the indications for cesarean section. Of the study group, only one women developed bladder distension at the end of surgery. First voiding discomfort was detected among 86% of the control group vs. 50% of the study cases (P < 0.05). The mean time till ambulation was 8.2 ± 2.1 h for the study group compared to 14.1 ± 2.9 h for the control group (P < 0.001). Urinary tract infection was significantly higher among the control group (28%) vs (8%) of the study cases (P= 0.009). This study showed that nonuse of urinary catheter during cesarean section is associated with significantly low rate of UTI, less first voiding discomfort and early ambulation. Therefore, urinary catheter can be avoided safely in hemodynamecally stable patients.

Published in	Journal of Gynecology and Obstetrics (Volume 5, Issue 5)
DOI	10.11648/j.jgo.20170505.11
Page(s)	56-59
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Cesarean Section, Urethral Catheterization, Urinary Tract Infection

References

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[3]	Onyegbule O A, Udigwe G O, Ezebialu I, Nduka A C, Okolie V E and Okor O L. Catheter-Associated Urinary Tract Infection Following Caesarean Section in Nnewi, Nigeria: A Prospective Comparative Study British Microbiology Research Journal 4(9): 1025-1034, 2014.
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APA Style

Amat-Al Karem Ali Hamad Al Huri, Athmar Hussein Ali, Abdelrahman Hasan Al Harazi. (2017). Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients. Journal of Gynecology and Obstetrics, 5(5), 56-59. https://doi.org/10.11648/j.jgo.20170505.11

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ACS Style

Amat-Al Karem Ali Hamad Al Huri; Athmar Hussein Ali; Abdelrahman Hasan Al Harazi. Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients. J. Gynecol. Obstet. 2017, 5(5), 56-59. doi: 10.11648/j.jgo.20170505.11

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AMA Style

Amat-Al Karem Ali Hamad Al Huri, Athmar Hussein Ali, Abdelrahman Hasan Al Harazi. Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients. J Gynecol Obstet. 2017;5(5):56-59. doi: 10.11648/j.jgo.20170505.11

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@article{10.11648/j.jgo.20170505.11,
  author = {Amat-Al Karem Ali Hamad Al Huri and Athmar Hussein Ali and Abdelrahman Hasan Al Harazi},
  title = {Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {5},
  number = {5},
  pages = {56-59},
  doi = {10.11648/j.jgo.20170505.11},
  url = {https://doi.org/10.11648/j.jgo.20170505.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170505.11},
  abstract = {A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1st to Sep 30th 2015). One hundred women who admitted to delivery unit and delivered by cesarean section were enrolled in the study. They were divided randomly into study group (non catheterized, n = 50) and control group (catheterized, n = 50). There were no significant differences between the study and control group regarding maternal age, parity and the indications for cesarean section. Of the study group, only one women developed bladder distension at the end of surgery. First voiding discomfort was detected among 86% of the control group vs. 50% of the study cases (P P P= 0.009). This study showed that nonuse of urinary catheter during cesarean section is associated with significantly low rate of UTI, less first voiding discomfort and early ambulation. Therefore, urinary catheter can be avoided safely in hemodynamecally stable patients.},
 year = {2017}
}

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TY - JOUR
T1 - Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients
AU - Amat-Al Karem Ali Hamad Al Huri
AU - Athmar Hussein Ali
AU - Abdelrahman Hasan Al Harazi
Y1 - 2017/08/14
PY - 2017
N1 - https://doi.org/10.11648/j.jgo.20170505.11
DO - 10.11648/j.jgo.20170505.11
T2 - Journal of Gynecology and Obstetrics
JF - Journal of Gynecology and Obstetrics
JO - Journal of Gynecology and Obstetrics
SP - 56
EP - 59
PB - Science Publishing Group
SN - 2376-7820
UR - https://doi.org/10.11648/j.jgo.20170505.11
AB - A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1st to Sep 30th 2015). One hundred women who admitted to delivery unit and delivered by cesarean section were enrolled in the study. They were divided randomly into study group (non catheterized, n = 50) and control group (catheterized, n = 50). There were no significant differences between the study and control group regarding maternal age, parity and the indications for cesarean section. Of the study group, only one women developed bladder distension at the end of surgery. First voiding discomfort was detected among 86% of the control group vs. 50% of the study cases (P P P= 0.009). This study showed that nonuse of urinary catheter during cesarean section is associated with significantly low rate of UTI, less first voiding discomfort and early ambulation. Therefore, urinary catheter can be avoided safely in hemodynamecally stable patients.
VL - 5
IS - 5
ER -

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Author Information

Amat-Al Karem Ali Hamad Al Huri

Department of Obstetrics and Gynecology, Faculty of Medicine, Sana'a University, Sana’a, Yemen
Athmar Hussein Ali

Department of Obstetrics and Gynecology, Faculty of Medicine, Sana'a University, Sana’a, Yemen
Abdelrahman Hasan Al Harazi

Department of Obstetrics and Gynecology, Faculty of Medicine, Thamar University, Sana’a, Yemen

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APA Style

Amat-Al Karem Ali Hamad Al Huri, Athmar Hussein Ali, Abdelrahman Hasan Al Harazi. (2017). Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients. Journal of Gynecology and Obstetrics, 5(5), 56-59. https://doi.org/10.11648/j.jgo.20170505.11

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ACS Style

Amat-Al Karem Ali Hamad Al Huri; Athmar Hussein Ali; Abdelrahman Hasan Al Harazi. Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients. J. Gynecol. Obstet. 2017, 5(5), 56-59. doi: 10.11648/j.jgo.20170505.11

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AMA Style

Amat-Al Karem Ali Hamad Al Huri, Athmar Hussein Ali, Abdelrahman Hasan Al Harazi. Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients. J Gynecol Obstet. 2017;5(5):56-59. doi: 10.11648/j.jgo.20170505.11

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@article{10.11648/j.jgo.20170505.11,
  author = {Amat-Al Karem Ali Hamad Al Huri and Athmar Hussein Ali and Abdelrahman Hasan Al Harazi},
  title = {Caesarean Section Without Using Bladder Catheterization Is Safe in Uncomplicated Patients},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {5},
  number = {5},
  pages = {56-59},
  doi = {10.11648/j.jgo.20170505.11},
  url = {https://doi.org/10.11648/j.jgo.20170505.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20170505.11},
  abstract = {A case – control study was carried out to assess whether carrying out caesarean section without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort. It was conducted At Al Thawra General Hospital over a period of eight months (From Feb 1st to Sep 30th 2015). One hundred women who admitted to delivery unit and delivered by cesarean section were enrolled in the study. They were divided randomly into study group (non catheterized, n = 50) and control group (catheterized, n = 50). There were no significant differences between the study and control group regarding maternal age, parity and the indications for cesarean section. Of the study group, only one women developed bladder distension at the end of surgery. First voiding discomfort was detected among 86% of the control group vs. 50% of the study cases (P P P= 0.009). This study showed that nonuse of urinary catheter during cesarean section is associated with significantly low rate of UTI, less first voiding discomfort and early ambulation. Therefore, urinary catheter can be avoided safely in hemodynamecally stable patients.},
 year = {2017}
}

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