Study Comparing No Bladder Catheterization Versus Routine Catheterization During Planned Cesarean Section Under Spinal Anesthesia

What this Trial Is About

Researchers are evaluating whether skipping the routine use of a bladder catheter during planned cesarean sections under spinal anesthesia affects the need for bladder catheterization due to postpartum urinary retention within 24 hours after surgery. This study compares two methods avoiding catheterization when the patient urinates spontaneously before surgery versus using systematic catheterization during the operation. The trial aims to assess the benefits and risks of skipping catheter use, addressing concerns about urinary infections and patient discomfort related to catheterization. Participants will be divided into two groups randomly. One group will urinate spontaneously before surgery and receive a bladder catheter during the cesarean section. The other group will also urinate before surgery but will not have a catheter placed during the procedure. Ultrasound bladder scans will be done before and after surgery to measure urine retention. Post-surgery monitoring includes checking for urinary retention, infections, pain, and discomfort, as well as collecting urine samples and assessing complications. Follow-up lasts up to six weeks after surgery. During the study, patients will undergo bladder scans before surgery to ensure adequate urination and several ultrasound checks after surgery to monitor urine volume. Pain and discomfort scores during first urination or catheterization are recorded, along with urine tests for infection. Researchers will track surgical complications, painkiller use, hospital stay length, and patients childbirth experience. Data collection continues for six weeks to observe recovery and urinary function. The main outcome is whether bladder catheterization is needed within 24 hours after surgery.

Evaluation of the Absence of Intraoperative Bladder Catheterization in Case of Planned Cesarean Section