Role of Indwelling Catheterization in Cesarean Section—Case Control Study

Article Type: Original Article
Authors: Sanjana Narula Wadhwa, Pratiksha Gupta, Anuradha Tiwari


Background: Urinary bladder catheterization using indwelling Foley’s catheter during cesarean sections.

Objective: To evaluate the impact of routine Foley’s catheterization in women undergoing cesarean section on their postoperative ambulation, morbidity and hospital stay.

Material and method: It was a prospective case-control study conducted in a tertiary care center on women who presented for prenatal care between January 2019 and June 2019. Women who met the requirements for inclusion and provided written informed consent were accepted. Five hundred stable patient (250 assigned to each group) without any medical or surgical complication undergoing emergency or elective primary cesarean section were randomly selected by use of table of random numbers and allocated to two groups.

Group A: Noncatheterized (NC), Group B: Catheterized for 24 hours postoperatively (C) Following parameters were assessed duration of surgery (minutes), time of ambulation after surgery (hours), duration of hospital stay (days), postoperative urinary retention, discomfort at first voiding and time of first voiding.Results: The demographics of the two groups were comparable. Time of first voiding from the surgery (Tb) was 23.94 ± 4.08 hours in catheterized group as compared to 6.41 ± 1.93 hours in non-catheterized group. (p value-<0.0001). Urinary tract infection was seen in 17.20% patients in catheterized group as compared to 2% in non-catheterized group. (p value- <0.0001). The most frequent organism was E. coli. Three patients in the catheterized group had postoperative urine retention, compared to none in the non-catheterized group. (p value-0.248).Conclusion: It is safe to do a cesarean section without urethral catheterization. Therefore, it is not necessary to utilise an indwelling urinary catheter as a preventative measure.

Keywords: Cesarean section, Foley’s catheterization, urinary tract infection.
Issue Number: Issue - 3   September - December 2022
Pages: 97 - 138
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