Effect of urinary catheter removal at different times after caesarean section: A systematic review and network meta-analysis

Hou, Dong; Jia, Yunyi; Han, Aojing; Hu, Qilin; Li, Jiaoyang; Liang, Wei

doi:10.1016/j.ejogrb.2022.12.002

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…However, concerns have been raised, particularly regarding the impaired bladder function and delayed return of spontaneous micturition [22] after neuraxial anesthesia and long-acting opioids, such as intrathecal morphine. In the absence of detailed data that could be widely generalized, the recent meta-analysis by Hou et al [23] considered the optimal time for removal to be 6 hours after surgery.…”

Section: Discussionmentioning

confidence: 99%

Prolonged use of urinary catheter delays mobilization after a cesarean delivery

Vihervaara,

Väänänen,

Kaijomaa

2024

Preprint

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Purpose: Cesarean section is the most common surgery performed on women. According to the enhanced recovery recommendation, early urinary catheter removal and early mobilization are essential elements of postoperative care. The issue of catheter therapy length is still controversial but early mobilization is known to improve the overall postoperative recovery. This study aimed to analyze the possible interaction of these elements and whether the use of urinary catheter itself affects the time of postoperative mobilization. Methods: This retrospective case-control study consisted of cases enrolled in a study concerning early post-operative catheter removal (8-12 hours) and the subsequent patients not in the study as their controls. Apart from the time of catheter removal, the routine postoperative care by the same personnel was given without any advice on patient mobilization. Data on patient demographics, surgery details, post-operative medication, first upright mobilization, the length of hospital stay, and patient satisfaction were analyzed. Results: Fifty-two cases and one control for each case comprised the groups. No difference was detected in maternal characteristics or surgical parameters. The regression analysis showed that the length of the catheter therapy was significantly associated with the time of patient mobilization. The need for additional opioid medication in the groups was equal. No difference was detected in the length of hospital stay or patient satisfaction index. Conclusion: The duration of catheter therapy significantly impacts the timing of postoperative mobilization. It is crucial to understand this relationship and support optimal recovery by avoiding the unwarranted prolongation of catheter therapy after cesarean.

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Section: Discussionmentioning

confidence: 99%

Prolonged use of urinary catheter delays mobilization after a cesarean delivery

Vihervaara,

Väänänen,

Kaijomaa

2024

Preprint

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“…There is also significant variation of indwelling catheter usage following delivery. A review found in patients who underwent cesarean section, removal of urinary catheters greater than 24 h postoperatively decreased the risk of urinary retention, while removal less than 6 h postoperatively was associated with decreased risk of UTI and decreased the length to first ambulation [15]. Conversely, a randomized controlled trial found patients diagnosed with PUR had significant shorter timeframes to PUR resolution when managed with ISC, with no difference in UTI rates or length of hospital stay between the two management modalities [16].…”

Section: Management Of Postpartum Urinary Retentionmentioning

confidence: 99%

Current opinion: postpartum urinary disorders

Dong,

Hickman

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review The aim of this study was to describe the common postpartum urinary sequelae including urinary retention and incontinence, and to summarize the management of these conditions. Recent findings Despite the high frequency of urinary disorders in obstetrics, screening and management protocols are rarely utilized by providers. Large variation exists in the literature regarding assessment of postpartum urinary retention, values of postvoid residuals and management of indwelling catheters in the immediate postpartum population. Recent expert guidance outlines a strategy for managing this condition. Research also highlights that screening for peripartum urinary incontinence is not a routine practice. The diagnosis is made more challenging by the fact that patients commonly understate and over-normalize their symptoms. Emerging studies have found that pelvic floor muscle training is cost-effective, preventive, and may improve symptoms in the postpartum setting. Summary Increased awareness of urinary disorders in pregnancy and postpartum is imperative for appropriate diagnosis and management. Instituting standardized voiding protocols postpartum will allow providers to avoid undiagnosed postpartum urinary retention and its repercussions. Improved screening and education regarding urinary incontinence in the peripartum is important for early management, such as pelvic floor muscle training, and improved quality of life.

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Intrathecal morphine and delayed micturition after cesarean delivery: the rose and the thorn

Chau

Smiley

2023

Anaesthesia Critical Care & Pain Medicine

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Effect of urinary catheter removal at different times after caesarean section: A systematic review and network meta-analysis

Cited by 4 publications

References 30 publications

Prolonged use of urinary catheter delays mobilization after a cesarean delivery

Prolonged use of urinary catheter delays mobilization after a cesarean delivery

Current opinion: postpartum urinary disorders

Intrathecal morphine and delayed micturition after cesarean delivery: the rose and the thorn

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