Indwelling bladder catheterisation as part of intraoperative and postoperative care for caesarean section

Abdel‐Aleem, Hany; Aboelnasr, Mohamad Fathallah; Jayousi, Tameem M; Habib, Fawzia

doi:10.1002/14651858.cd010322.pub2

Cited by 25 publications

(39 citation statements)

References 22 publications

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“…A Cochrane review for indwelling bladder catheterisation as part of intraoperative and postoperative care for caesarean section included five studies of moderate quality [34]. Interestingly, urinary tract infection as defined by trialists was not different between the catheterised and non-catheterised group.…”

Section: Preoperative Bladder Catheterizationmentioning

confidence: 99%

“…On the other hand, discomfort due to catheterisation or at first voiding and longer hospitalisation favoured the no catheter group, but there was marked heterogeneity among the included studies. Based on the Cochrane review, there is insufficient evidence to assess the routine use of indwelling urinary catheters for intra-and postoperative care in patients undergoing caesarean delivery [34]. The level of evidence was moderate.…”

Section: Preoperative Bladder Catheterizationmentioning

confidence: 99%

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The Surgical Technique of Caesarean Section: What is Evidence Based?

Lanowski¹,

Kaisenberg²

2018

Caesarean Section

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Caesarean section is the most frequent obstetric operation which is associated with increased maternal morbidity and mortality. Although these risks are low, affected women may suffer from severe consequences and this may affect subsequent pregnancies and deliveries. A variety of surgical approaches have been described, however, on low evidence level. The objective of this chapter is therefore to systematically search the literature and analyse the available evidence including preoperative workup, prophylactic antibiotics, skin disinfection, preoperative bladder catheterization as well as details of the individual steps of the actual operation itself such as skin incision types, preparation of soft tissue and womb, removal of the placenta, cervical dilatation and stitching of the womb, peritoneum, rectus muscle, fascia, subcutaneous fat, and skin. We systematically searched for meta-analysis, systematic reviews, and big studies and evaluated the evidence for each individual step.

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Section: Preoperative Bladder Catheterizationmentioning

confidence: 99%

Section: Preoperative Bladder Catheterizationmentioning

confidence: 99%

The Surgical Technique of Caesarean Section: What is Evidence Based?

Lanowski¹,

Kaisenberg²

2018

Caesarean Section

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“…[1] The IUC has been used as routine preoperative care to visualize the bladder during surgery, prevent the bladder injuries and a postoperative urine retention. [2] However, available evidences support that its use is a risk to patients. [3] Previous studies confirmed that IUC is associated with various complications.…”

Section: Introductionmentioning

confidence: 99%

“…[3] Previous studies confirmed that IUC is associated with various complications. These include pain and difficulties during urination after IUC removal, delayed ambulation, increased hospital stay [2] and catheterassociated urinary tract infection (CAUTIs). [2,[4][5][6][7][8][9][10] These complications lead to excessive loss of patients' income, a high morbidity rate and an increased mortality related to UTIs.…”

Section: Introductionmentioning

confidence: 99%

“…These include pain and difficulties during urination after IUC removal, delayed ambulation, increased hospital stay [2] and catheterassociated urinary tract infection (CAUTIs). [2,[4][5][6][7][8][9][10] These complications lead to excessive loss of patients' income, a high morbidity rate and an increased mortality related to UTIs. [4][5][6][7][8][11][12][13][14][15] Different interventions are not significantly effective in reducing CAUTIs.…”

Section: Introductionmentioning

confidence: 99%

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Indwelling urinary catheter use and associated outcomes among adult patients undergoing surgery

Mukantwari¹,

Omondi²,

Ndateba³

et al. 2019

Rwanda Journal of Medicine and Health Sciences

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Background: Indwelling Urinary catheters (IUCs) are the most utilized devices. They are complicated into postoperative catheter-associated urinary tract infections, urethral trauma, pain that culminate into prolonged immobility and hospital stay with associated financial implications. The aim of this review was to give an overview of the use of indwelling catheters among adult patients undergoing surgery. Methods: A systematic review approach was employed. A literature search was done using of search engines that include HINARI, PubMed, Google Scholar and Cochrane, using search words related to the title and aim of the review. Results: Eleven out of 236 articles involving 218,000,790 patients studied met the inclusion criteria. 86% to 87.3% of patients undergoing major operations were exposed to routine catheterization depending on the type of surgical procedure. Only 7.7% to 8% of patients needed postoperative IUCs. Unduly prolonged retention of IUCs was the most reason for inappropriate IUCs use with 18% without a documented removal order. IUCs contributed 80% to 87.8% of postoperative UTIs as the third most common postoperative infections. Conclusion: Use of IUCs is necessary for certain surgeries as per existing guidelines. The lack of IUC removal instructions is one of the factors contributing to CAUTIs.

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Caesarean section

Charles¹

2017

The Midwife's Labour and Birth Handbook

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Indwelling bladder catheterisation as part of intraoperative and postoperative care for caesarean section

Cited by 25 publications

References 22 publications

The Surgical Technique of Caesarean Section: What is Evidence Based?

The Surgical Technique of Caesarean Section: What is Evidence Based?

Indwelling urinary catheter use and associated outcomes among adult patients undergoing surgery

Caesarean section

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