Effect of Duration of Bladder Catheterisation on Post Caesarean Recovery: A Prospective Observational Study
Introduction: The duration of bladder catheterisation plays a vital role in postoperative recovery after Caesarean Section (CS). Aim: To determine the association of the duration of the indwelling catheter on post Caesarean recovery. Materials and Methods: This was a prospective observational stud...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20914/78525_CE[Ra1]_F(SHU)_QC(AN_IS)_PF1(AG_OM)_PFA(IS)_PB(AG_IS)_PN(IS).pdf |
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| Summary: | Introduction: The duration of bladder catheterisation plays a vital role in postoperative recovery after Caesarean Section (CS).
Aim: To determine the association of the duration of the indwelling catheter on post Caesarean recovery.
Materials and Methods: This was a prospective observational study conducted over six months in the Department of Obstetrics and Gynaecology of North DMC Medical College and Hindu Rao Hospital, a tertiary care hospital in Delhi, India. A total of 260 women undergoing CS were enrolled in the study and based on the duration of indwelling bladder catheterisation, they were divided into four groups: Group A, B, C and D, corresponding to postoperative catheter durations of ≤12 hours, 12-24 hours, 24-36 hours and >36 hours, respectively. The outcome measures analysed were time of first void, time to ambulate, time to pass wind, development of Urinary Tract Infection (UTI), duration of hospital stay and Surgical Site Infection (SSI). Continuous variables were presented as mean±standard deviation. Categorical variables were expressed as frequencies and percentages. Statistical tests like the Kruskal-Wallis test and Fisher’s exact test were used to assess various relationships.
Results: The mean age of the study population was 26.07±3.53 years. Primigravida constituted 53.1% of the participants, whereas 46.9% of the women were multigravida. One hundred sixty-seven women (64.2%) underwent a primary CS, while 93 (35.8%) had a repeat CS. Group A had significantly shorter times for first voiding (p-value <0.001), ambulation (p-value <0.001) and passage of wind (p-value <0.001). There was no difference in the incidence of UTIs (p-value=0.888), duration of hospital stay (p-value=0.513), re-catheterisation (p-value=0.370) and SSI (p-value=0.379).
Conclusion: Bladder catheterisation of ≤12 hours is associated with early post Caesarean recovery in terms of time for the first void, time to ambulate and passage of wind. |
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| ISSN: | 2249-782X 0973-709X |