How the Method of Bladder Emptying After Epidural Placement in Labor Affects Postpartum Voiding
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About
At least ten percent of patients have postpartum urinary retention or difficulty urinating after birth, which can cause incontinence and other urinary problems long-term. After getting an epidural placed, patients should be numb in their pelvic region. This numbness makes it difficult to feel the need to urinate, so patients need a urinary catheter placed to empty the bladder. Some patients have one catheter placed throughout their labor and others have a catheter placed to empty the bladder then removed every few hours. The investigators are studying whether placing a catheter once or catheterizing multiple times affects the rate of postpartum urinary problems and infection.
Full description
This is a randomized controlled trial to assess the effect of bladder catheterization method during labor with epidural anesthesia on the rate of postpartum urinary retention.
Enrollment
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Inclusion criteria
- Pregnant patients planning vaginal delivery presenting in labor or for induction of labor
- Age 18 years and older
- Live fetus
- Receive epidural anesthesia
Exclusion criteria
- those under 18 years old
- those with stillbirth
- those with baseline overactive bladder symptoms, neurogenic bladder diagnoses, or otherwise using bladder catheterization during pregnancy
Patients will be excluded from UTI analyses if:
- they received antibiotics intrapartum
- had bacteriuria diagnosed by a clean catch specimen showing >100,000 CFU/mL of a single bacterial species, regardless of symptoms
Trial design
Primary purpose
Allocation
Interventional model
Masking
564 participants in 2 patient groups
Trial contacts and locations
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Central trial contact
Anna Binstock, MD; Elena Lands, MD
Data sourced from clinicaltrials.gov
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