Urinary Catheterization and Second Stage of Labor (cath2stage)

Raed Salim

Status: Completed

Conditions: Labor, Second Stage

Treatments: Other: urinary catheterization

Study type: Interventional

Funder types: Other

Identifiers

NCT02198157

45-14-EMC

Details and patient eligibility

About

• Labor is divided into three stages: the first stage is from labor onset until full dilation, second stage is from full dilation until delivery of the baby, and the third stage from the delivery of the baby until the delivery of the placenta
• The mean duration of second stage in nulliparas as defined by the American college of obstetricians and gynecologists (ACOG) is 54 minutes
• Epidural anesthesia is a known cause for prolongation of the second stage of labor. Prolonged second stage in nullipara women with epidural is defined as more than 3 hours, and more than 2 hours in those without epidural.
• Although perinatal outcome is not compromised with a prolonged second stage , there is evidence that maternal morbidities such as perineal trauma, chorioamnionitis ,instrumental delivery and postpartum hemorrhage increase with prolonged second stage
• Another effect of epidural anesthesia during labor is urinary retention and a need for catheterization.
• Full bladder may behave as a tumor previa and interfere to fetal head descent in the birth canal, increasing by that the duration of the second stage.
• This study aims to investigate the effect of intermittent versus continuous catheterization on the duration of the second stage of labor

Enrollment: 184 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Nulliparous women
• Gestational age 24-42 weeks
• epidural anaesthesia
• Vertex presentation
• Singleton

Exclusion Criteria:

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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184 participants in 2 patient groups

intermittent urinary catheterization

Active Comparator group

Description:

nullipara women with epidural anaesthesia who pose urination difficulty will receive intermittent catheterization

Treatment:

Other: urinary catheterization

continuous urinary catheter

Active Comparator group

Description:

nullipara women with epidural anaesthesia who pose urination difficulty will receive continuous catheterization

Treatment:

Other: urinary catheterization