Urinary Retention After Vaginal Delivery With Epidural Anesthesia.

Rambam Health Care Campus

Status: Enrolling

Conditions: Urinary Retention

Treatments: Device: Short term catheter; Drug: Epidural anesthesia; Device: Foley catheter

Study type: Interventional

Funder types: Other

Identifiers

NCT02865551

0141-15-RMB

Details and patient eligibility

About

The investigators intend to compare the rate of urinary retention among female patients after vaginal delivery under epidural anesthesia, depending on bladder catheterization type, either by a foley catheter inserted adjacent to epidural anesthesia or intermittent catheterization applied every 4 hours during labor.

Full description

An explanation about the study will be delivered to each participant and each participant will sign a confirmed consent. Patients will be randomized between 2 groups of treatment: 1. intermittent catheterization applied every 4 hours during labor. 2. foley catheter inserted adjacent to epidural anesthesia.

In patients with a foley catheter, the catheter will be removed soon after delivery. Participants will be followed by a clinician post labor. An abdominal US will be performed either 4 hours after delivery or after the participant urinates to check the bladder volume.

Patient information including demographic information, information regarding the patient's pregnancy and delivery will be collected from the patient's electronic record.

Enrollment: 160 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female patients in labor designated for vaginal delivery with epidural anesthesia.

Exclusion criteria

• Patients with neurological problems including gestational diabetes.
• Patients either designated for elective cesarean delivery or emergent cesarean delivery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 2 patient groups

Extended catheterization

Experimental group

Description:

Participants in which a foley catheter will be inserted adjacent to epidural anesthesia during labor.

Treatment:

Drug: Epidural anesthesia

Device: Foley catheter

Intermittent catheterization

Experimental group

Description:

Participants in which a short term catheter will be inserted every 4 hours during labor after epidural anesthesia until delivery.

Treatment:

Device: Short term catheter

Drug: Epidural anesthesia