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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Extended catheterization | Experimental | Participants in which a foley catheter will be inserted adjacent to epidural anesthesia during labor. |
|
| Intermittent catheterization | Experimental | Participants in which a short term catheter will be inserted every 4 hours during labor after epidural anesthesia until delivery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Foley catheter | Device | Extended bladder catheterization after epidural anesthesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of urinary retention after vaginal delivery with epidural anesthesia | Up to 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of urinary tract infections | Up to 3 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Roy Lauterbach, MD | Contact | 972529432416 | r_lauterbach@rambam.health.gov.il |
| Name | Affiliation | Role |
|---|---|---|
| Lior Lowenstein, MD | Rambam Health Care Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam health care campus | Recruiting | Haifa | Israel |
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| ID | Term |
|---|---|
| D016055 | Urinary Retention |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D000767 | Anesthesia, Epidural |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Short term catheter | Device | Intermittent catheterization every 4 hours after epidural anesthesia. |
|
| Epidural anesthesia | Drug | Performance of epidural anesthesia by a certified anesthesiologist. |
|
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |