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| Name | Class |
|---|---|
| World Health Organization | OTHER |
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This study aims to compare the routine use versus non-use of urethral catheterization in women undergoing first elective cesarean section as regard to intraoperative and postoperative complications
This randomized controlled trial will be done at Ain Shams University Maternity One hundred and seventy pregnant women scheduled for first elective CS attending at outpatient clinic will be chosen after complete history and physical examination to determine eligibility for inclusion after taking their consent with full explanation of the study including potential benefits and risks.
The study population will be randomized using computer sequence program in 1:1 ratio. Allocation of every patient to one of the studied groups will be done using opaque envelops.
The studied groups will be either Group C or Group N For both groups
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group C | Experimental | indwelling urinary catheter |
|
| group N | No Intervention | Non cathetrized patients |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| indwelling urinary catheter | Device | 85 women undergoing first elective CS will be catheterized immediately preoperatively using Foley's catheter by applying catheterization precautions. |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of UTI | midstream urine samples were collected 24 hours postoperatively after giving the instructions to the patients and tested for presence of UTI. These fresh non-centrifuged urine samples were collected and tested for leukocyte esterase and nitrite using (Convergys urine matrix 10, Germany) strips. Nitrite will be considered positive if there is change in color of dipstick from colorless towards pink within 60 seconds. Leukocyte esterase will be considered positive if there is change in color from off-white towards purple within 2 minutes | 24-h postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Operative duration | The time taken for surgery from skin opening to complete skin closure, | intraoperative |
| Bladder injury incidence. | accidental bladder injury during operation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tamer F borg | Ain Shams Maternity Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University Maternity Hospital. | Cairo | Egypt |
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| ID | Term |
|---|---|
| D014552 | Urinary Tract Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| intraoperative |
| Intraoperative need of urethral catheter in N group | intraoperative need of catheter for any reason | intraoperative |
| Ambulation time | from intraoperative skin opening time till the patient is able to move. | intraoperative |
| Postpartum hemorrhage | identified when there is costant trickling f blood or repeated soakage of valval pad within 5 minutes | first postoperative day |
| Urinary retention | defined as no spontaneous micturition >24 hours after cesarean delivery | first postoperative day |
| Patient satisfaction | using four point likert scale from 1-4 (as 1 = not satisfied, 2 = partial satisfied, 3 = satisfied, 4 = very satisfied). | second postoperative day morning |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |