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Study Finds No Need to Catheterize Before C-Section.
CHICAGO -- The routine practice of inserting an indwelling urinary catheter before cesarean section is largely unnecessary, results of a prospective study suggest.
"I would hope that people would think about the option of not putting a catheter in" based on these results, study investigator' Dr. Joseph Lang said in an interview
Urinary catheters are routinely placed before cesarean section because it is widely believed that catheter placement can improve exposure of the lower uterine segment at the time of surgery. In addition, many physicians use them to avoid postoperative urinary retention, said Dr. Lang, who presented his study in poster form at the annual meeting of the American College of Obstetricians and Gynecologists.
But in Dr. Lang's study of 118 patients undergoing cesarean section without a urinary catheter, absence of the catheter had no effect on surgical exposure of the lower uterine segment, and urinary retention was rarely encountered postoperatively.
Sixty patients (51%) had primary cesarean sections, and 58 (49%) had repeat sections, said Dr. Lang, an ob.gyn. with Community Memorial Hospital in Hamilton, New York.
In an attempt to ensure that all patients had empty bladders before the procedure, all women were encouraged to void during the 30 minutes before surgery. Patients ...
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Source: HighBeam Research, Study Finds No Need to Catheterize Before C-Section.