nctId: NCT06357546 id: RECHMPL23_0411 id: 2023-A02424-41 type: OTHER domain: N° ID-RCB briefTitle: Evaluation of the Absence of Intraoperative Bladder Catheterization in Case of Planned Cesarean Section acronym: C2S overallStatus: NOT_YET_RECRUITING date: 2024-05-01 date: 2024-07-01 date: 2024-09-01 date: 2024-04-10 date: 2024-04-10 name: University Hospital, Montpellier class: OTHER briefSummary: The hypothesis of this trial is that the absence of systematic bladder catheterization in patients performing spontaneous urination in the hour preceding the planned cesarean section under spinal anesthesia would not lead to more bladder heterocatheterization for postpartum urinary retention (RUPP) in the 24 hours post-cesarean section than systematic intraoperative bladder catheterization up to 2 hours post-surgery. conditions: Pregnant Women conditions: Cesarean Section studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL interventionModelDescription: A randomization list by blocks of random size and stratified by center, by scarred uterus (with or without scar) and Body Mass Index (BMI) at the start of pregnancy (\<30 and ≥30), will be established by a methodologist independent of the study. Patients will be randomized into each group at a ratio of 1:1. primaryPurpose: TREATMENT masking: SINGLE maskingDescription: The care provider carrying out the heterocatheterization will be blinded to the participant's randomization group. whoMasked: CARE_PROVIDER count: 500 type: ESTIMATED name: Spontaneous urination during the hour before caesarean section. name: Systematic bladder catherization during caesarean section. measure: Necessity of heterocatheterization within 24 hours following the cesarean section. measure: Experience of childbirth measure: Duration of preoperative preparation measure: Operating time measure: Duration of post-operative hospitalization measure: Time to resume ambulation measure: First urination measure: Pain during the first urination or the first heterocatheterization measure: Discomfort during the first urination or the first heterocatheterization measure: Additional prescription for painkillers measure: Urinary infection detection measure: Occurrence of surgical difficulties measure: Occurrence of operative complications measure: Amount of bleeding measure: Presence of symptoms suggestive of a urinary infection measure: Presence of functional signs (dysuria, incontinence, delayed bleeding or others) measure: Time before resuming spontaneous urination sex: FEMALE minimumAge: 18 Years stdAges: ADULT stdAges: OLDER_ADULT facility: Montpellier University Hospital city: Montpellier zip: 34295 country: France name: Martha DURAES, MD role: CONTACT phone: +334.67.33.65.32 email: m-duraes@chu-montpellier.fr name: Martha DURAES, MD role: PRINCIPAL_INVESTIGATOR name: Florent FUCHS, MD PhD role: SUB_INVESTIGATOR lat: 43.61092 lon: 3.87723 facility: Nîmes University Hospital city: Nîmes zip: 30029 country: France name: Audrey LAMOUROUX, MD role: CONTACT email: audrey.lamouroux@chu-nimes.fr name: Audrey LAMOUROUX, MD role: PRINCIPAL_INVESTIGATOR name: Vincent LETOUZEY, MD PhD role: SUB_INVESTIGATOR lat: 43.83333 lon: 4.35 hasResults: False