Duration of Urinary Catheter Treatment After Cesarean Delivery Under Spinal Anesthesia

Study Overview
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Brief Summary
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In this study a total of 150 parturients undergoing cesarean delivery under spinal anesthesia will be randomized to have their urinary catheters kept in place for 8, 10 or 12 hours. The incidence of urinary retention and interventions needed for any potential urinary retention will be assessed.

Detailed Description
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In this study a total of 150 parturients undergoing cesarean delivery under spinal anesthesia will be randomized to have their urinary catheters kept in place for 8, 10 or 12 hours. The incidence of urinary retention and interventions needed for any potential urinary retention will be assessed.

Official Title
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Early Recovery After Cesarean Delivery: Duration of Urinary Catheter Treatment

Conditions
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Urinary Retention, Cesarean Section Complications

Intervention / Treatment
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* Device: Urinary catheter


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: After informed consent, signed the participation form (volunteered for the study) Cesarean section Spinal anesthesia Exclusion Criteria: Prior neuraxial analgesia (epidural or spinal) for attempted labour

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The parturients are randomized into 3 different treatment arms with different duration of planned urinary catheter treatment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Urinary catheter 8 hours<br>The urinary cathter is to be removed at 8 hours after the end of surgery | Device: Urinary catheter<br>* Duration of planned urinary cathterization following cesarean delivery<br>|
| Experimental: Urinary catheter 10 hours<br>The urinary cathter is to be removed at 10 hours after the end of surgery | Device: Urinary catheter<br>* Duration of planned urinary cathterization following cesarean delivery<br>|
| Active Comparator: Urinary catheter 12 hours<br>The urinary cathter is to be removed at 12 hours after the end of surgery | Device: Urinary catheter<br>* Duration of planned urinary cathterization following cesarean delivery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success of spontaneous voiding of bladder | Assessed by ultrasound bladder scanner after attempted voiding of the bladder | 6-12 hours after removal of the urinary catheter | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Amount of residual urine in the bladder | Assessed by ultrasound | 6-12 hours after removal of the urinary catheter | 
| Need for standard in-house medications to help spontaneous voiding of the bladder | Amount of medicines given | 6-12 hours after removal of the urinary catheter | 
| Need for re-cathterization of the bladder |  | 6-12 hours after removal of the urinary catheter |