A Randomized Controlled Trial of the Influence of Intermittent Versus Continuous Bladder Catheterization on Labor Outcomes. Issue 1 (June 2015)

• Record Type: Journal Article
• Authors: Wilson, Barbara
• Is Part Of: Journal of obstetric, gynecologic, and neonatal nursing. Volume 44:Issue 1(2015)
• Page Start: S59
• Page End: S59
• Publication Date: 2015-06
• Subjects: Maternity nursing -- Periodicals; Gynecologic nursing -- Periodicals; Newborn infants -- Care -- Periodicals; Pediatric nursing -- Periodicals; Genital Diseases, Female -- nursing; Obstetrical Nursing; Pediatric Nursing; 618.2
• DOI: 10.1111/1552-6909.12630
• Languages: English
• ISSNs: 0884-2175

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jogn12630-sec-0010" sec-type="section"> <title>Paper Presentation</title> <sec id="jogn12630-sec-0020" sec-type="section"> <title>Objective</title> <p>To determine the influence of continuous urinary catheterization (CC) versus intermittent catheters (ICs) (only as needed) on duration of second stage of labor, incidence of postpartum urinary tract infections (UTIs), and the likelihood of cesarean births.</p> </sec> <sec id="jogn12630-sec-0030" sec-type="section"> <title>Design</title> <p>Randomized controlled trial.</p> </sec> <sec id="jogn12630-sec-0040" sec-type="section"> <title>Setting</title> <p>Large medical center in the Southwest.</p> </sec> <sec id="jogn12630-sec-0050" sec-type="section"> <title>Sample</title> <p>English speaking primiparas > 37‐weeks gestation with low‐risk vertex singletons who requested epidural analgesia were eligible for participation. The final sample size included 120 participants: 55 in the CC group and 65 in the IC group.</p> </sec> <sec id="jogn12630-sec-0060" sec-type="section"> <title>Methods</title> <p>Women were randomized to receive either IC or CC prior to epidural placement, and cervical status was documented.</p> </sec> <sec id="jogn12630-sec-0070" sec-type="section"> <title>Results</title> <p>There was a significantly increased likelihood of cesareans in women who had CCs (<italic>p</italic> < .01). The overall cesarean rate in the CC group was 28.8% versus 9.9% in the IC group. No differences were noted in length of labor, and the overall incidence of UTIs in both groups was low.</p> </sec> <sec id="jogn12630-sec-0080" sec-type="section"> <title>Conclusion/Implications for Nursing Practice</title> <p>Intermittent catheters only as needed appear to be best practice for bladder management in laboring women with epidurals.</p> </sec> </sec> </abstract>