References

Abdel-Aleem H, Aboelnasr MF, Jayousi TM, Habib FA Indwelling bladder catheterisation as part of intraoperative and postoperative care for caesarean section. Cochrane Database Syst Rev. 2014; 4 https://doi.org/10.1002/14651858.CD010322.pub2

Birch L, Doyle PM, Ellis R, Hogard E Failure to void in labour: postnatal urinary and anal incontinence. British Journal of Midwifery. 2009; 17:(9)562-6

Ching-Chung L, Shuenn-Dhy C, Ling-Hong T, Ching-Chang H, Chao-Lun C, Po-Jen C Postpartum urinary retention: assessment of contributing factors and long-term clinical impact. Aust N Z J Obstet Gynaecol. 2002; 42:(4)365-8

D'Cruz R, Soundappan SSV, Cass DT Catheter balloon-related urethral trauma in children. J Paediatr Child Health. 2009; 45:(10)564-6

High Impact Intervention: Urinary catheter care bundle.London: Department of Health; 2010

Dörflinger A, Monga A Voiding dysfunction. Curr Opin Obstet Gynecol. 2001; 13:507-12

Dueñas-García O, Rico H, Gorbea-Sanchez V, Herrerias-Canedo T Bladder Rupture Caused by Postpartum Urinary Retention. Obstet Gynecol. 2008; 112:481-2

El-Mazny A, El-Sharkawy M, Hassan A A prospective randomized clinical trial comparing immediate versus delayed removal of urinary catheter following elective caesarean section. Eur J Obstet Gynecol Reprod Biol. 2014; 181:111-4

Evron S, Dimitrochenko V, Khazin V, Sherman A, Sadan O, Boaz M, Ezri T The effect of intermittent versus continuous bladder catheterization on labour duration and postpartum urinary retention and infection: a randomized trial. J Clin Anesth. 2008; 20:(8)567-72

Ghoreishi J Indwelling urinary catheters in caesarean delivery. Int J Gynaecol Obstet. 2003; 83:(3)267-70

Kearney R, Cutner A Postpartum voiding dysfunction. The Obstetrician and Gynaecologist. 2008; 10:71-4

Kerr-Wilson RHJ, McNally S Bladder drainage for caesarean section under epidural analgesia. BJOG. 1986; 93:(1)28-30

Khullar V, Cardozo LD Bladder sensation after epidural analgesia. Neurourol Urodyn. 1993; 12:(4)424-5

Leuck A, Wright D, Ellingson L, Kraemer L, Kuskowski M, Johnson J Complication of Foley catheters – Is infection the greatest risk. J Urol. 2012; 187:(5)1662-6

Lim J Post-partum voiding dysfunction and urinary retention. Aust N Z J Obstet Gynaecol. 2010; 50:502-5

Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, Browne J, Prieto J, Wilcox M epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England. J Hosp Infect. 2014; 86:S1-70

Millet L, Shaha S, Bartholomew ML Rates of bacteriuria in laboring women with epidural analgesia: continuous vs intermittent bladder catheterization. Am J Obstet Gynecol. 2012; 206:(4)316.e1-7

Nasr AM, ElBigawy AF, Abdelamid AE, Al-Khulaidi S, Al-Inany HG, Sayed EH ‘Evaluation of the use vs non-use of urinary catheterization during caesarean delivery: a prospective, multicentre, randomized controlled trial. J Perinatol. 2009; 29:(6)416-21

Urinary catheter care bundle.London: NICE Institute for innovation and improvement; 2010

Intrapartum care: Care of healthy women and their babies during childbirth, NICE Clinical Guideline 190.London: NICE; 2014a

Infection prevention and control. Quality statement 4: Urinary catheters.London: NICE; 2014b

Niel-Weise BS, Van de Broek PJ Urinary catheter policies for short-term bladder drainage in adults. Cochrane Database Syst Rev. 2005; (3)

Weiniger CF, Yaghmour H, Nadjari M, Einav S, Elchalal U, Ginosar Y, Matot I Walking reduces the post-void residual volume in parturients with epidural analgesia for labour: a randomized-controlled study. Acta Anaesthesiol Scand. 2009; 53:(5)665-72

Wilson M, Macarthur C, Shennan A Urinary catheterization in labour with high-dose vs mobile epidural analgesia: a randomized controlled trial. Br J Anaesth. 2009; 102:(1)97-103

Urinary catheterisation in labour

02 January 2015
8 min read
Volume 23 · Issue 1

Abstract

This article aims to provide a brief overview of the use, indications and possible complications of urinary catheterisation in the intrapartum period. The inter-connected relationship between regional anaesthesia, mobility, infection and bladder function in labour and the immediate postpartum period are explored.

Care of the bladder in labour is essential to supporting the physiological process of labour. A full bladder can often be palpated above the brim of the pelvis, may hinder descent of the presenting part of the baby and potentially prolong the length of the labour as a result. Recommendations include frequency of passing urine for women on admission, throughout labour and in the third stage (National Institute for Health and Care Excellence (NICE), 2014a). Adequate bladder care can reduce the incidence of bladder over-distension and enable prompt recognition and appropriate management of women who have voiding dysfunction.

The importance of mobilisation during labour was explored by Weiniger et al (2009). The post-void residual volume during this trial was measured by trans-abdominal ultrasound and was found to be higher among the labouring women who received epidural analgesia than those who received no or alternative analgesia. Fewer of the women who managed to walk to the toilet required urinary bladder catheterisation during the labour than women who used the bedpan. However, low-risk women who were randomised to walk to the bathroom with epidural analgesia and were able to do so during labour had a significantly reduced post-void residual volume, and a reduced requirement for urinary catheterisation (Weiniger et al, 2009).

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