Urinary Catheters in Cesearean Delivery: What's the Harm?

Saturday, 29 October 2011

Pamaela R. Bogda, RNC-OB, BSN, cMSN
Nursing, Georgetown University Hospital, VA

Learning Objective 1: discuss the two major findings of the Urinary Catheters for Cesarean Delivery's findings.

Learning Objective 2: discuss one possible research study suggested by the poster presentation that may be most relevant to his/her practice.

       The purpose of the research was to explore the question, "Is there a relationship between selected maternal variables, and the length of time an indwelling catheter is in place for women recovering from cesarean section delivery?"  The urinary outcomes measured are urinary retention and urinary tract infections.  A prospective correlation study using chart review was conducted over a ten-month period between February and December 2009, at a teaching hospital in Washington, D.C.  The methods used included a data collection sheet completed by the nursing staff and chart review.  The results were that urinary catheters were left in over 24 hours (M=25.44), despite a postpartum range order directive to remove the urinary catheter 12-24 hours post Cesarean section.  The length of time urinary catheters were left in place postoperatively was not associated with either urinary retention or the risk of developing a urinary tract infection.

       Further research is needed to identify the impact of catheter use on other outcomes such as ambulation, pain control, self-care, and bonding.