Does the Duration of Postoperative Urinary Catheterization affect the Time to Gas and Faeces Passage in Women Undergoing Caesarean Section?

Abstract

Aim: While some clinicians remove urine catheters immediately after caesarean section operations, others prefer that they are retained for 12-24 hours. This study aims to investigate the time of removal of urine catheter from patients after caesarean section operation and the potential benefits with respect to gastrointestinal motility during the postoperative period. Method: This prospective study included 100 women who had undergone caesarean section in the obstetrics department of Turhal State Hospital between March 2021 and June 2021. The urine catheters of the patients were removed at 4, 8, and 12 hours postoperatively, and the patients were separated into 3 groups accordingly. These 3 groups were compared in aspect of time to gas and faeces passage, need for enema, number of caesarean deliveries, urinary retention, and type of anaesthesia. Results: When compared to the women whose urinary catheters were removed 8 and 12 hours after cesarean delivery, the time to gas and faeces passage was significantly shorter in patients whose catheters were removed 4 hours later (p<0.001 for both). As the duration of urinary catheterization was prolonged, the need for enema increased significantly (p=0.033). Conclusion: As the duration of urinary catheterization was prolonged following caesarean delivery, the time to gas and faeces passage and the need for enema were increased significantly. This finding was attributed to the delay in mobilization.

Keywords

• Catheter
• cesarean delivery
• enema
• feces
• urine

Sezaryen Sonrası İdrar Sondası Kalma Süresi, Gaz-Gaita Çıkış Süresini Etkiliyor Mu?

Öz

Amaç: Sezaryen ameliyatından sonra idrar sondalarını bazı klinisyenler hemen çıkarırken, bazı klinisyenler ise 12-24 saat arasında tutmak ister. Bu çalışma, sezaryenle doğum yapan hastalarda idrar sondası çekilme süresinin gaz-gaita çıkışı süresini etkileyip etkilemediğini belirlemeyi amaçlamaktadır. Yöntem: Bu prospektif çalışmada Mart 2021 ile Haziran 2021 tarihleri arasında Turhal Devlet Hastanesi Kadın Hastalıkları ve Doğum Kliniği’nde sezaryenle doğum yapan 100 kadın alınmıştır. Hastaların idrar sondalarının postoperatif dönemde 4., 8. ve 12. saatlerde çekilmesine göre üç grup oluşturuldu.. Bu üç gruptaki hastaların mobilizasyon sonrasındaki saatlerde gaz-gaita çıkışları, lavman gerekliliği, kaçıncı sezaryen ameliyatını geçirdikleri, sonda çekilmesi sonrası üriner retansiyon gelişmesi ve anestezi şekilleri açısından karşılaştırıldı. Bulgular: Sonda kalma süreleri 8 ve 12 saat olan hastalar karşılaştırıldıklarında; sonda kalma süresi 4 saat olan hastalarda gaz ve gaita çıkış saatlerinin daha erken olduğu bulundu (her ikisi için p<0.001). Sonda kalma süresi arttıkça lavman gereksinimi anlamlı olarak fazlaydı (p=0.033). Sonuç: Sezaryen sonrası hastada idrar sondasının uzun süre kalan hastalarda gaz-gaita çıkışı gecikmektedir ve lavman gereksinimi artmaktadır. Bu bulgu, cerrahi sonrası erken mobilizasyonun engellenmesinden kaynaklanabilir.

Anahtar Kelimeler

• Kateter
• sezaryen
• lavman
• gaita
• idrar

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