Bladder drainage during labor: a randomized controlled trial. Journal Article

Authors: Rivard, C.; Awad, M.; Liebermann, M.; DeJong, M; Massey, S. M.; Sinacore, J; Brubaker, L
Article Title: Bladder drainage during labor: a randomized controlled trial.
Abstract: AIM: To compare two bladder draining methods during labor on time to delivery, cost and nursing preference. MATERIAL AND METHODS: This trial randomized 139 women with singleton pregnancies in active labor or undergoing induction of labor. Eligibility required an anticipated vaginal delivery with a clinical indication for bladder catheterization (epidural). Participants were randomly assigned to either indwelling or intermittent catheterization. The primary outcome was time to delivery; secondary outcomes were nurse preference, cost and route of delivery. A sample size of 138 women would be needed for 80% power to detect a 30 min difference in the time to delivery interval with a 0.05 alpha error. RESULTS: Outcome data was available for 138 patients (72 indwelling and 66 intermittent). The time to delivery was similar among the two groups (13.8 h for indwelling and 14.4 h for intermittent). Route of delivery and cost estimate was similar in both groups; however, nurses preferred the indwelling method. CONCLUSION: Indwelling catheterization is recommended as the standard method for bladder drainage in laboring women with epidural. 2012 The Authors. Journal of Obstetrics and Gynaecology Research 2012 Japan Society of Obstetrics and Gynecology.
Journal Title: Journal of Obstetrics Gynaecology Research
Volume: 38
Issue: 8
ISSN: 1341-8076
Publisher: Unknown  
Journal Place: Australia
Date Published: 2012
Start Page: 1046
End Page: 1051
Language: English
Notes: ID: 12649; Status: MEDLINE; Publishing Model: Journal available in: Print-Electronic Citation processed from: Internet; NLM Journal Code: clg, 9612761