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How the Method of Bladder Emptying After Epidural Placement in Labor Affects Postpartum Voiding
Sponsor: University of Pittsburgh
Summary
At least ten percent of patients have postpartum urinary retention or difficulty urinating after birth, which can cause incontinence and other urinary problems long-term. After getting an epidural placed, patients should be numb in their pelvic region. This numbness makes it difficult to feel the need to urinate, so patients need a urinary catheter placed to empty the bladder. Some patients have one catheter placed throughout their labor and others have a catheter placed to empty the bladder then removed every few hours. The investigators are studying whether placing a catheter once or catheterizing multiple times affects the rate of postpartum urinary problems and infection.
Official title: Intermittent Versus Continuous Bladder Catheterization in Epiduralized Laboring Patients: a Non-blinded Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
564
Start Date
2025-12-09
Completion Date
2027-08
Last Updated
2026-02-05
Healthy Volunteers
No
Conditions
Interventions
Intermittent catheterization
intermittent bladder catheterization every four hours, or shorter intervals if volume exceeds 500mL per expert recommendation
Continuous catheterization
One catheter is placed in the bladder until pushing
Locations (1)
UPMC Magee-Womens Hospital
Pittsburgh, Pennsylvania, United States