Does the Duration of Postoperative Urinary Catheterization affect the Time to Gas and Faeces Passage in Women Undergoing Caesarean Section?
Öz
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.
Anahtar Kelimeler
Kaynakça
- 1. Mistry K, Fingar KR, Elixhauser A. Variation in the Rate of Cesarean Section Across U.S. Hospitals. 2013: Statistical Brief 211. Rockville (MD): Healthcare Costand Utilization Project (HCUP) Statistical Briefs; 2006.
- 2. Vogel JP, Betran AP, Vindevoghel N. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health 2015;3(5):260–70.
- 3. Ye J, Betran AP, Guerrero Vela MG. Searching for the optimal rate of medically necessary cesarean delivery. Birth 2014;41(3):237–44.
- 4. Lumbiganon P, Laopaiboon M, Gulmezoglu AM. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–2008. Lancet 2010;375(9713):490–9.
- 5. Villar J, Carroli G, Zavaleta N. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ 2007;335(7628):1025.
- 6. Souza JP, Gulmezoglu A, Lumbiganon P. Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004–2008 WHO Global Survey on Maternal and Perinatal Health. BMC Med 2010;8:71.
- 7. Fuchs F, Benhamou D. Post-partum management after cesarean delivery. Guidelines for clinical practice. J Gynecol Obstet Biol Reprod 2015;44(10):1111–7.
- 8. El-Mazny A, El-Sharkawy M, Hassan A. A prospective randomized clinical trial comparing immediate versus delayed removal of urinary catheter following elective cesarean section. Eur J Obstet Gynecol Reprod Biol 2014;181:111–4.
- 9. Huang J , Cao C , Nelson G, Wilson RD.A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. J Obstet Gynaecol Can 2019;41(12):1775-88.
- 10. Venara A, Neunlist M, Slim K, Barbieux J, Colas PA, Hamy A et al. Postoperative ileus: Pathophysiology, incidence, and prevention. J Visc Surg 2016;153(6):439-46.
- 11. Stakenborg N , Gomez-Pinilla PJ , Boeckxstaens GE. Postoperative Ileus: Pathophysiology, Current Therapeutic Approaches. Handb Exp Pharmacol 2017;239:39-57.
- 12. Bragg D , El-Sharkawy AM , Psaltis E , Maxwell-Armstrong CA , Lobo DN Postoperative ileus: Recent developments in pathophysiology and management. Clin Nutr 2015;34(3):367-76.
- 13. Leier, H. Does gum chewing help prevent impaired gastric motility in the postoperative period? Journal of the American Academy of Nurse Practitioners.2007;19,133–6.
- 14. Basbug A, Yuksel A, Kaya A. Early versus delayed removal of indwelling catheters in patients after elective cesarean section: a prospective randomized trial. J Matern Fetal Neonatal Med 2020;33(1):68-72.
- 15. Kerimoglu OS,Yilmaz AS, Pekin A, İncesu F, Dogan NU, İlhan TT et al. Effect of drainage on postoperative pain after laparoscopic ovarian cystectomy. J Obstet Gynaecol. 2015;35(3):287-9. doi: 10.3109/01443615.2014.948824.
- 16. Akcay S, Aslan D, Aydos TR, Erden OA, Gokçe YK, Gulekon A, et al. Birinci Basamak İçin Temel Geriatri. Ankara, Algı Tanıtımı 2012;1,46-52.
- 17. Cikman MS, Sakin O, Angin AD, Gokkaya, Pirimoglu ZM, Gun I. Effects of Drain After Total Laparoscopic Hysterectomy. Zeynep Kamil Tip Bülteni;2019;50(3):135-137 Doi: http://dx.doi.org/10.16948/zktipb.465523.
- 18. Craciunas L, Stirbu L, Tsampras N. The use of a peritoneal gas drain following gynecological laparoscopy: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:224-8. doi: 10.1016/j.ejogrb.2014.04.012.
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.
Kaynakça
- 1. Mistry K, Fingar KR, Elixhauser A. Variation in the Rate of Cesarean Section Across U.S. Hospitals. 2013: Statistical Brief 211. Rockville (MD): Healthcare Costand Utilization Project (HCUP) Statistical Briefs; 2006.
- 2. Vogel JP, Betran AP, Vindevoghel N. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. Lancet Glob Health 2015;3(5):260–70.
- 3. Ye J, Betran AP, Guerrero Vela MG. Searching for the optimal rate of medically necessary cesarean delivery. Birth 2014;41(3):237–44.
- 4. Lumbiganon P, Laopaiboon M, Gulmezoglu AM. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007–2008. Lancet 2010;375(9713):490–9.
- 5. Villar J, Carroli G, Zavaleta N. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study. BMJ 2007;335(7628):1025.
- 6. Souza JP, Gulmezoglu A, Lumbiganon P. Caesarean section without medical indications is associated with an increased risk of adverse short-term maternal outcomes: the 2004–2008 WHO Global Survey on Maternal and Perinatal Health. BMC Med 2010;8:71.
- 7. Fuchs F, Benhamou D. Post-partum management after cesarean delivery. Guidelines for clinical practice. J Gynecol Obstet Biol Reprod 2015;44(10):1111–7.
- 8. El-Mazny A, El-Sharkawy M, Hassan A. A prospective randomized clinical trial comparing immediate versus delayed removal of urinary catheter following elective cesarean section. Eur J Obstet Gynecol Reprod Biol 2014;181:111–4.
- 9. Huang J , Cao C , Nelson G, Wilson RD.A Review of Enhanced Recovery After Surgery Principles Used for Scheduled Caesarean Delivery. J Obstet Gynaecol Can 2019;41(12):1775-88.
- 10. Venara A, Neunlist M, Slim K, Barbieux J, Colas PA, Hamy A et al. Postoperative ileus: Pathophysiology, incidence, and prevention. J Visc Surg 2016;153(6):439-46.
- 11. Stakenborg N , Gomez-Pinilla PJ , Boeckxstaens GE. Postoperative Ileus: Pathophysiology, Current Therapeutic Approaches. Handb Exp Pharmacol 2017;239:39-57.
- 12. Bragg D , El-Sharkawy AM , Psaltis E , Maxwell-Armstrong CA , Lobo DN Postoperative ileus: Recent developments in pathophysiology and management. Clin Nutr 2015;34(3):367-76.
- 13. Leier, H. Does gum chewing help prevent impaired gastric motility in the postoperative period? Journal of the American Academy of Nurse Practitioners.2007;19,133–6.
- 14. Basbug A, Yuksel A, Kaya A. Early versus delayed removal of indwelling catheters in patients after elective cesarean section: a prospective randomized trial. J Matern Fetal Neonatal Med 2020;33(1):68-72.
- 15. Kerimoglu OS,Yilmaz AS, Pekin A, İncesu F, Dogan NU, İlhan TT et al. Effect of drainage on postoperative pain after laparoscopic ovarian cystectomy. J Obstet Gynaecol. 2015;35(3):287-9. doi: 10.3109/01443615.2014.948824.
- 16. Akcay S, Aslan D, Aydos TR, Erden OA, Gokçe YK, Gulekon A, et al. Birinci Basamak İçin Temel Geriatri. Ankara, Algı Tanıtımı 2012;1,46-52.
- 17. Cikman MS, Sakin O, Angin AD, Gokkaya, Pirimoglu ZM, Gun I. Effects of Drain After Total Laparoscopic Hysterectomy. Zeynep Kamil Tip Bülteni;2019;50(3):135-137 Doi: http://dx.doi.org/10.16948/zktipb.465523.
- 18. Craciunas L, Stirbu L, Tsampras N. The use of a peritoneal gas drain following gynecological laparoscopy: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:224-8. doi: 10.1016/j.ejogrb.2014.04.012.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 15 Ocak 2024 |
| Yayımlanma Tarihi | 1 Ocak 2024 |
| Gönderilme Tarihi | 26 Ocak 2022 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 10 Sayı: 1 |
