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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="healthcare" lang="en"><front><journal-meta><journal-id journal-id-type="publisher">IJCRR</journal-id><journal-id journal-id-type="nlm-ta">I Journ Cur Res Re</journal-id><journal-title-group><journal-title>International Journal of Current Research and Review</journal-title><abbrev-journal-title abbrev-type="pubmed">I Journ Cur Res Re</abbrev-journal-title></journal-title-group><issn pub-type="ppub">2231-2196</issn><issn pub-type="opub">0975-5241</issn><publisher><publisher-name>Radiance Research Academy</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2672</article-id><article-id pub-id-type="doi"/><article-id pub-id-type="doi-url">http://dx.doi.org/10.31782/IJCRR.2020.12093</article-id><article-categories><subj-group subj-group-type="heading"><subject>Healthcare</subject></subj-group></article-categories><title-group><article-title>Merits and Demerits of Using Indwelling Catheter in Lower Segment Caesarean Section&#13;
</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sultana</surname><given-names>Samina</given-names></name></contrib><contrib contrib-type="author"><name><surname>Rather</surname><given-names>Shagufta Yasmeen</given-names></name></contrib><contrib contrib-type="author"><name><surname>Rehman</surname><given-names>Iqra</given-names></name></contrib></contrib-group><pub-date pub-type="ppub"><day>4</day><month>05</month><year>2020</year></pub-date><volume>)</volume><issue/><fpage>10</fpage><lpage>13</lpage><permissions><copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p></license></permissions><abstract><p>Background: The reported incidence rates of urinary retention after caesarean section vary from 3.3 to 39.2%. The use of indwelling urinary catheters has been implicated as a main cause of urinary tract contamination occurring in 1.7 per 1000 of caesarean delivery patients, and accounting for greater than 80% of nosocomial UTIs and greater postoperative pain.&#13;
Objectives: The aim of this study was to assess whether carrying out CS without urethral catheterization is safe in terms of intraoperative safety, prevalence of UTI, and the rate of the first voiding discomfort.&#13;
Methods: A prospective case control study done at L.D. hospital, GMC Srinagar over a period of one year from December 2018 to December 2019. 200 pregnant women without any medical / surgical complication undergoing emergency / elective CS were randomly selected by use of table of random numbers and allocated to two groups. Caesarean section was done under SA by the same surgeon using conventional technique. The duration of surgery was defined as interval between skin incision to skin closure by standard clock in OT.&#13;
Results: Women in both groups had no significant difference in age, parity and indication for cesarean section. They received the same pre and postoperative treatment. Time to first void was 4-8 hrs in 62 patients and more than 9 hrs in 38 patients in NC group. Discomfort at first void was seen in 34 patients of NC group and 59 of C group. Of the C group 30 had mild and 4 had severe discomfort. Among the C group, 45 had mild and 14 had severe discomfort at first void. The incidence of UTI in C/S after 48hrs was 4/100 among NC group and 17/100 among C group. Febrile morbidity was seen in 1 patient of NC group and 8 of C group. Hospital stay among NC group was 3.7 days and among C group was 4.3 days.&#13;
Conclusion: Non-use of urinary catheter at caesarean section causes less pain at first void less time to ambulate and less chance of urinary tract infections with a slightly increased chance of postoperative urinary retention.&#13;
</p></abstract><kwd-group><kwd>Caesarean section</kwd><kwd> Voiding discomfort</kwd><kwd> Urinary tract infections</kwd></kwd-group></article-meta></front></article>
