The necessity study of urinary catheterization during painless labor

OBJECTIVE To investigate the necessity of urinary catheterization during women who received epidural anesthesia for painless labor.METHODS 60 puerperas who received epidural anesthesia procedure were randomized divided into object group(n = 30)and control group(n = 30).Urinary catheterization operation was provided for the control women after epidural anesthesia immediately.All cases in the object group received a bed pan repeatedly and actively mental encourage to void throughout labor by midwives instead of urinary catheterization.Then observed the difference of residual urine volume and urinary tract infection between two groups.RESULTS 19 cases(63.33%)could void successfully by themselves,leaving 3 patients with postpartum urinary retention and 1 with urinary tract infection.However,there were 14 women suffered from postpartum urinary retention and 6 women had urinary tract infection in control group.CONCLUSION There is a unnecessary for routinely operating urinary catheterization during painless labor.Midwives can actively guide and help puerperas to void to prevent the postpartum urinary retention and urinary tract infection.