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Evaluation of the Absence of Intraoperative Bladder Catheterization in Case of Planned Cesarean Section

RecruitingNAAges 18 Years - anyFemaleUniversity Hospital, Montpellier
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In plain words

What the trial is, and whether it could suit you

The hypothesis of this trial is that the absence of systematic bladder catheterization in patients performing spontaneous urination in the hour preceding the planned cesarean section under spinal anesthesia would not lead to more bladder heterocatheterization for postpartum urinary retention (RUPP) in the 24 hours post-cesarean section than systematic intraoperative bladder catheterization up to 2 hours post-surgery.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Adult patient * Patient admitted for a planned cesarean section after 34 weeks under spinal anesthesia * Single or twin pregnancy * Unscarred or with one or two scars of the uterus Exclusion Criteria: * Positive urine test strip showing a presence of nitrites or leukocytes, the day before the surgery suggesting asymptomatic bacteriuria * Emergency Caesarean * Scheduled Caesarean section with intervention delayed beyond 3 p.m. for service organization reasons * Epidural anesthesia * Contraindication to spinal anesthesia (uncorrected hypovolemia; blood coagulation disorders; sepsis or severe inflammation at the puncture site; neurological deficit; migraine pattern; spinal cord disease; spinal malformation; febrile syndrome) * ASA (American Society of Anesthesiologists) score ≥ 4 * Placental insertion abnormality (placenta previa and/or accreta) * Medical indication for monitoring of diuresis * Oliguria or renal failure * Indication for use of intrathecal clonidine during scheduled cesarean section * History of bladder surgery or surgical urological pathology during pregnancy (JJ catheter in place) * History of complex abdominal surgery * Impossibility or absence of obtaining free, informed and written consent, after a period of reflection * Patient not affiliated or beneficiary of a national health insurance system * Patient under legal protection, under guardianship or under curatorship * Patient having participated in interventional research on a drug within 3 months before inclusion * Patient participating in another interventional research * Patient in exclusion period determined by another study
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What it tests

  • Spontaneous urination during the hour before caesarean section.
  • Systematic bladder catherization during caesarean section.
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Where

2 sites
Montpellier University Hospital
Montpellier, France
Nîmes University Hospital
Nîmes, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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