بررسي اثر برداشتن سوندفولي پس از سزارين بر شدت درد ناشي از سوند

The effect of removal of indwelling urinary catheter on the pain after cesarean section

Background and Aim: Routine use of the urinary catheter for the first 24 hours after cesarean section may traumatize urethera, and cause pain and limitation of movement in mothers. Early removal of the urinary catheter is effective in reducing this complication. The aim of our study was to evaluate the effect of catheter removal on the pain after cesarean section in Ghaem hospital from May to September 2001. Materials and Methods: In this randomized controlled clinical trial 60 women between 18-35 years of age and parity of 1-4, who had been catheterized with an indwelling foley No. 14 catheter prior to an emergency cesarean section, were divided into two groups randomly [Experimental and control]. The catheter was removed 2-3 and 24 hours after the operation in experimental and control groups respectively. The severity of pain was estimated by use of visual analogue scale during insertion and removal of the catheter in the two groups. Results: Mean score of pain was not significantly different at the time of catheterization but it revealed a remarkable difference at the time of catheter removal in both groups, [3132 VS 6107 p<0.00001]. Conclusion: The results of our study showed that removal of foley catheter is effective in reduction of the pain, so we recommend its removal after cesarean section.