How the Method of Bladder Emptying After Epidural Placement in Labor Affects Postpartum Voiding
NCT07125326 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 564
Last updated 2026-02-05
Summary
At least ten percent of patients have postpartum urinary retention or difficulty urinating after birth, which can cause incontinence and other urinary problems long-term. After getting an epidural placed, patients should be numb in their pelvic region. This numbness makes it difficult to feel the need to urinate, so patients need a urinary catheter placed to empty the bladder. Some patients have one catheter placed throughout their labor and others have a catheter placed to empty the bladder then removed every few hours. The investigators are studying whether placing a catheter once or catheterizing multiple times affects the rate of postpartum urinary problems and infection.
Conditions
- Urinary Retention
- Urinary Tract Infection (Diagnosis)
- Postpartum Acute Urinary Retention
- Postpartum Care
- Voiding Dysfunction
Interventions
- PROCEDURE
-
Intermittent catheterization
intermittent bladder catheterization every four hours, or shorter intervals if volume exceeds 500mL per expert recommendation
- PROCEDURE
-
Continuous catheterization
One catheter is placed in the bladder until pushing
Sponsors & Collaborators
-
University of Pittsburgh
lead OTHER
Principal Investigators
-
Anna Binstock, MD · UPMC Magee-Womens Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-09
- Primary Completion
- 2026-08-31
- Completion
- 2027-08-31
Countries
- United States
Study Locations
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