How the Method of Bladder Emptying After Epidural Placement in Labor Affects Postpartum Voiding

Part of paid clinical trials in Pittsburgh, Pennsylvania.

Sponsor
University of Pittsburgh
Study ID
NCT07125326
Status
Recruiting
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Conditions

  • Postpartum Acute Urinary Retention
  • Postpartum Care
  • Urinary Retention
  • Urinary Tract Infection (Diagnosis)
  • Voiding Dysfunction

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Intermittent catheterization — PROCEDURE
    intermittent bladder catheterization every four hours, or shorter intervals if volume exceeds 500mL per expert recommendation
  • Continuous catheterization — PROCEDURE
    One catheter is placed in the bladder until pushing

Study Details

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.

Key Dates

Start date
Dec 9, 2025
Status verified
Feb 2026
Primary completion
Aug 31, 2026
Completion
Aug 31, 2027

Study Design

Enrollment
564 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Active Comparator: Intermittent catheterization
  • Active Comparator: Continuous catheterization

Primary Outcome Measure

Postpartum urinary retention [ Time Frame: Three days postpartum ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
UPMC Magee-Womens HospitalPittsburghPennsylvania15217
Elena Lands, MD
[email protected]
7033465258

Find similar trials in Pittsburgh, PA

By research site
UPMC Magee-Womens Hospital· Pittsburgh, PA

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