WHO Recommends 7-10 Day Bladder Catheterization For Obstetric
The World Health Organization (WHO) issued a new guideline recommending 7-10 day period of bladder catheterization for an obstetric complication on January 15, 2017.
The recommendation were suggested on the number of days of bladder catheterization following surgical repair is for simple obstetric urinary fistula. Currently time of catheterization is not ranges from 5 to 42 days. Bladder cauterization for an obstetric complication more common in South Asia and sub-Saharan Africa.
When the mother’s pelvis is too narrow or the baby is too large or in an abnormal position, labor can last for several days and often results in the death of the baby or the mother. Obstetric fistula is an abnormal opening between a woman’s genital tract and her urinary tract or rectum. If the mother survives, she could develop a fistula. She may be unable to control her rectal or urinary functions. “Longer periods of catheterization increases the risk of infection and erosion related to catheterization, requires more intensive nursing care and costs more per patient,” said WHO.
Obstetric fistula can be treated surgically and catheterization is done to allow tension-free healing of the surgical scar. According to the global health body, an intervention can be implemented by any appropriately trained surgeon including one with less experience and it has direct health and cost implications in low-and middle-income countries. Shorter periods of post-operative bladder catheterization have been tested in simple cases of obstetric fistula and shown to be effective in allowing complete healing with improved patient comfort and potentially lower risks of catheter-related urinary tract infections.
According to Urinary Catheters Market report published by Coherent Market Insights, the catheters are mostly recommended by the healthcare providers for people suffering from bladder disorders such as urinary incontinence and urinary retention. The WHO reports that less intensive nursing care is required for these along with shorter hospital stays and reduced costs for the health system.
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