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Early Foley Removal p C/SFrom: Arthur W. Curtis, Jr. (artcurtis@juno.com)Thu Sep 26 00:19:52 1996
Responses to my earlier post regarding removing the foley immediately post C/Section include:.... 1) - "Did the patients receive post op epidural morphine"? There was a period of time (1 or 2 years?) at our hospital when many patients did receive epidural morphine, and these patients all had the catheter removed immediately post op also. My recollection is that while the vast majority still were able to void spontaneously, a few more than usual required catheterization. (Remember that this is not a study but only anecdotal). 2) - "The nurses do not object to the extra work but think the patient is more comfortable with the foley in place the first night". Of Course nurses would not object to increased work in the patient's interest. Nurses are usually the best assest of any L&D suite, certainly ours. But most patients were glad to have had the foley removed early when I asked them later. (I never asked them during that first night)! 3) - "The incidence of UTI's is already low". That's true, but maybe it could be lower.? 4) - "Hospital discharge is already 2+ days". That's already very good, and I haven't noticed that early foley removal has decreased the length of stay . I do think it does reduce minor morbidity however. 5) - "The nurses will remove the foley if I do a study." Well, there ya go. Please run a study, I wish I did years ago. Data are/is always easier to defend. Thanks for the comments. Arthur Curtis general ObG Worcester Mass ArtCurtis@Juno.com
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