Intramuscular Neostigmine for Accelerating Bladder Emptying after Cesarean Section by Spinal Anesthesia | ||||
| Evidence Based Women's Health Journal | ||||
| Article 5, Volume 13, Issue 4, November 2023, Page 334-340 PDF (362.44 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ebwhj.2023.217484.1256 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Aml Mohamed Aljaml  1; Mohamed Abdellatef Elnegery2; Nermeen Mohamed Shams-Eldien2; Khalid Samir2; Mohamed Sayed Abdelhafez 2
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| 1Belqas Central Hospital, Belqas City, Dakahlia, Egypt | ||||
| 2Department of Obstetrics and Gynecology, Mansoura University, Mansoura, Egypt | ||||
| Abstract | ||||
| Objective: To assess the efficacy of intramuscular (IM) neostigmine administration for acceleration of urinary bladder (UB) emptying and prevention of postoperative urine retention (POUR) following cesarean section (CS) performed under spinal anesthesia. Patients and Methods: Randomized controlled trial conducted on pregnant women who were planned to undergo elective CS under spinal anesthesia. All participants were randomly allocated after surgery into 2 groups; neostigmine group who received 0.5 mg IM neostigmine, and placebo group who received IM NaCl 0.9%. The primary outcome measures were time to first voiding after treatment and time to first voiding after catheter removal, and the secondary outcome measures were volume of excreted urine, postvoid residual bladder volume (PVRBV) and catheterization rate. Results: A total of 100 women (50 women in each group) were subjected to final analysis. Time to first voiding after treatment was significantly lower in neostigmine group than in placebo group (266.94 ± 77.53 vs 303.72 ± 64.07 min; P = 0.027). Also, time to first voiding after catheter removal was significantly lower in neostigmine group than in placebo group (214.90 ± 66.53 vs 241.60 ± 61.73 min; P = 0.036). However, there were no significant difference between both groups in volume of excreted urine, PVRBV and catheterization rate. Conclusion: IM injection of neostigmine can effectively accelerate UB emptying following CS under spinal anesthesia but it does not appear to decrease PVRBV or catheterization rate | ||||
| Keywords | ||||
| Cesarean section; neostigmine; spinal anesthesia; urinary retention | ||||
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