Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery

Carley, Michael E.; Carley, Janine M.; Vasdev, Gary; Lesnick, Timothy G.; Webb, Maurice J.; Ramin, Kirk D.; Lee, Raymond A.

doi:10.1067/mob.2002.123609

Cited by 118 publications

(137 citation statements)

References 7 publications

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“…In the literature, many different obstetrical risk factors have been considered for the pathogenesis of PPUR; however, the exact etiology of PPUR has not been clearly identified. The incidence of PPUR has been found to be higher in primigravidae than in multigravidae (10,12). In the present study, however, parity was not a risk factor for PPUR.…”

Section: Discussioncontrasting

confidence: 52%

“…We also found that the PPUR incidence was higher in women who had perineal lacerations and episiotomy than in women who had none. Although, episiotomy, birth canal injury, and severe perineal lacerations were reported as being related to increased risk of urinary retention in some studies (10,17), in a recent cross-sectional study, these factors were not found to be effective in developing PPUR (16). However, we think that the pain caused by the repair of episiotomy or lacerations might result in reflex urethral spasm, and PPUR occurs subsequently.…”

Section: Discussionmentioning

confidence: 68%

“…In the literature, the incidence of PPUR varies widely (10,11). But, the estimated incidence is likely to be more, since most cases often remain unforeseen.…”

Section: Discussionmentioning

confidence: 99%

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Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study

Cavkaytar

Kokanali

Baylas

et al. 2014

J Turkish German Gynecol Assoc

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Objective:To assess the obstetrics risk factors for postpartum urinary retention after vaginal delivery. Material and Methods: Of 234 women with a vaginal delivery, 19 (8.1%) women who had postpartum urinary retention were cases, and 215 (91.9%) women who did not were controls. Postpartum urinary retention was defined as the presence of postvoid residual bladder volume ≥150 mL or the inability to void within 6 hours after vaginal delivery. Logistic regression analysis identified risk factors for urinary retention.Results: Prolonged duration of the second stage of labor (OR=0.46, 95% CI for OR=0.06-3.67, p<0.001), presence of episiotomy (OR=0.07, 95% CI for OR=0.01-0.68, p=0.022) and perineal laceration (OR=97.09, 95% CI for OR=7.93-1188.93, p<0.001), and birth weight of >4000 g for the newborn (OR=0.04, 95% CI for OR=0.01-0.20, p<0.001) were found as independent risk factors for postpartum urinary retention after vaginal delivery. Conclusion:Postpartum urinary retention after vaginal delivery is a relatively common condition. Awareness of risk factors, including prolonged second stage of labor, episiotomy, perineal lacerations, and macrosomic birth, may allow us to take the necessary precautions against this complication. (J Turk Ger Gynecol Assoc 2014; 15: 140-3)

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Section: Discussioncontrasting

confidence: 52%

Section: Discussionmentioning

confidence: 68%

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Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study

Cavkaytar

Kokanali

Baylas

et al. 2014

J Turkish German Gynecol Assoc

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“…Fakat sezaryen sonrası oluşan postoperatif ağrı ve hareketsizlik PİR oluşumu-nun kolaylaşmasını sağlayabilmektedir (29). Birçok çalışmada iri bebek doğumunun PİR ile ilişkisi ortaya konulamamışken (5,8,14,23) literatürde iri bebekli annelerle PİR ilişkilen-dirilebilmiştir (6,15). Carely ve ark tarafından kontrollü çalışmada primipar kadınlarda multiparlara göre daha sık PİR saptanmıştır.…”

Section: Etyoloji̇ and Ri̇sk Faktörleri̇unclassified

“…Carely ve ark tarafından kontrollü çalışmada primipar kadınlarda multiparlara göre daha sık PİR saptanmıştır. Ayrıca yine aynı çalışmada primipar gebeler daha çok epidural anesteziye ve epizyotomiye ihtiyaç duyarken yine bu gebelere kontrol grubuna göre daha çok müdahaleli (aletli) doğum yapılmıştır (8). Bir başka çalışmada ise yine primipar gebelerde daha sık PİR saptanmıştır (14).…”

Section: Etyoloji̇ and Ri̇sk Faktörleri̇unclassified

Postpartum İdrar Retansi̇yonu (Postpartum Urinary Retention)

Kaya

Şahin²

2014

ZKTB

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ÖZETDoğum eylemi sonrası idrar yapamama olarak tanımlanan postpartum idrar retansiyonu (PİR) sık-ça karşılaşabilen ve kolayca kendiliğinden ortadan kaybolan bir durumdur. Kadında yaratabileceği strese rağmen tedaviye gerek kalmadan kendini sınırla-yan bir problem olmasından dolayı PİR postpartumürinerinkontinans kadar iyi tanımlanmış, nedenleri ve tedavi planları ortaya konmuş bir semptom değil-dir. Bu konuda literatür sınırlıdır. Bu çalışmada literatür ışığında PİR gözden geçirilecektir. Anahtar kelimeler: Postpartum, idrar retansiyonu, hemşirelik ABSTRACTPostpartum urinary retention (PUR), defined as urinary retention after the delivery, is a common condition that can easily disappear spontaneously. Although this problem could cause stress to the women, PUR has not been clearly described and explored its causes and symptoms like postpartum urinary incontinence due to the self-limiting condition without treatment. There were not enough reports about this subject in the literature. In this report PUR is reviewed with the literature.

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Postvoid residual bladder volume after uncomplicated vaginal delivery

Degasper

Späth

Fessler

et al. 2023

Intl J Gynecology & Obste

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Objective To create a reference curve for postvoid residual volume (PVRV) in asymptomatic postpartum women who are at low risk of developing postpartum urinary retention (PUR), a well‐known complication in the immediate postpartum period. Methods This is a prospective observational study measuring PVRV after uncomplicated vaginal delivery. PVRV was assessed by transabdominal ultrasound using a portable ultrasound scanner within the first 26 h after delivery (PVRV 1) and on the day of discharge (day 2 or 3 postpartum) (PVRV 2). A PVRV of 150 mL or more was defined as the cut‐off value for covert PUR. Results The prevalence of covert PUR was 7.1%. Primiparity, duration of second stage, and obstetric injury were correlated with higher PVRV 1. The median PVRV 1 was 21 mL and PVRV 2 was 11 mL. The subgroup of nulliparous women had a significantly higher PVRV 1 compared with multiparous women. At discharge, the majority (99.1%) of women had a PVRV of less than 150 mL. Conclusion Asymptomatic women were at low risk of developing PUR. However, women with a prolonged second stage may benefit from a routine postpartum assessment. Our results allow for a better understanding of PVRV in the early postpartum period.

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Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery

Cited by 118 publications

References 7 publications

Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study

Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study

Postpartum İdrar Retansi̇yonu (Postpartum Urinary Retention)

Postvoid residual bladder volume after uncomplicated vaginal delivery

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