Identification of risk factors for postpartum urinary retention following vaginal deliveries: A retrospective case-control study

Lamblin, G.; Chêne, Geneviève; Aeberli, Camille; Soare, Roxana; Moret, Stéphanie; Bouvet, Lionel; Doret-Dion, Muriel

doi:10.1016/j.ejogrb.2019.10.001

Cited by 17 publications

(25 citation statements)

References 25 publications

(39 reference statements)

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“…Our study indicated that vulvar oedema increased the risk of PUR by up to 6.92-folds, which corroborates this statement. In addition, pain caused by vulvar oedema may result in reflex urethral spasm, and subsequently PUR [ 4 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study

Cao

Rao

Yuan

et al. 2022

BMC Pregnancy Childbirth

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Background Postpartum urinary retention (PUR) may lead to bladder neuromuscular damage and subsequently voiding dysfunction. However, the literature regarding the incidence of and risk factors for PUR remains unclear. Moreover, previously reported studies are limited to small sample sizes. Thus, this study aimed to assess the incidence of and risk factors for overt PUR after vaginal delivery. Methods This retrospective case-control study included all primiparas who delivered vaginally between July 1, 2017, and June 30, 2019, at our institution. The case group comprised 677 women diagnosed with overt PUR who required catheterisation after delivery. The control group comprised 677 women without overt PUR randomly selected in a 1:1 ratio matched for date of delivery and who delivered immediately after each woman with overt PUR to minimise the impact of variations over time in obstetric practice. Univariate and multivariate logistic regression analyses were performed to investigate the factors associated with overt PUR. Results Of the 12,609 women included in our study, 677 were diagnosed with overt PUR (incidence 5.37%). Univariate analysis identified epidural analgesia, episiotomy, perineal tears, instrument-assisted delivery, duration of labour stage, intrauterine operation, and vulvar oedema as risk factors for PUR. Multivariate logistic regression identified epidural analgesia (odds ratio [OR] = 1.41, 95% confidence interval [CI]: 1.11–1.79, P = 0.005), vulvar oedema (OR = 6.92, 95% CI: 4.65–10.31, P < 0.001), forceps delivery (OR = 8.42, 95% CI: 2.22–31.91, P = 0.002), episiotomy (OR = 1.37, 95% CI: 1.02–1.84, P = 0.035), and second-degree perineal tear (OR = 3.42, 95% CI: 2.37–4.94, P < 0.001) as significant independent risk factors for PUR. Conclusions PUR was highly associated with epidural analgesia, forceps delivery, vulvar oedema, episiotomy, and second-degree perineal tears. More attention should be paid to women at high risk to reduce the incidence of PUR.

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Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study

Cao

Rao

Yuan

et al. 2022

BMC Pregnancy Childbirth

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“…Perineal trauma may be occurred due to instrumental vaginal delivery also risk factor for PPUR. 19 Our results show that episiotomy independently affects function of bladder after vaginal delivery. The repair with stitches after episiotomy as a predictor is probably responsible for the development of the effect of pain and subsequent disturbance in bladder sensitivity and also central inhibition of bladder function.…”

Section: Discussionmentioning

confidence: 51%

The frequency of post-partum urinary retention (PPUR) and factors contributing PPUR after vaginal delivery.

Khatoon

Naz

Mushtaq³

et al. 2020

TPMJ

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Objective: To determine the frequency and factors contributing to post-partum urinary retention (PPUR) after vaginal delivery. Study Design: Observational study. Setting: Department of Obstetrics and Gynecology, Gambat Institute of Medical Sciences Gambat, Khairpur Sindh. Period: 1st November 2018 to 30th June 2019. Material & Methods: Out of 114 patients delivered vaginaly at Gambat Institute of Medical Sciences Gambat, Khairpur Sindh, postnatal patients who do not urinate within 6 hours after normal viginal delivery, label as a case of PPUR following the inclusion and exclusion criteria. Results: Frequency of postpartum urinary retention (PPUR) after vaginal delivery was observed in 6.14% (7/114). Significant risk Factors contributing to post-partum urinary retention (PPUR) were Prolong labor and epidural analgesia. Conclusion: We concluded that statistically significant risk factors for postpartum urinary retention were epidural analgesia and prolong labor. So attention to bladder care during labor and vigilance in the early detection.

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“…The final review includes one systematic review, 11 one multicentre randomized controlled clinical trial, 13 five retrospective casecontrol studies, [14][15][16][17][18] one retrospective medical review, 19 two retrospective analysis, 20,21 two prospective observational studies, 22,23 two case-control studies, 24,25 one prospective before-after study, 26 one cross-sectional study 27 and one clinical practice guideline. 28…”

Section: Resultsmentioning

confidence: 99%

“…Several studies have shown the presence of risk factors for the onset of PUR including mode and duration of labour, post-void residual bladder volume, episiotomy, vaginal tears, instrumental delivery, method of anaesthesia or analgesia, peripartum micturition, catheterization during labour, birth weight and parity. [15][16][17][18][20][21][22]24,25,27 In addition, the duration of PUR is influenced by other factors, such as the quantity of fluids administered in the delivery room. 18…”

Section: Risk Factorsmentioning

confidence: 99%

Risk factors and management of postpartum urinary retention: A scoping review

Paola

Giannetta

Valeria

et al. 2022

Int J of Uro Nursing

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This study aimed to identify the risk factors for the onset of postpartum urinary retention (PUR), to locate the most effective prevention, treatment interventions, and how to improve its management. The research questions were the following: ‘In postpartum women, what are the risk factors for PUR? In postpartum women, what are the interventions aimed to manage the urinary retention?’ PUR is defined as an inability to void spontaneously or adequately during the postpartum period. PUR is a common disease that can lead to different consequences and the necessity of its management is indisputable. It is necessary to work on the prevention of the onset of PUR by promptly recognizing the risk factors and acting on them, with the aim of developing guidelines and protocols that help in clinical practice. A scoping review was performed. PubMed, CINAHL, Cochrane Library, Scopus, http://clinicaltrials.gov, Medline (Journals@Ovid Full Text, YourJournals@Ovid, Ovid MEDLINE[R] ALL) were systematically searched from 2014 until 2019. A total of 17 articles were included. Several studies have shown the presence of risk factors for the onset of PUR including mode and duration of labour, post‐void residual bladder volume, episiotomy, vaginal tears, instrumental delivery, method of anaesthesia or analgesia, peripartum micturition, catheterization during labour, birth weight and parity. In addition, the duration of PUR is influenced by other factors, such as the number of fluids administered in the delivery room. Based on the current literature, PUR is a common condition that can lead to different consequences and the necessity of its management is indisputable. Although the risk factors are quite clear, there is still no definite way of treatment. Future research should focus on the PUR treatment.

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Identification of risk factors for postpartum urinary retention following vaginal deliveries: A retrospective case-control study

Cited by 17 publications

References 25 publications

Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study

Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study

The frequency of post-partum urinary retention (PPUR) and factors contributing PPUR after vaginal delivery.

Risk factors and management of postpartum urinary retention: A scoping review

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