Post‐partum urinary retention in a teaching hospital in southwestern <scp>N</scp>igeria

Ajenifuja, Kayode Olusegun; Oyetunji, Ifeoluwa; Orji, Ernest O.; Adepiti, Clement A.; Loto, Olabisi Morebise; Tijani, Mikhail Aramide; Dare, F.O.

doi:10.1111/jog.12069

Cited by 16 publications

(15 citation statements)

References 17 publications

(33 reference statements)

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“…Overt retention refers to the inability to void in the presence of signs and symptoms of urinary retention. On the contrary, covert retention refers to women that are asymptomatic of urinary retention, with a postvoid residual bladder volume of more than 150 ml, identified by ultrasound screening or by catheterization [ 3 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptable Postvoid Residual Urine Volume after Vaginal Delivery and Its Association with Various Obstetric Parameters

Choe

Atan

et al. 2018

Obstetrics and Gynecology International

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Background Urinary retention and voiding dysfunction is a distressing event and relatively common in immediate postpartum period. This study aims at investigating the range of postvoid residual urine volume after vaginal delivery and its association with various obstetric parameters. Methods This was a prospective observational study of women who delivered vaginally in Universiti Kebangsaan Malaysia Medical Centre from March 2017 to September 2017. Those who were able to void within 6 hours after delivery, the voided volume measurements were taken at their second void followed by measurement of residual urine using a transabdominal ultrasound scan. For those unable to void at 6 hours postpartum, the bladder volume was measured. If the bladder volume was 500 ml or more, an indwelling catheter would be inserted and kept for 24 hours. Results A total of 155 patients who fulfilled the inclusion were recruited. There were 143 (92.3%) patients who had residual urine volume of less than 150 ml at second void. Out of these 143 patients, 138 (96.5%) had residual urine volume of less than 100 ml, and among the 138 patients, 119 (86.2%) had residual urine volume of less than 50 ml. The median residual urine volume was 10 ml (2, 42). The overall rate of postpartum urinary retention (PPUR) was 7.7%; 6 (3.85%) had overt retention and 6 (3.85%) had covert retention. Primiparity, duration of active phase of labour, duration of second stage of labour, epidural analgesia, episiotomy, instrumental delivery, and perineal pain score were independent risk factors associated with postpartum urinary retention. Conclusion Postpartum urinary retention complicates approximately 7.7% of vaginal deliveries. Majority (86.2%) of them had residual urine volume less than 50 ml. Obstetrics factors independently associated with PPUR include primiparity, duration of active phase of labour, duration of second stage of labour, epidural analgesia, episiotomy, instrumental delivery, and degree of perineal pain.

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Section: Introductionmentioning

confidence: 99%

Acceptable Postvoid Residual Urine Volume after Vaginal Delivery and Its Association with Various Obstetric Parameters

Choe

Atan

et al. 2018

Obstetrics and Gynecology International

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“…Through inhibition of the detrusor muscle with the effect of increased progesterone during pregnancy, there may be retention for hours or even days after birth. 5 Bladder sensitivity and these reductions in tonus are more evident after vaginal route delivery in particular. 6,7 After vaginal delivery, the bladder is more flacid, less hypotonic and less sensitive for full voiding.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 After vaginal delivery, the bladder is more flacid, less hypotonic and less sensitive for full voiding. 5 The clear causes of PUR are still not known. 4 A series of physiological, neurological and mechanical reasons in the postpartum period may be responsible for PUR.…”

Section: Discussionmentioning

confidence: 99%

“…The use of ultrasonography to measure postvoidal residual volume is superior to catheterization with respect to not causing infection and not being traumatic. 5 However, there is no universal opinion on the measurement of postvoidal residual volume. 5 In studies that have compared ultrasonography and catheterization for the diagnosis of PUR, although no difference has been seen, some authors have reported that especially immediately after delivery the use of ultrasonography is not reliable due to the dimensions of the uterus.…”

Section: Cases With Perineal Damage or Opened Episiotomy Werementioning

confidence: 99%

“…5 However, there is no universal opinion on the measurement of postvoidal residual volume. 5 In studies that have compared ultrasonography and catheterization for the diagnosis of PUR, although no difference has been seen, some authors have reported that especially immediately after delivery the use of ultrasonography is not reliable due to the dimensions of the uterus. 4,20,24,25 A limitation of the current study was the small number of cases.…”

Section: Cases With Perineal Damage or Opened Episiotomy Werementioning

confidence: 99%

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Can Urinary Catheterization Before Birth Reduce Postpartum Urinary Retention?

Şentürk

Güraslan

Guven

et al. 2016

Gynecol Obstet Reprod Med

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Objective: Postpartum urinary retention (PUR) is defined as no spontaneous micturition in a period of more than 6 hours postpartum or residual volume of >150cc after urination. If a diagnosis is not made, there may be problems of over-distention of the bladder and consequently, denervation, detrusor atony and long-term micturition problems. This study aimed to examine the effect of urinary catheterization during birth on postpartum urinary retention (PUR).Study Design: A prospective randomized study was conducted with 137 patients. The study and control groups were formed according to a random number table. In the study group, urinary catheterization was applied before birth. In both groups, the time of the first postpartum micturition was recorded and after the first micturition, the residual urine volume was measured with catheterization. Cases with no spontaneous micturition in the first 6 hours postpartum were accepted as PUR. The two groups were compared with respect to time of first micturition and residual urine volume using Mann Whitney U-test and the presence of PUR with Chi-square test. Results: The time to first micturition was determined to be shorter in the group where urinary catheterization was applied before birth, the PUR rate was lower and the amount of residual urine was less (p<0.05). Birthweight, duration of labour, maternal age, weight, gravida and use of oxytocin were similar between the groups (p>0.05). Conclusion: Urinary catheterization before birth reduces the rate of PUR.

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Incidence of postpartum urinary retention in a tertiary hospital in Ibadan, Nigeria

Lawal

Morhason-Bello

Atalabi

et al. 2021

Intl J Gynecology & Obste

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Objective: To determine the incidence of postpartum urinary retention (PUR) after vaginal delivery and associated risk factors.Methods: A total of 250 women were recruited following vaginal delivery at the UCH, Ibadan. Sociodemographic and obstetrical data were collected using a pro forma.Transabdominal ultrasound scan of the urinary bladder was performed 6 hours after delivery to estimate the post-void residual bladder volume (PVRBV) of participants.PVRBV was compared with obstetrical characteristics and labor events. Data collected were analyzed using SPSS 17.0. The level of statistical significance was set at P value less than 0.05. Results:The incidence of PUR was 17.6%. Women with PUR, had longer duration of first stage (591 versus 501 minutes; P = 0.001), and second stage (50 versus 32 minute; P < 0.001) of labor compared with those without PUR. There was evidence that augmentation of labor (P < 0.01), catheterization during labor (P < 0.01), perineal injury (P < 0.01), and episiotomy (P < 0.01) were associated with developing PUR. Also, women with PUR were more likely to experience storage and obstructive urinary symptoms than those without PUR. Resolution of PUR occurred within 24 hours. Conclusion:This study showed that postpartum urinary retention is relatively common following vaginal delivery. Awareness of risk factors will increase index of suspicion especially in women with storage and obstructive symptoms.

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Post‐partum urinary retention in a teaching hospital in southwestern Nigeria

Cited by 16 publications

References 17 publications

Acceptable Postvoid Residual Urine Volume after Vaginal Delivery and Its Association with Various Obstetric Parameters

Acceptable Postvoid Residual Urine Volume after Vaginal Delivery and Its Association with Various Obstetric Parameters

Can Urinary Catheterization Before Birth Reduce Postpartum Urinary Retention?

Incidence of postpartum urinary retention in a tertiary hospital in Ibadan, Nigeria

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