Postpartum urinary retention

Yip, Shing‐Kai; Sahota, Daljit Singh; Pang, Man-Wah; Chang, Allan

doi:10.1080/j.0001-6349.2004.00460.x

Cited by 29 publications

(40 citation statements)

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“…In the present study, however, parity was not a risk factor for PPUR. A high incidence of PPUR was reported in patients with regional anesthesia (12, 13) and instrument-assisted vaginal delivery (14). But, in our study, there were no women who had regional analgesia or instrumental delivery.…”

Section: Discussioncontrasting

confidence: 50%

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: 50%

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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“…Traditionally, urinary catheterization is commonly used during CS to improve exposure of the lower uterine segment at the time of surgery as well as to prevent urinary bladder injury and avoid postoperative urinary retention (12,13). However, catheterization has been shown as a main cause of urinary tract infections, greater postoperative discomfort, and pain (14,15). It is possible to assume that the pain perception due to urinary catheterization may result in urinary retention by developing reflex urethral spasms.…”

Section: Discussionmentioning

confidence: 99%

An investigation of potential risk factors for postoperative urinary retention following cesarean section

2015

J Turgut Ozal Med Cent

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Objectives: To investigate the risk factors for postoperative urinary retention following cesarean section. Materials and Method: 135 female patients in Ankara Zekai Tahir Burak Woman's Health, Training and Research Hospital who underwent cesarean section were included in the study. Women who had postvoidal residual bladder with a volume of ≥150 ml measured by ultrasonography were the main group of patients. Women with postvoidal residual bladder with a volume of <150 ml were the control group patients. Demographic data such as age, parity, body mass index weight gain during pregnancy as well as obstetrical characteristics including gestational age and indications of cesarean section, number of cesarean section, anesthesia type, estimated blood loss during cesarean section, birth weight of newborn, presence of labor induction with intravenous oxytocin infusion before cesarean section were all among the data we collected throughout our research. At the end, a logistic regression model was performed to analyze the possible risk factors for postoperative urinary retention following cesarean section. Results: We detected postoperative urenary retention in 21 (%15.6) patients. There were statistically significant relationships between the potential risks of postoperative urinary retention and the gain weight in the logistic regression model (Odds Ratio=20.8; 95; Confidence Interval=1.8-245.9; p=0.016), birth weight (>4000 gr) (Odds Ratio=0.1, 95%; Confidence Interval=0.0-0.5; p=0.002), birth induction before the cesarean section (Odds Ratio=0.2, 95%; Confidence Interval =0.0-0.8; p=0.027), and the presence of pain in the first urination after removing the urinary catheter (Odds Ratio=92.9, 95%; Confidence Interval =6.6-1299.0; p=0.001). Conclusion: Postcesarean urinary retention risk increases if there is increased weight gain during pregnancy, macrosomic newborn delivery, cesarean section subsequent to labor induction, and high pain perception during the first urination after cesarean section. Key Words: Urinary Retention; Cesarean Section; Risk Factors. Sezaryeni Takiben Gelişen Postoperatif İdrar Retansiyonu İçin Potansiyel Risk Faktörlerinin AraştırılmasıÖzet Amaç: Sezaryeni takiben gelişen postoperatif idrar retansiyonunun potansiyel risk faktörlerini araştırmak bu çalışmanın amacıdır. Gereç ve Yöntem: Ankara Dr Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesinde Ocak 2014 ve Mayıs 2014 tarihleri arasında sezaryene alınan 135 hasta çalışmaya dahil edildi. Ultrasonografi ile işeme sonrası mesane hacmi ≥150 ml olan kadınlar çalışma grubu olarak olarak tanımlandı. İşeme sonrası mesane hacmi < 150 ml olan kadınlar ise kontrol grubunu oluşturdu. Bütün kadınlar yaş,parite,vücut kütle indeksi gibi demografik bilgileri ile gebelikte kilo alımı,gestasyonel yaş,sezaryen endikasyonu,sezaryen sayısı,anestezi tipi,sezaryen sırasında tahmini kan kaybı,yenidoğanın kilosu,sezaryen öncesi doğum indüksiyonunun varlığı açısından değerlendirildi. Lojistik regresyon modeli sezaryeni takiben gelişen postoperatif ...

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“…Bu yüzden yapı-lan literatür incelemesinde PİR görülme sıklığı % 0.45 ile %41 arasında oldukça geniş bir aralıkta değişebilmektedir (11). Sezaryen sonrası PİR oranı %3.2 ile %24.1 arasında (2, 12, 13) iken Yip ve arkadaşlarının sınıflandırmasına göre belirgin tip PİR % 0.2 ile %4.9 (5,8,14) gizli tip PİR %1.5 ile %45 arasında görülebil-mektedir (3, 15).…”

Section: Siklikunclassified

“…Bu basit noninvaziv yöntemler ile lohusaların yaklaşık yarısında spontanmiksiyon meydana gelebilmektedir (7,11). Emzirme nedeni ile hiçbir ilaç tedavisi için sistematik bir çalışma yapılamamış olup yapılan kısmi çalışmalardan da net sonuç elde edilememiştir (11).…”

Section: Taniunclassified

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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Postpartum urinary retention

Cited by 29 publications

References 0 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

An investigation of potential risk factors for postoperative urinary retention following cesarean section

Postpartum İdrar Retansi̇yonu (Postpartum Urinary Retention)

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