Postpartum urinary retention: an expert review

Nutaitis, Alexandra C.; Meckes, Nicole; Madsen, Annetta M.; Toal, C.; Menhaji, Kimia; Carter-Brooks, Charelle M.; Propst, Katie; Hickman, Lisa C.

doi:10.1016/j.ajog.2022.07.060

Cited by 14 publications

(22 citation statements)

References 38 publications

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“…Vaginal delivery and urinary retention are among the causes associate with spontaneous bladder rupture (1). Postpartum urinary retention is a relatively common condition that, if left untreated, may give rise to bladder rupture in rare events (2). Herein, we report a case of a spontaneous bladder perforation presenting with acute abdomen and pseudorenal failure and then discuss its pathophysiology, presentations, and management based on a review of the most recent literature.…”

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confidence: 95%

A rare cause of acute abdomen: Spontaneous bladder rupture following normal vaginal delivery

Olamaeian

Tayebi

Ghahari

et al. 2023

Preprint

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Section: Introductionmentioning

confidence: 95%

A rare cause of acute abdomen: Spontaneous bladder rupture following normal vaginal delivery

Olamaeian

Tayebi

Ghahari

et al. 2023

Preprint

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“…Postpartum urinary retention (PUR) is underrecognized and understudied, leading to confusion for both patients and nurses. Researchers do not agree on its incidence, with estimates ranging from 0.18% to 47% of postpartum women, in part due to differences the diagnostic criteria used (Li et al, 2020; Mohr et al, 2022; Nutaitis et al, 2023). The wide range of incidence estimates reflects the need for more research.…”

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confidence: 99%

“…A PVR of greater than 150 mL may indicate covert PUR (Nutaitis et al, 2023). Other protocols suggest that a PVR of less than 1/3 of the volume voided indicates sufficient voiding (Nutaitis et al, 2023). All protocols with PVR measurements are dependent on nurses' timely and accurate use of bladder scanners to correctly determine PVR.…”

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confidence: 99%

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Postpartum Urinary Retention

Bernstein

2023

McN: The American Journal of Maternal/Child Nursing

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H T TOPICS INshould be considered when balancing nursing assignments. Ideally, development of protocols for treatment will include a multidisciplinary team including staff nurses, midwives, and physicians to accurately balance patient needs with nursing workload. Protocols should be revised and improved as further research on PUR is published. This is an area of intrapartum and postpartum nursing care that nurses could take the lead on to contribute to the minimal existing evidence for incidence, treatment, and sequelae. ✜

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“…Our institution interprets deviation from these parameters as an indication of postpartum urinary retention. 2 As a result, accurate measurements of bladder volume are…”

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confidence: 99%

Accuracy of Bladder Scanner in Measuring Bladder Volumes in Postpartum Women

Zheng,

Geynisman-Tan,

Knoll

et al. 2023

UROGC

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Importance Ultrasound bladder scanners may provide a less invasive method to measure postpartum urinary volume, but their accuracy must be validated. Objective The objective of this study was to evaluate the accuracy of a bladder scanner in measuring bladder volumes in postpartum women. The secondary objective was to evaluate the effect of obesity on scanner accuracy. Study Design This prospective cohort study included women older than 18 years who gave birth vaginally at term gestation. After delivery, we obtained 3 sequential measurements of the bladder volume using an ultrasound bladder scanner. We then measured true bladder volume by transurethral catheterization. The primary outcome was the absolute difference between the bladder scanner volume and the catheterized volume. A Wilcoxon signed-rank test was used to compare absolute median difference between the bladder scan volume and true catheter volume. Repeated-measures analysis of variance and linear regression were used to evaluate the effect of obesity on the accuracy of the bladder scanner. Results We enrolled 70 patients (61.4% nulliparous, 38.6% multiparous). One delivery was vacuum-assisted, 4 were forceps-assisted, and 65 were spontaneous vaginal. The median age was 34 years, and median body mass index was 30.5. Median difference between bladder scanner and catheter volume was 42.7 mL (P < 0.001), with the scanner underestimating true volume 82.9% of the time. The scanner was less accurate in patients with a body mass index ≥ 30 (P = 0.001). Conclusions The bladder scanner is less accurate than catheterized urine volume. However, the median difference between the bladder scanner and the catheterized volume is 42.7 mL, making it suitable for clinical use. Accuracy deteriorates in obese patients.

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Postpartum urinary retention: an expert review

Cited by 14 publications

References 38 publications

A rare cause of acute abdomen: Spontaneous bladder rupture following normal vaginal delivery

A rare cause of acute abdomen: Spontaneous bladder rupture following normal vaginal delivery

Postpartum Urinary Retention

Accuracy of Bladder Scanner in Measuring Bladder Volumes in Postpartum Women

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