Postpartum Urinary Retention: Assessment of Contributing Factors and Long-Term Clinical Impact

Liang, Chen; Chang, Shuenn‐Dyh; Tseng, Ling-Hong; Ching-Chang, Hsieh; Chao-Lun, Chung; Cheng, Po‐Jen

doi:10.1097/00006254-200305000-00008

Cited by 16 publications

(45 citation statements)

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“…Estimated incidences range from 0.05% to 37.0% 1–14 . This large range can be accounted for by the various definitions used to define PPUR in the different studies 15 .…”

Section: Incidencementioning

confidence: 99%

“…Similarly, figures varied widely depending on whether studies focussed on overt urinary retention (0.2%–4.9%), 2,5,10 covert voiding dysfunction (9.7%–37.0%), 10,14 persistent urinary retention (0.05%–0.07%) 7,12 or various combinations of the above.…”

Section: Incidencementioning

confidence: 99%

“…Up to 50% of maternal patients diagnosed with PPUR were subsequently able to void after implementing these simple measures 7,8,11,15 …”

Section: Measures To Aid Voidingmentioning

confidence: 99%

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Post‐partum voiding dysfunction and urinary retention

Lim

2010

Aust NZ J Obst Gynaeco

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Voiding difficulty and urinary retention is a common phenomenon in the immediate post-partum period. The importance of prompt diagnosis and appropriate management of this condition cannot be over-emphasised as it is the key to ensuring a rapid return to normal bladder function. Despite this, studies revealed a low level of awareness of this problem amongst obstetric units, and there is little information regarding this condition in the published literature. This article aims at reviewing the available literature and providing an informative guide as to the associated risk factors, pathogenesis, clinical presentation and management of this largely overlooked condition.

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“…Estimated incidences range from 0.05% to 37.0% 1–14 . This large range can be accounted for by the various definitions used to define PPUR in the different studies 15 .…”

Section: Incidencementioning

confidence: 99%

Section: Incidencementioning

confidence: 99%

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Post‐partum voiding dysfunction and urinary retention

Lim

2010

Aust NZ J Obst Gynaeco

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“…A prospective observational study of 2866 women by Ching‐Chung et al 2 . identified 114 women (4%) with retention of urine following vaginal delivery.…”

Section: Risk Factors For Puerperal Voiding Dysfunctionmentioning

confidence: 99%

“…Postpartum voiding dysfunction—if defined as failure to pass urine spontaneously within 6 hours of vaginal delivery or catheter removal after delivery—occurs in 0.7–4% of deliveries 1,2 . The postpartum bladder has a tendency to be underactive and is, therefore, vulnerable to the retention of urine following trauma to the bladder, pelvic floor muscles and nerves during delivery.…”

Section: Introductionmentioning

confidence: 99%

Postpartum voiding dysfunction

Kearney¹,

Cutner

2008

The Obstetric & Gynaecologis

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Key content:• The postpartum bladder is vulnerable to urinary retention; if undetected, this can lead to bladder underactivity, recurrent urinary tract infection and incontinence.• The aim of intrapartum bladder care is to prevent bladder overdistension.• Following delivery or catheter removal, no woman should be allowed to go longer than 6 hours without voiding.• All units should have a guideline for bladder care and the management of postpartum voiding dysfunction. Learning objectives:• To be aware of the risk factors for the development of postpartum voiding dysfunction and the symptoms indicating voiding problems.• To learn about the management of postpartum voiding dysfunction. Ethical issues:• Is it acceptable to catheterise a woman to estimate the volume of residual urine when this can be estimated by ultrasound scanning of the bladder?Keywords intermittent self catheterisation / postpartum urinary retention / postvoid residual urine volume

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