Postpartum urinary retention: Evaluation of risk factors

Abstract

Objective:Postpartum urinary retention means the absence of spontaneous micturition more than 6 hours after birth or when residual volume after urination is less than 150 cc. If neglected, postpartum urinary retention may result in bladder denervation and detrusor muscle weakness requiring intermittent catheterization or permanent micturition dysfunction. Our goal was to identify the possible risk factors for postpartum urinary retention.Materials and Methods:Five hundred sixty female subjects were included in this retrospective study. All data obtained including variables such as age, parity, body mass index, duration of labor, prepartum bladder catheterization were compared between female subjects with and without postpartum urinary retention.Results:Among the 560 patients recruited to our study, 124 (22.1%) had postpartum urinary retention. Third stage duration, time from birth to the first void, and number of peripartum micturitions were found to be potential risk factors for postpartum urinary retention. Different than other studies, our study revealed a correlation between peripartum catheterization and postpartum urinary retention. There were no statistically significant differences between patients with and without postpartum urinary retention in terms of other variables.Conclusion:In this study, a correlation between peripartum catheterization and postpartum urinary retention was found. There are studies that reported the possible risk factors related to the occurrence of postpartum urinary retention. More studies should be conducted to investigate long-term results with larger populations.

Postpartum urinary retention in women undergoing instrumental delivery: A cross‐sectional analytical study

“…In nulliparous women, who have a less distensible perineum compared with multiparous women, longer duration of the second stage and the pressure exerted by the fetus on the pelvis may cause more stretching, leading to injury to perineal musculature and neuropraxia and hence an increased risk of PUR. 2,10 Perineal trauma, local edema and pain secondary to episiotomy can also lead to PUR by causing a reflex urethral spasm. 10 The episiotomy is more likely to be given in a nulliparous woman, so those nulliparous women who receive episiotomy during the instrumental delivery may be at increased risk of PUR.…”

“…2,10 Perineal trauma, local edema and pain secondary to episiotomy can also lead to PUR by causing a reflex urethral spasm. 10 The episiotomy is more likely to be given in a nulliparous woman, so those nulliparous women who receive episiotomy during the instrumental delivery may be at increased risk of PUR. The objective of this study was to calculate the incidence of PUR in women undergoing instrumental delivery and to identify the risk factors associated with it.…”

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

“…10 The incidence of postpartum urinary retention was varies depends upon country to country ranging from 0.05% to 51.7% of all deliveries. 11 After vaginal delivery postpartum urinary retention was considered a minor complication. 12 Multiple etiological factors of PUR.…”

“…Some complications like bladder dysfunction and urinary tract infection can be developed if late diagnosis of PUR. 8,9 Thus, we aimed to assess the frequency & risk factors that can predict the occurrence of PPUR in women who delivered vaginally.…”

Round up

“…Pudendal nerve neuropraxia during vaginal delivery has been also speculated to play a part. [ 7 ] In a large retrospective study, Perú Biurrun et al . studied 1894 vaginal deliveries.…”