Recommendations and future research initiative to optimize bladder management in pregnancy and childbirth International Consultation on Incontinence ‐ Research society 2018

Rantell, Angie; Veit‐Rubin, Nikolaus; Giarenis, Ilias; Khullar, Vikram; Abrams, Paul; Cardozo, Linda

doi:10.1002/nau.24053

Cited by 10 publications

(10 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Should the patient not pass urine within 6 hours, the bladder volume must be assessed and catheterisation considered. 42 Postpartum urinary retention (PUR) is a common condition after childbirth, with a prevalence ranging from 14.6-24.1% depending on the type of delivery. 43 There is a distinction between overt and covert PUR:…”

Section: Voiding Difficulties Detrusor Underactivity Increased Freque...mentioning

confidence: 99%

“…For other women, it is important to assess the fluid balance, ensure appropriate fluid intake and encourage the woman to void every 3 hours. Should the patient not pass urine within 6 hours, the bladder volume must be assessed and catheterisation considered 42 …”

Section: Urinary Retention During Pregnancymentioning

confidence: 99%

“…During labour, inefficient bladder emptying can result in urinary retention and distension of the bladder. This can cause detrusor muscle damage and hydronephrosis 42 . Long term consequences include: 42 Voiding difficulties Detrusor underactivity Increased frequency Nocturia …”

Section: Urinary Retention During Pregnancymentioning

confidence: 99%

“…This can cause detrusor muscle damage and hydronephrosis 42 . Long term consequences include: 42 Voiding difficulties Detrusor underactivity Increased frequency Nocturia …”

Section: Urinary Retention During Pregnancymentioning

confidence: 99%

See 3 more Smart Citations

The management of urogynaecological problems in pregnancy and the postpartum period

Karim

Araklitis

Robinson

et al. 2022

The Obstetric & Gynaecologis

Self Cite

View full text Add to dashboard Cite

Stress urinary incontinence is common in pregnancy and its severity can be reduced with pelvic floor muscle training. Overactive bladder syndrome prevalence increases with gestation and treatment can be conservative or medical. Pelvic organ prolapse is multifactorial. Pelvic floor exercises and pessaries are important treatments and previous surgical management can affect the mode of delivery. Recurrent urinary tract infections can be treated with antibiotic prophylaxis or with non-antibiotic prophylaxis such as methanamine hippurate, D-Mannose and hygiene behaviour. Urinary retention can occur at any point during pregnancy, causing bladder distension, voiding dysfunction and subsequent lifelong catheterisation. Learning objectivesTo be aware of the pathophysiology and management of different types of urinary tract dysfunction in pregnancy and the postpartum period. To understand the potential causes and management of pelvic organ prolapse in pregnancy and the postpartum period. To understand the different potential management options in recurrent lower urinary tract infections.

show abstract

Section: Voiding Difficulties Detrusor Underactivity Increased Freque...mentioning

confidence: 99%

Section: Urinary Retention During Pregnancymentioning

confidence: 99%

Section: Urinary Retention During Pregnancymentioning

confidence: 99%

“…This can cause detrusor muscle damage and hydronephrosis 42 . Long term consequences include: 42 Voiding difficulties Detrusor underactivity Increased frequency Nocturia …”

Section: Urinary Retention During Pregnancymentioning

confidence: 99%

See 2 more Smart Citations

The management of urogynaecological problems in pregnancy and the postpartum period

Karim

Araklitis

Robinson

et al. 2022

The Obstetric & Gynaecologis

Self Cite

View full text Add to dashboard Cite

show abstract

“…These effects could be reduced by timely management [ 9 ]. Recommendations by the Research Society of the International Consultation on Incontinence regarding the postpartum period are to first determine whether there is a need to assess for covert PUR and to determine long-term consequences of PUR [ 10 ]. We hypothesized that increased PVRVs might have an impact on the incidence of urinary tract infections and urinary incontinence.…”

Section: Introductionmentioning

confidence: 99%

Covert postpartum urinary retention: causes and consequences (PAREZ study)

et al. 2022

View full text Add to dashboard Cite

Introduction and hypothesis Increased post-voiding residual volume (PVRV), known as covert postpartum urinary retention (PUR), is an asymptomatic condition with unknown long-term adverse effects. The objectives were to determine the frequency of this phenomenon 3 days after delivery and to examine the associated risk factors and consequences of the increased residuum on women´s health 6 weeks postpartum. Methods We carried out a prospective observational study including a total of 926 primiparous women, giving birth to singletons. All participants underwent ultrasound determination of PVRV on day 3 postpartum. Then, risk factors were determined using logistic regression analysis. After 6 weeks, participants were invited to return for PVRV determination and to complete urogynecological and general health questionnaires. Using these data, the consequences of increased PVRV were determined. Results A total of n =90 women were diagnosed with abnormal PVRV. Mean age in the studied population was 30.4 years, BMI prior to delivery 27.8, weight of the newborn 3,420 g, and percentage of cesarean sections 15.9%. Gestational week ( p =0.043), vaginal tear ( p =0.032), and induction of labor ( p =0.003) were risk factors for covert PUR. Puerperal incidence of urinary tract infection was 1.1% (6 out of 526) and of urinary incontinence 29.2% (155 out of 530), with no differences between the groups. In the second examination, covert PUR was no longer present, and the values of residual urine decreased for all patients in the case group. No statistically significant differences were observed in questionnaire scores in general health and wellbeing perceptions between the groups. Conclusions We have found a few significant obstetrical–pediatric risk factors for abnormal PVRVs. Data from the follow-up suggest that covert PUR has no impact on morbidity and quality of life 6 weeks postpartum. Therefore, abnormal PVRV is a self-limited phenomenon with a tendency toward self-correction. Our findings support those of previous studies that advocate against screening for asymptomatic retention in the postpartum period, despite some similar previous recommendations.

show abstract

Development and validation of a predictive model for urinary incontinence postpartum: a prospective longitudinal study

Wang

Jin

et al. 2022

Int Urogynecol J

View full text Add to dashboard Cite

Recommendations and future research initiative to optimize bladder management in pregnancy and childbirth International Consultation on Incontinence ‐ Research society 2018

Cited by 10 publications

References 53 publications

The management of urogynaecological problems in pregnancy and the postpartum period

The management of urogynaecological problems in pregnancy and the postpartum period

Covert postpartum urinary retention: causes and consequences (PAREZ study)

Development and validation of a predictive model for urinary incontinence postpartum: a prospective longitudinal study

Contact Info

Product

Resources

About