The effect of epidural analgesia on postpartum urinary retention in women who deliver vaginally

Cc, Liang; Sy, Wong; Pt, Tsay; Sd, Chang; Lh, Tseng; Mf, Wang; Yk, Soong

doi:10.1054/ijoa.2002.0951

Cited by 34 publications

(21 citation statements)

References 19 publications

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“…Instrumental delivery is associated with a higher incidence of PUR, especially overt retention [4,7] In the present study, women who had an instrumental delivery were more prone to developing PUR (15.8%) than were women who had a normal vaginal delivery (9.7%; P = 0.03).…”

Section: Discussionmentioning

confidence: 45%

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Postpartum urinary retention after vaginal delivery

Kekre

Vijayanand

Dasgupta

et al. 2010

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 45%

“…Physiologic changes during pregnancy, use of regional analgesia, instrumental delivery, perineal trauma, nulliparity, and prolonged labor have been postulated as the causes of PUR [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Postpartum urinary retention after vaginal delivery

Kekre

Vijayanand

Dasgupta

et al. 2010

Intl J Gynecology & Obste

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“…While seven risk indicators for PUR were identified. Prolonged labour, instrument-assisted delivery, epidural or regional anaesthesia and perineal lacerations has shown to be independent risk factors for PUR (Carley et al, 2002;Liang et al, 2002;Musselwhite et al, 2007;Oh et al, 2015). Oxytocin infusion and perineal tears were independent risk indicators in this study.…”

Section: Discussionsupporting

confidence: 47%

Systematic bladder scanning identifies more women with postpartum urinary retention than diagnosis by clinical signs and symptoms

Blomstrand¹,

Boij²,

Christensson³

et al. 2015

Int. J. Nurs. Midwifery

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This study aims to determine if systematic use of bladder scan accurately identifies more women with postpartum urinary retention compared with diagnosis using clinical signs and symptoms, alone. A prospective, quasi experimental study was performed at the Department of Obstetrics and Gynecology, County Hospital Ryhov, Jönköping, Sweden. A total of 252 women participated in this study; they were women who gave birth between the period of March and April, 2011. One hundred and twenty-six women were included in an experimental group, they received ultrasound scanning of post-void residual bladder volume for identification of urinary retention; patients were catheterized if post-void residual bladder volume was ≥400 ml. A control group of 126 women, matched by parity and age, were also included. The latter group were catheterized on clinical signs or symptoms of urinary retention. Twenty-one women in the experimental group were identified as having post-void residual bladder volume ≥400 ml compared to 9 in the control group, verified by catheterization (p < 0.05). Eleven women in the experimental group had covert urinary retention with a post-void residual bladder volume of 400 to 1200 ml. No woman who gave birth by caesarean section was identified with postpartum urinary retention. Univariable logistic regression analyses identified seven risk indicators of postpartum urinary retention: first pregnancy, delivery with use of ventouse, oxytocin infusion, epidural analgesia, second stage of >120 min, active pushing >30 min and perineal tear. Oxytocin infusion and perineal tear were independent risk indicators in a multivariable regression analysis. Systematic bladder scanning identifies more women with postpartum urinary retention in women with vaginal delivery than diagnosis by clinical signs and symptoms, alone. Oxytocin infusion and perineal tear are independent risk indicators for urinary retention in new delivered women.

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“…We also found that the PPUR incidence was higher in women who had perineal lacerations and episiotomy than in women who had none. Although, episiotomy, birth canal injury, and severe perineal lacerations were reported as being related to increased risk of urinary retention in some studies (10,17), in a recent cross-sectional study, these factors were not found to be effective in developing PPUR (16). However, we think that the pain caused by the repair of episiotomy or lacerations might result in reflex urethral spasm, and PPUR occurs subsequently.…”

Section: Discussionmentioning

confidence: 73%

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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The effect of epidural analgesia on postpartum urinary retention in women who deliver vaginally

Cited by 34 publications

References 19 publications

Postpartum urinary retention after vaginal delivery

Postpartum urinary retention after vaginal delivery

Systematic bladder scanning identifies more women with postpartum urinary retention than diagnosis by clinical signs and symptoms

Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study

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