Urinary Retention in Pregnancy and Puerperium: Acupuncture Treatment

Sudhakaran, Poovadan

doi:10.1089/acu.2019.1363

Cited by 8 publications

(6 citation statements)

References 31 publications

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“…The focus is on all the symptoms that promote postoperative recovery, and no special attention has been paid to postoperative urinary retention. Two studies [ 48 , 49 ] reported a systematic review and meta-analysis of acupuncture interventions in the treatment of postpartum urinary retention. The causes of postpartum urinary retention are mostly related to the suppression of urination reflex caused by anesthetics, and reflex spasm of the bladder and posterior urethral sphincter caused by wound pain.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of acupuncture for urinary retention after hysterectomy

et al. 2021

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Objective: The aim of this study was to evaluate the efficacy and safety of acupuncture in the treatment of urinary retention after hysterectomy in women. Methods: This research searched for 6 database documents, and the deadline is July 23, 2020. This study included a randomized controlled trial of women with urinary retention after hysterectomy. These randomized controlled trials compare acupuncture with bladder function training or other nonacupuncture treatments, and measure urodynamics, effectiveness (BR), and urinary tract infection rates (UIR). Four independent reviewers participated in data extraction and evaluation. Assess the risk of bias in each article, and conduct a meta-analysis according to the type of acupuncture. The result is expressed as a mean difference (MD) or relative risk (RR) with a 95% confidence interval (CI). Results: The meta-analysis contains 12 studies. Most studies indicate low risk or unknown risk, but the GRADE scores of the combined results show low or moderate levels. After the combined analysis, we found that acupuncture versus bladder function exercise and other nonacupuncture therapies can significantly improve the values of post voided residual urine (PVR) (MD = −25.29; 95% CI [−30.45 to −20.73]), maximal cystometric capacity (MD = 39.54; 95% CI [10.30–68.78]), bladder capacity for first voiding desire (MD = −61.98; 95% CI [−90.69 to −33.26]) and maximal flow rate (MFR) (MD = 7.58; 95% CI [5.19–9.97]). And compared with the control group, acupuncture still has advantages in BR (RR = 1.36; 95% CI [1.18–1.56]) and UIR (RR = 0.22; 95% CI [0.08–0.82]). These heterogeneities have been resolved through subgroup analysis, and their main sources are related to different intervention times, the time to start the intervention, and different PVR requirements. Conclusions: There is insufficient evidence that acupuncture can increase the patient's MFR, BR, and UIR. However, acupuncture can effectively improve the PVR, maximal cystometric capacity, and bladder capacity for first voiding desire values of patients with urinary retention after hysterectomy. Although limited due to the quality and methodological limitations of the included studies, acupuncture can still be used as an effective and safe treatment for women with urinary retention after hysterectomy. Registration: The research has been registered and approved on the PROSPERO website. The registration number is CRD42019119238.

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Section: Discussionmentioning

confidence: 99%

Efficacy and safety of acupuncture for urinary retention after hysterectomy

et al. 2021

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“…(5) Degree III laceration above the perineal fissure; (6) Neonatal transfer after birth; (7) The investigator can terminate the subject from continuing the clinical trial at any stage, if the investigator deems that the risks of continuing the clinical trial outweigh the benefits;…”

Section: Subject Drop-out and Discontinuationmentioning

confidence: 99%

“…Traditional Chinese medicine, with its unique theory system and long-term clinical practice, has significant potential for early puerperium rehabilitation. Acupuncture and electroacupuncture have been shown to have positive significant effects in facilitating the first urination following vaginal delivery [7,8]. Hot compress, as a nonpharmacologic and noninvasive intervention, can effectively avoid the potential side effects of medications [9,10].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of acupoint hot compress on early puerperal rehabilitation of parturients after natural childbirth: study protocol for a prospective, multi-center, randomized controlled clinical trial

Zhu¹,

Zhang²,

Liu³

et al. 2021

Clinical and Experimental Obstetrics & Gynecology

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Background: Early puerperal rehabilitation can interfere with a woman's ability to care for herself and her infant. Acupoint hot compress, with a combination of acupoints and natural physical agent heat, has significant potential to alleviate symptoms experienced during early puerperium. Current evidence regarding the effects of acupoint hot compress therapy on early puerperal rehabilitation is insufficient. The aim of this study is to address this with a multicenter design and large sample size. Methods: This is a prospective, multi-center, and randomized controlled clinical trial. A total of 1400 nulliparous women with a singleton pregnancy experiencing natural childbirth from 14 hospitals will be enrolled and randomly allocated to either an intervention group or a control group in a 1:1 ratio. Subjects in the control group will only receive routine postpartum care. In addition to routine postpartum care, the subjects in the intervention group will be administered a 4-hour acupoint hot compress with a constant temperature of 45 ± 2 • C respectively within 30 minutes after delivery, 24 hours and 48 hours after delivery. The primary outcome will be the time elapsed from delivery to the first urination. The secondary outcomes will be postpartum uterine contraction pain intensity, the Edinburgh Postnatal Depression Scale for screening postpartum depression and the assessment of lactation including recording the lactation initiation time, postpartum diet, appetite, weight, neonatal weight. Discussion: These results will provide evidence for obstetricians and parturients on considering nonpharmacologic and noninvasive intervention in early puerperal rehabilitation.

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“…A distended bladder can also affect uterine contraction, increase the risk of postpartum hemorrhage, and cause maternal death. [4][5][6] Prolonged urethral catheterization or repeated catheterization within a short period can also increase the risk of urinary tract infection. [7,8] With the deepening of the traditional Chinese medicine (TCM) concept of "prevention of disease before it occurs," noninvasive TCM external treatment has shifted from treatment to prevention of PUR.…”

Section: Introductionmentioning

confidence: 99%

Noninvasive external therapy of traditional Chinese medicine for preventing postpartum urinary retention in women with vaginal delivery: A network meta-analysis

Chen,

Luo,

Jiang

et al. 2023

Medicine

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Background: To compare the effect of different noninvasive external therapies of traditional Chinese medicine (TCM) on the prevention of postpartum urinary retention (PUR) using a network meta-analysis (NMA). Methods: A search of the China National Knowledge Infrastructure, WanFangDate, VIP, China Biomedical Literature Database, PubMed, The Cochrane Library, Embase, and Web of Science databases were reviewed for related randomized controlled trials dated between database inception and December 31, 2022, on the prevention of PUR by noninvasive TCM. Two researchers independently screened the literature, extracted the data, and assessed the risk of bias in the included studies; then, a NMA was performed using Revman5.3 software, State13.1 software, and frequency methodology. Results: In total, 16 studies involving 3637 cases of parturients and 9 types of noninvasive TCM external treatments were incorporated into the NMA. The NMA results show that based on routine nursing, in terms of reducing the incidence of urinary retention, acupoint compressing combined with auricular acupressure is ranked first, followed by acupoint hot compress, acupoint massage combined with auricular acupressure, Yin-Yang therapy, acupoint massage, auricular acupressure, acupoint compressing, and routine nursing. In terms of urination time, acupoint compressing combined with auricular acupressure ranked first, followed by acupoint massage combined with auricular acupressure, acupoint electrical stimulation, acupoint compressing, TCM heating therapy, acupoint massage, auricular acupressure, and routine nursing. In terms of reducing residual urine volume after the first urination, acupoint compressing combined with auricular acupressure was ranked first, followed by auricular acupressure, acupoint compressing, acupoint massage, TCM heating therapy, and routine nursing. Conclusion: Current evidence shows that acupoint compressing combined with auricular acupressure may be the best noninvasive TCM treatment for preventing PUR based on routine nursing; however, further high-quality clinical randomized controlled trials are needed for validation and support.

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Urinary Retention in Pregnancy and Puerperium: Acupuncture Treatment

Cited by 8 publications

References 31 publications

Efficacy and safety of acupuncture for urinary retention after hysterectomy

Efficacy and safety of acupuncture for urinary retention after hysterectomy

Effectiveness of acupoint hot compress on early puerperal rehabilitation of parturients after natural childbirth: study protocol for a prospective, multi-center, randomized controlled clinical trial

Noninvasive external therapy of traditional Chinese medicine for preventing postpartum urinary retention in women with vaginal delivery: A network meta-analysis

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