Urinary retention in the post‐partum period: The relationship between obstetric factors and the post‐partum post‐void residual bladder volume

Yip, Shing‐Kai; Brieger, Geoffrey; Hin, Lin-Yee; Chung, Tony K.H.

doi:10.3109/00016349709024608

Cited by 134 publications

(224 citation statements)

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“…In a study by Yip et al [7], the duration of the 1st and 2nd stages of labor have been found to be associated with postpartum urinary retention, apart from the aforementioned obstetric risk factors. Yet, the relationship between the duration of labor and the postpartum postvoid residual bladder volume (PVRBV) remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Effect of the Duration of Labor on Postpartum Postvoid Residual Bladder Volume

Yip

Hin²,

Chung³

1998

Gynecol Obstet Invest

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In order to investigate the possibility of protracted labor as a risk factor for postpartum urinary retention and to study the relation between duration of labor and postpartum day 1 postvoid residual bladder volume, the postpartum postvoid residual bladder volume (PVRBV) of a group of patients was studied using ultrasonography. Out of 707 patients investigated during a 2-month study period, a homogeneous group of 164 patients, with possible risk factors for postpartum urinary retention being controlled, was studied. The homogeneous group’s postpartum day 1 postvoid residual bladder volumes were assessed by ultrasonography and analyzed with respect to the duration of labor. The incidence of postpartum urinary retention (≥150 ml) was 11% in this homogeneous group. Labor duration longer than or equal to 800 min was associated with a higher incidence of postpartum urinary retention (χ² test; p < 0.05). Moreover, there is a direct relationship between the duration of labor and PVRBV which is described by a quadratic regression curve. Protracted labor longer than or equal to 800 min is a risk factor for postpartum urinary retention. The PVRBV is directly related to the duration of labor.

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Section: Introductionmentioning

confidence: 99%

Effect of the Duration of Labor on Postpartum Postvoid Residual Bladder Volume

Yip

Hin²,

Chung³

1998

Gynecol Obstet Invest

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“…It has been variably defined as the abrupt onset of aching or acheless inability to completely micturate, requiring urinary catheterization, over 12 h after giving birth (1) or not to void spontaneously within 6 h of vaginal delivery (2)(3)(4). In 2001, Calgary Health Region's Policy and Procedures outlined acute urinary retention as the catheterization of the bladder within the first 24 h postpartum for not voiding within 6 h postpartum, to micturate often in small amounts, or to have an urge to micturate but can not or to be catheterized for any reason for an amount of 500 mL output within the first 24 h postpartum (5).…”

Section: Introductionmentioning

confidence: 99%

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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“…Traditionally, urinary catheterization is commonly used during CS to improve exposure of the lower uterine segment at the time of surgery as well as to prevent urinary bladder injury and avoid postoperative urinary retention (12,13). However, catheterization has been shown as a main cause of urinary tract infections, greater postoperative discomfort, and pain (14,15). It is possible to assume that the pain perception due to urinary catheterization may result in urinary retention by developing reflex urethral spasms.…”

Section: Discussionmentioning

confidence: 99%

An investigation of potential risk factors for postoperative urinary retention following cesarean section

2015

J Turgut Ozal Med Cent

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Objectives: To investigate the risk factors for postoperative urinary retention following cesarean section. Materials and Method: 135 female patients in Ankara Zekai Tahir Burak Woman's Health, Training and Research Hospital who underwent cesarean section were included in the study. Women who had postvoidal residual bladder with a volume of ≥150 ml measured by ultrasonography were the main group of patients. Women with postvoidal residual bladder with a volume of <150 ml were the control group patients. Demographic data such as age, parity, body mass index weight gain during pregnancy as well as obstetrical characteristics including gestational age and indications of cesarean section, number of cesarean section, anesthesia type, estimated blood loss during cesarean section, birth weight of newborn, presence of labor induction with intravenous oxytocin infusion before cesarean section were all among the data we collected throughout our research. At the end, a logistic regression model was performed to analyze the possible risk factors for postoperative urinary retention following cesarean section. Results: We detected postoperative urenary retention in 21 (%15.6) patients. There were statistically significant relationships between the potential risks of postoperative urinary retention and the gain weight in the logistic regression model (Odds Ratio=20.8; 95; Confidence Interval=1.8-245.9; p=0.016), birth weight (>4000 gr) (Odds Ratio=0.1, 95%; Confidence Interval=0.0-0.5; p=0.002), birth induction before the cesarean section (Odds Ratio=0.2, 95%; Confidence Interval =0.0-0.8; p=0.027), and the presence of pain in the first urination after removing the urinary catheter (Odds Ratio=92.9, 95%; Confidence Interval =6.6-1299.0; p=0.001). Conclusion: Postcesarean urinary retention risk increases if there is increased weight gain during pregnancy, macrosomic newborn delivery, cesarean section subsequent to labor induction, and high pain perception during the first urination after cesarean section. Key Words: Urinary Retention; Cesarean Section; Risk Factors. Sezaryeni Takiben Gelişen Postoperatif İdrar Retansiyonu İçin Potansiyel Risk Faktörlerinin AraştırılmasıÖzet Amaç: Sezaryeni takiben gelişen postoperatif idrar retansiyonunun potansiyel risk faktörlerini araştırmak bu çalışmanın amacıdır. Gereç ve Yöntem: Ankara Dr Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesinde Ocak 2014 ve Mayıs 2014 tarihleri arasında sezaryene alınan 135 hasta çalışmaya dahil edildi. Ultrasonografi ile işeme sonrası mesane hacmi ≥150 ml olan kadınlar çalışma grubu olarak olarak tanımlandı. İşeme sonrası mesane hacmi < 150 ml olan kadınlar ise kontrol grubunu oluşturdu. Bütün kadınlar yaş,parite,vücut kütle indeksi gibi demografik bilgileri ile gebelikte kilo alımı,gestasyonel yaş,sezaryen endikasyonu,sezaryen sayısı,anestezi tipi,sezaryen sırasında tahmini kan kaybı,yenidoğanın kilosu,sezaryen öncesi doğum indüksiyonunun varlığı açısından değerlendirildi. Lojistik regresyon modeli sezaryeni takiben gelişen postoperatif ...

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Urinary retention in the post‐partum period: The relationship between obstetric factors and the post‐partum post‐void residual bladder volume

Abstract: Post-partum urinary retention is a common phenomenon that may be related to the process of parturition. Covert retention is a self-limiting phenomenon and specific treatment is unnecessary.

Cited by 134 publications

References 11 publications

Effect of the Duration of Labor on Postpartum Postvoid Residual Bladder Volume

Effect of the Duration of Labor on Postpartum Postvoid Residual Bladder Volume

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

An investigation of potential risk factors for postoperative urinary retention following cesarean section

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