scholarly journals Acceptable Postvoid Residual Urine Volume after Vaginal Delivery and Its Association with Various Obstetric Parameters

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Wen Sze Choe ◽  
Beng Kwang Ng ◽  
Ixora Kamisan Atan ◽  
Pei Shan Lim
Keyword(s):  
Urinary Retention ◽  
Urine Volume ◽  
Active Phase ◽  
Perineal Pain ◽  
Residual Urine Volume ◽  
Residual Urine ◽  
Second Stage Of Labour ◽  
Postpartum Urinary Retention ◽  
Labour Epidural Analgesia ◽  
Postvoid Residual Urine

Background. Urinary retention and voiding dysfunction is a distressing event and relatively common in immediate postpartum period. This study aims at investigating the range of postvoid residual urine volume after vaginal delivery and its association with various obstetric parameters. Methods. This was a prospective observational study of women who delivered vaginally in Universiti Kebangsaan Malaysia Medical Centre from March 2017 to September 2017. Those who were able to void within 6 hours after delivery, the voided volume measurements were taken at their second void followed by measurement of residual urine using a transabdominal ultrasound scan. For those unable to void at 6 hours postpartum, the bladder volume was measured. If the bladder volume was 500 ml or more, an indwelling catheter would be inserted and kept for 24 hours. Results. A total of 155 patients who fulfilled the inclusion were recruited. There were 143 (92.3%) patients who had residual urine volume of less than 150 ml at second void. Out of these 143 patients, 138 (96.5%) had residual urine volume of less than 100 ml, and among the 138 patients, 119 (86.2%) had residual urine volume of less than 50 ml. The median residual urine volume was 10 ml (2, 42). The overall rate of postpartum urinary retention (PPUR) was 7.7%; 6 (3.85%) had overt retention and 6 (3.85%) had covert retention. Primiparity, duration of active phase of labour, duration of second stage of labour, epidural analgesia, episiotomy, instrumental delivery, and perineal pain score were independent risk factors associated with postpartum urinary retention. Conclusion. Postpartum urinary retention complicates approximately 7.7% of vaginal deliveries. Majority (86.2%) of them had residual urine volume less than 50 ml. Obstetrics factors independently associated with PPUR include primiparity, duration of active phase of labour, duration of second stage of labour, epidural analgesia, episiotomy, instrumental delivery, and degree of perineal pain.

scholarly journals Intrapartum pudendal nerve block analgesia and risk of postpartum urinary retention: a cohort study

2021 ◽  
Author(s):  
Åsa Henning Waldum ◽  
Anne Catherine Staff ◽  
Mirjam Lukasse ◽  
Ragnhild Sørum Falk ◽  
Ingvil Krarup Sørbye ◽  
...  
Keyword(s):  
Cohort Study ◽  
Urinary Retention ◽  
Nerve Block ◽  
Pudendal Nerve ◽  
Mode Of Delivery ◽  
Urine Volume ◽  
Residual Urine Volume ◽  
Pudendal Nerve Block ◽  
Residual Urine ◽  
Postpartum Urinary Retention

Abstract Introduction and hypothesis Pudendal nerve block analgesia (PNB) is used as pain relief in the final stage of childbirth. We hypothesized that PNB is associated with higher rates of postpartum urinary retention. Methods We performed a cohort study among primiparous women with a singleton, cephalic vaginal birth at Oslo University Hospital, Norway. Women receiving PNB were included in the exposed group, while the subsequent woman giving birth without PNB was included in the unexposed group. We compared the likelihood of postpartum urinary retention, defined as catheterization within 3 h after birth. Logistic regression analysis stratified by mode of delivery was performed adjusting for epidural analgesia, episiotomy and birth unit. Results Of the 1007 included women, 499 were exposed to PNB and 508 were unexposed. In adjusted analyses, women exposed to PNB did not differ in likelihood of postpartum urinary retention compared to women unexposed to PNB in either spontaneous (odds ratio[OR]: 0.82, 95% confidence interval [CI] 0.55–1.22) or instrumental (OR 1.45, 95% CI 0.89–2.39) births. Furthermore, no differences between the groups were observed with excessive residual urine volume or catheterization after > 3 h. Conclusions PBD was associated with neither risk of postpartum urinary retention nor excessive residual urine volume and is therefore unlikely to hamper future bladder function.

scholarly journals Can Urinary Catheterization Before Birth Reduce Postpartum Urinary Retention?

2016 ◽  
Vol 22 (1) ◽  
Author(s):  
Mehmet B. Şentürk ◽  
Hakan Güraslan ◽  
Ender Güven ◽  
Yusuf Çakmak ◽  
Mehmet Şükrü Budak
Keyword(s):  
Urinary Retention ◽  
Randomized Study ◽  
Urine Volume ◽  
Urinary Catheterization ◽  
Residual Urine Volume ◽  
Chi Square ◽  
Residual Urine ◽  
Postpartum Urinary Retention ◽  
Chi Square Test ◽  
Micturition Problems

<p>Objective: Postpartum urinary retention (PUR) is defined as no spontaneous micturition in a period of more than 6 hours postpartum or residual volume of &gt;150cc after urination. If a diagnosis is not made, there may be problems of over-distention of the bladder and consequently, denervation, detrusor atony and long-term micturition problems. This study aimed to examine the effect of urinary catheterization during birth on postpartum urinary retention (PUR).</p><p>Study Design: A prospective randomized study was conducted with 137 patients. The study and control groups were formed according to a random number table. In the study group, urinary catheterization was applied before birth. In both groups, the time of the first postpartum micturition was recorded and after the first micturition, the residual urine volume was measured with catheterization. Cases with no spontaneous micturition in the first 6 hours postpartum were accepted as PUR. The two groups were compared with respect to time of first micturition and residual urine volume using Mann Whitney U-test and the presence of PUR with Chi-square test.<br />Results: The time to first micturition was determined to be shorter in the group where urinary catheterization was applied before birth, the PUR rate was lower and the amount of residual urine was less (p&lt;0.05). Birthweight, duration of labour, maternal age, weight, gravida and use of oxytocin were similar between the groups (p&gt;0.05). <br />Conclusion: Urinary catheterization before birth reduces the rate of PUR.<br /><br /></p>

Elevated Postvoid Residual Urine Volume

2019 ◽  
Vol 74 (1) ◽  
pp. 22-23
Author(s):  
Amanda Ulrich ◽  
Patricia Davis ◽  
Katie Propst ◽  
David M. OʼSullivan ◽  
Paul Tulikangas
Keyword(s):  
Urine Volume ◽  
Residual Urine Volume ◽  
Postvoid Residual ◽  
Residual Urine ◽  
Postvoid Residual Urine

Elevated Postvoid Residual Urine Volume

2018 ◽  
Vol 24 (6) ◽  
pp. 444-448 ◽  
Author(s):  
Amanda Ulrich ◽  
Patricia Davis ◽  
Katie Propst ◽  
David M. OʼSullivan ◽  
Paul Tulikangas
Keyword(s):  
Urine Volume ◽  
Residual Urine Volume ◽  
Postvoid Residual ◽  
Residual Urine ◽  
Postvoid Residual Urine

scholarly journals Falsely Elevated Postvoid Residual Urine Volume in Uterine Myoma

2017 ◽  
Vol 41 (2) ◽  
pp. 332 ◽  
Author(s):  
Tae Hee Kim ◽  
Hyo Sang Kim ◽  
Jung Wook Park ◽  
Oh Kyung Lim ◽  
Ki Deok Park ◽  
...  
Keyword(s):  
Urine Volume ◽  
Uterine Myoma ◽  
Residual Urine Volume ◽  
Postvoid Residual ◽  
Residual Urine ◽  
Postvoid Residual Urine

scholarly journals Parity and Duration of Labor Affects the Risk of Urinary Retention in post C-Section Patients

2016 ◽  
Author(s):  
Yulia I. Nurullah
Keyword(s):  
Risk Factors ◽  
Urinary Retention ◽  
Transvaginal Ultrasound ◽  
Urine Volume ◽  
Residual Urine Volume ◽  
Retention Factors ◽  
Residual Urine ◽  
Labor Duration ◽  
The Mean

Objective: To determine the rate of urinary retention cases and contributing risk factors in Department of Obstetrics and Gynecology Dr. Mohammad Hoesin Hospital (RSMH), Palembang. Methods: The study conducted on 111 patients who met our study criteria. After CS, urinary catheter were inserted for 24 hours, and then it was opened for 6 hour, after that patients were asked to urinate spontaneously, then we examined the residual urine volume with transvaginal ultrasound. If residual urine volume post CS was >200 ml, it categorized as urinary retention. Result: During the follow up we found that the rate of urinary retention after CS was 3.6% (4 subject). All subject has a covert urinary retention. Factors contribute to post CS urinary retention was duration of labor and parity. The mean of labor duration in group with urinary retention is 8.75±13.04 hour, and 7.55±7.28 hour in the normal group (p = 0.003 RP= 106.00 CI 95%= 6.587-1705.778). All case with urinary retention were primipara (p = 0.045). Conclusion: Our study found that the rate of post CS urinary retention was 3.6%. Risk factors for post CS urinary retention were duration of labor more than 24 hours and primipara. [Indones J Obstet Gynecol 2013; 37-1: 46-50] Keyword: caesarean section, residual urine, urinary retention

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