Premium
Postpartum urinary retention after cesarean delivery
Author(s) -
Liang C.C.,
Chang S.D.,
Chang Y.L.,
Chen S.H.,
Chueh H.Y.,
Cheng P.J.
Publication year - 2007
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2007.05.037
Subject(s) - medicine , urinary retention , incidence (geometry) , pregnancy , urinary system , body mass index , prospective cohort study , cesarean delivery , urination , obstetrics , lower urinary tract symptoms , anesthesia , surgery , physics , biology , optics , genetics , prostate , cancer
Objective To investigate the incidence of postpartum urinary retention (PUR) after cesarean delivery and determine which obstetric factors contribute to this problem. Method A prospective study recruited 605 pregnant women who had a cesarean delivery. Each patient's postvoid residual bladder volume (PVRBV) was estimated with an ultrasound scan after first micturition. The women were divided into 2 groups: PUR (PVRBV ≥ 150 mL) and normal. Patients’ characteristics, obstetric parameters, and prevalence of lower urinary tract symptoms at 3 months postpartum were compared. Result The overall incidence of PUR was 24.1%. The incidence of overt and covert PUR was 7.4% and 16.7%, respectively. Morphine‐related postoperative analgesia, multiple pregnancy, and low body mass index were significantly associated with PUR. At 3‐month follow‐up, 5.0% of patients had obstructive voiding symptoms and 9.1% had irritative voiding symptoms. Conclusion Our results revealed PUR was a common phenomenon in patients who had a cesarean delivery, and morphine‐related postoperative analgesia was the main contributing factor.