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Clinically overt postpartum urinary retention after vaginal delivery: a retrospective case-control study
Roderick Teo1, Jeanette Punter, Keith Abrams
1Urogynaecology Department, Leicester General Hospital, Gwendolen Road, Leicester, UK. rodnfiona@hotmail.com
International Urogynecology Journal and Pelvic Floor Dysfunction
|August 24, 2006
Summary
Postpartum urinary retention (PUR) after vaginal delivery is uncommon (0.2% incidence) but can cause significant morbidity. Epidural analgesia increases PUR risk, while Asian ethnicity may reduce it.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Clinical Epidemiology
Background:
- Postpartum urinary retention (PUR) is a potential complication following childbirth.
- Understanding the incidence and risk factors for PUR is crucial for effective patient management.
Purpose of the Study:
- To determine the incidence of symptomatic postpartum urinary retention (PUR) after vaginal delivery.
- To identify associated risk factors for the development of PUR.
Main Methods:
- Retrospective case-control study design.
- Inclusion of 30 cases of PUR and 120 matched controls from 15,757 vaginal deliveries (2001-2005).
- Univariate and multivariate conditional logistic regression analyses were employed.
Main Results:
- The incidence of symptomatic PUR was 0.2% (30 cases).
- Regional analgesia (epidural) significantly increased PUR risk (OR 6.33).
- Asian ethnicity was associated with a reduced risk of PUR (OR 0.27).
Conclusions:
- PUR is an uncommon but morbid complication of vaginal delivery.
- Epidural analgesia is a significant risk factor for PUR.
- Routine catheterization for 24 hours post-delivery is recommended for patients receiving epidural analgesia.
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