Planned cesarean delivery and urinary retention associated with spinal morphine
1Department of Anesthesia, Women and Infants Hospital of Rhode Island, 101 Dudley Street, Providence, RI 02905, USA. SDiBlasi@WIHRI.org
Summary
This study examined urinary retention after cesarean delivery (CD) with varying spinal morphine doses. Results showed no significant difference in urinary retention across 100, 150, or 200 mcg morphine groups.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Nursing Care
Background:
- Cesarean delivery (CD) is a frequent surgical procedure in the U.S.
- Postoperative urinary retention is a potential complication following CD.
- Nurses observed a possible link between spinal morphine and urinary retention.
Purpose of the Study:
- To investigate the relationship between the dose of spinal morphine administered and the incidence of urinary retention in patients after elective cesarean delivery.
- To address the limited existing research on spinal morphine dosage and post-CD urinary retention.
Main Methods:
- Retrospective, quasi-experimental study design.
- Examined records of 150 patients (ages 17-39) who underwent elective cesarean delivery.
- Compared urinary retention rates among patients receiving 100 mcg, 150 mcg, or 200 mcg of spinal morphine.
Main Results:
- No statistically significant differences in urinary retention were found between the three morphine dose groups.
- The study did not establish a dose-dependent relationship between spinal morphine and urinary retention post-CD.
Conclusions:
- The dose of spinal morphine (100, 150, or 200 mcg) did not significantly impact the occurrence of urinary retention after elective cesarean delivery.
- Further research may be needed to explore other factors influencing post-cesarean urinary retention.
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