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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Postpartum voiding dysfunction: identifying the risk factors.

Julie Buchanan1, Michael Beckmann

  • 1Department of Obstetrics and Gynaecology, Mater Health Services, South Brisbane, Queensland, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|October 12, 2013
PubMed
Summary
This summary is machine-generated.

Postpartum urinary retention (PPUR) is uncommon with routine bladder scanning. Nulliparity, cesarean birth, and severe perineal trauma are key risk factors for voiding dysfunction.

Keywords:
postpartumrisk factorsvoiding dysfunction

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Area of Science:

  • Obstetrics and Gynecology
  • Urology

Background:

  • Postpartum urinary retention (PPUR), or voiding dysfunction, is the inability to void completely after childbirth.
  • Untreated PPUR can lead to bladder overdistension, denervation, detrusor atony, and prolonged dysfunction.

Purpose of the Study:

  • To determine the incidence of PPUR in postpartum women using routine bladder scanning.
  • To identify factors contributing to postpartum voiding dysfunction.

Main Methods:

  • Retrospective analysis of postpartum women at Mater Health Services, Brisbane (February-December 2012).
  • Routine postvoid residual bladder volume (PVRBV) measurements using bladder scanner at 4, 6 hours, and 2-3 days postbirth or after indwelling catheter removal.
  • Analysis of characteristics of women with and without increased PVRBV.

Main Results:

  • 5.1% of 5558 women had PVRBV >150 mL at 4 hours postbirth/catheter removal.
  • Independent predictors of PPUR included nulliparity (aOR 1.53), cesarean birth (aOR 2.21), and 3rd/4th degree perineal trauma (aOR 2.01).
  • Obstetric factors like mode of birth, analgesia, labor duration, perineal trauma, birth weight, gestation, parity, maternal age, and BMI were analyzed.

Conclusions:

  • A protocol of timed voiding and routine PVRBV measurement makes PPUR uncommon.
  • Data do not support a risk-factor-based approach for PVRBV screening.