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Voiding dysfunction in women following cesarean delivery.
Ching-Chung Liang1, Ming-Ping Wu2, Yao-Lung Chang1
1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Taiwanese Journal of Obstetrics & Gynecology
|December 25, 2015
Summary
Postpartum voiding difficulty (PVD) affects 11.5% of women after cesarean delivery. Emergency C-sections, longer operations, and postoperative analgesia are key risk factors for PVD.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Postpartum Care
Background:
- Postpartum voiding difficulty (PVD) can occur after cesarean delivery, sometimes requiring urethral catheterization.
- Understanding the prevalence and risk factors for PVD is crucial for effective postpartum care.
Purpose of the Study:
- To determine the incidence of PVD in women undergoing cesarean delivery who required urethral catheterization.
- To identify obstetric factors associated with the development of PVD.
Main Methods:
- An observational study included 489 women undergoing cesarean delivery at ≥ 36 weeks gestation.
- Urethral catheterization was used for women unable to void spontaneously post-cesarean.
- Patient and obstetric data were collected, and voiding symptoms at 3 months postpartum were assessed.
Main Results:
- The incidence of PVD was 11.5% (56/489).
- Independent risk factors for PVD included emergency cesarean delivery (OR=5.031), operation time > 60 minutes (OR=2.918), and postoperative analgesia (OR=7.610).
- All cases of PVD resolved by hospital discharge, with minimal symptoms at 3-month follow-up.
Conclusions:
- Emergency cesarean delivery, prolonged operation time, and postoperative analgesia are significant contributors to PVD.
- Transient PVD, when detected and managed promptly, does not appear to have long-term detrimental effects on urinary function.
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