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Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
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Extensive postpartum urinary retention successfully treated with clean intermittent catheterization.

Paweł Milart, Ewa Beata Wozniakowska1, Piotr Czuczwar

  • 13rd Department of Gynecology, Medical University in Lublin, 3rd Chair and Department of Gynecology, Medical University in Lublin, Poland. ewa.wozniakowska@gmail.com.

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Summary

Postpartum urinary retention is a rare complication following vaginal delivery. Risk factors include episiotomy, epidural use, and prolonged labor, necessitating careful patient monitoring.

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Area of Science:

  • Obstetrics and Gynecology
  • Urology

Background:

  • Postpartum urinary retention (PUR) is a significant complication affecting women after childbirth.
  • It occurs in approximately 0.7-0.9% of vaginal deliveries, potentially leading to discomfort and further complications.

Observation:

  • This case report details an instance of extensive urine retention in a patient following a vaginal delivery.
  • The patient experienced significant difficulty voiding postpartum.

Findings:

  • Established risk factors for PUR include mediolateral episiotomy, epidural analgesia, perineal lacerations, macrosomic birth, and prolonged second stage of labor.
  • These factors may contribute to the neurological or mechanical disruption of bladder function.

Implications:

  • Understanding these risk factors is crucial for early identification and management of postpartum urinary retention.
  • Prompt diagnosis and intervention can prevent complications such as urinary tract infections and bladder distension.