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Post Partum Urinary Retention and Related Risk Factors
Gema Perú Biurrun1, Enrique Gonzalez-Díaz2, Camino Fernández Fernández1
1Department of Obstetrics and Gynecology, Complejo Asistencial Universitario de León (CAULE), Spain.
Urology
|May 23, 2020
Summary
Postpartum voiding dysfunction (PPVD) affects nearly 10% of vaginal deliveries. Key risk factors include epidural analgesia, operative vaginal birth, high birthweight, and prior cesarean delivery.
Area of Science:
- Obstetrics and Gynecology
- Urology
Background:
- Postpartum voiding dysfunction (PPVD) is a significant complication following childbirth.
- Understanding its prevalence and risk factors is crucial for effective management.
Purpose of the Study:
- To determine the incidence of PPVD in women after vaginal delivery.
- To identify independent risk factors associated with the development of PPVD.
Main Methods:
- A retrospective observational study was conducted between January 2018 and April 2019.
- Gestational, delivery, and puerperium characteristics were analyzed for women diagnosed with and without PPVD.
Main Results:
- PPVD was diagnosed in 9.85% of deliveries, with 13.7% classified as severe.
- Independent risk factors identified include epidural analgesia (OR 7.72), operative vaginal delivery (OR 2.23), birthweight >4000g (OR 3.7), and previous cesarean delivery (OR 6.54).
Conclusions:
- PPVD complicates approximately 10% of vaginal deliveries.
- Epidural analgesia, operative vaginal birth, high birthweight, and prior cesarean delivery are significant risk factors.
- Further research into PPVD risk factors is necessary for prevention strategies.
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