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Postpartum voiding dysfunction following vaginal versus caesarean delivery.

Lina Salman1,2, Anat Shmueli1,2, Shachar Aharony2,3

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Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
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PubMed
Summary

Vaginal delivery causes more postpartum voiding dysfunction than elective caesarean delivery (CD). Post-voiding residual volumes (PVRV) were higher after vaginal birth, indicating impaired bladder function compared to CD.

Keywords:
Mode of deliverybladder dysfunctioncaesarean deliverypost-void residual volumevaginal delivery

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Area of Science:

  • Obstetrics and Gynecology
  • Urology

Background:

  • Delivery can lead to postpartum voiding dysfunction.
  • Limited research compares the impact of vaginal delivery versus caesarean delivery (CD) on voiding dysfunction.

Purpose of the Study:

  • To evaluate postpartum voiding dysfunction based on delivery mode: vaginal delivery versus elective CD.
  • To compare post-voiding residual volumes (PVRV) between delivery groups.

Main Methods:

  • Prospective study of nulliparous women.
  • Assessed pre-labour and postpartum PVRV using bladder scans (abnormal if ≥150 mL).
  • Compared PVRV between vaginal delivery and elective CD groups.

Main Results:

  • Postpartum PVRV was significantly higher than pre-labour PVRV (215 mL vs. 133 mL).
  • Abnormal postpartum PVRV was more frequent in vaginal delivery (73.5%) compared to elective CD (45%).

Conclusions:

  • Childbirth adversely affects maternal voiding function.
  • Vaginal delivery is associated with more severe postpartum voiding dysfunction than elective CD.
  • Further research is needed to confirm these findings and assess long-term effects.