Abstract
Purpose: The aim of this retrospective case-control study was to assess clinical factors that can predict the occurrence of post-partum urinary retention (PPUR) and evaluate their influence as independent risk factors. Methods: Between January 2008 and December 2010, 11,108 vaginal deliveries were performed. 105 women who suffered from PPUR were detected by retrospective data analysis. PPUR was defined as the inability to have spontaneous micturition within 6 h after vaginal delivery. Results: Data analysis detected six risk factors for PPUR on-set: primiparity, vacuum-assisted delivery, uterine fundal pressure during the second stage of labor (Kristeller's maneuver), a longer second stage of labor, medio-lateral episiotomy, initial higher dose of epidural analgesia. Nevertheless, logistic regression showed that only vacuum-assisted delivery and Kristeller's maneuver were significant independent risk factors (P = 0.001 and 0.009, respectively). Conclusions: Our study identified these risk factors as the cause of mechanical and neurological damage, which can lead to post-partum urinary retention. By early diagnosis, a prompt and appropriate management of PPUR can be established in order to assure a rapid return to normal bladder function after vaginal delivery.
| Original language | English |
|---|---|
| Pages (from-to) | 1249-1253 |
| Number of pages | 5 |
| Journal | Archives of Gynecology and Obstetrics |
| Volume | 289 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2014 |
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Keywords
- Kristeller's maneuver
- Urinary retention
- Vacuum-assisted delivery
- Vaginal delivery
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Acute post-partum urinary retention : Analysis of risk factors, a case-control study. / Pifarotti, Paola; Gargasole, Clara; Folcini, Chiara; Gattei, Umberto; Nieddu, Emanuela; Sofi, Giuseppe; Buonaguidi, Arturo; Meschia, Michele.
In: Archives of Gynecology and Obstetrics, Vol. 289, No. 6, 2014, p. 1249-1253.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute post-partum urinary retention
T2 - Analysis of risk factors, a case-control study
AU - Pifarotti, Paola
AU - Gargasole, Clara
AU - Folcini, Chiara
AU - Gattei, Umberto
AU - Nieddu, Emanuela
AU - Sofi, Giuseppe
AU - Buonaguidi, Arturo
AU - Meschia, Michele
PY - 2014
Y1 - 2014
N2 - Purpose: The aim of this retrospective case-control study was to assess clinical factors that can predict the occurrence of post-partum urinary retention (PPUR) and evaluate their influence as independent risk factors. Methods: Between January 2008 and December 2010, 11,108 vaginal deliveries were performed. 105 women who suffered from PPUR were detected by retrospective data analysis. PPUR was defined as the inability to have spontaneous micturition within 6 h after vaginal delivery. Results: Data analysis detected six risk factors for PPUR on-set: primiparity, vacuum-assisted delivery, uterine fundal pressure during the second stage of labor (Kristeller's maneuver), a longer second stage of labor, medio-lateral episiotomy, initial higher dose of epidural analgesia. Nevertheless, logistic regression showed that only vacuum-assisted delivery and Kristeller's maneuver were significant independent risk factors (P = 0.001 and 0.009, respectively). Conclusions: Our study identified these risk factors as the cause of mechanical and neurological damage, which can lead to post-partum urinary retention. By early diagnosis, a prompt and appropriate management of PPUR can be established in order to assure a rapid return to normal bladder function after vaginal delivery.
AB - Purpose: The aim of this retrospective case-control study was to assess clinical factors that can predict the occurrence of post-partum urinary retention (PPUR) and evaluate their influence as independent risk factors. Methods: Between January 2008 and December 2010, 11,108 vaginal deliveries were performed. 105 women who suffered from PPUR were detected by retrospective data analysis. PPUR was defined as the inability to have spontaneous micturition within 6 h after vaginal delivery. Results: Data analysis detected six risk factors for PPUR on-set: primiparity, vacuum-assisted delivery, uterine fundal pressure during the second stage of labor (Kristeller's maneuver), a longer second stage of labor, medio-lateral episiotomy, initial higher dose of epidural analgesia. Nevertheless, logistic regression showed that only vacuum-assisted delivery and Kristeller's maneuver were significant independent risk factors (P = 0.001 and 0.009, respectively). Conclusions: Our study identified these risk factors as the cause of mechanical and neurological damage, which can lead to post-partum urinary retention. By early diagnosis, a prompt and appropriate management of PPUR can be established in order to assure a rapid return to normal bladder function after vaginal delivery.
KW - Kristeller's maneuver
KW - Urinary retention
KW - Vacuum-assisted delivery
KW - Vaginal delivery
UR - http://www.scopus.com/inward/record.url?scp=84905159290&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84905159290&partnerID=8YFLogxK
U2 - 10.1007/s00404-014-3144-5
DO - 10.1007/s00404-014-3144-5
M3 - Article
C2 - 24442605
AN - SCOPUS:84905159290
VL - 289
SP - 1249
EP - 1253
JO - Archives of Gynecology
JF - Archives of Gynecology
SN - 0170-9925
IS - 6
ER -