Die Kombination von Morphin und Nortriptylin zeigt sich gegen?ber der jeweiligen Monotherapie als ?berlegen, wie die prospektive Untersuchung von Ian Gilron et al. aufzeigt. Allerdings muss die unter der Kombination potenzierte Nebenwirkungsproblematik beachtet werden.

Objective: To determine the rate of urinary retention after vaginal delivery and evaluation some factorsrelated to urinary retention after vaginal delivery at Da Nang Hospital For Women And Chidren.Methods: Cross-sectional study describing 673 women giving birth vaginally, at Da Nang HospitalFor Women And Chidren from March 2018 to the end of September 2018. The pregnant womenin the research group will be examined, interviewed, and refer to the medical records to record thevariables according to the research questionnaire.Results: Women who are primigravida with postpartum urinary retention rate 6.6%, higher than2.4% for multigravida who have postpartum urinary retention. In infants with a weight of ≥ 3500grams, the prevalence of birth urinary retention was 16.7%, higher than that of women with babies<3500 grams with neonatal urinary retention (1.7%). The rate of postpartum urinary retention amongwomen who had a baby with a head circumference ≥ 36 cm was 24.3% higher than for women with ahead circumference <36 cm (3.6%). The rate of urinary retention in pregnant women: asisted vaginaldelivery was 50.0%; time of labor in stage 1 lasted ≥ 12 hours was 13.0%; the duration of second stagelabor was 16.4% prolonged, higher than the rate of urinary retention in the group of pregnant women:vaginal delivery (4.6%); period of labor for stage 1 <12 hours (2.1%); period of labor for stage 2 didnot last long (3.3%). In the group of women who did not exercise early after giving birth, the rate ofurinary retention was 37.5%, higher than this group of women with early movement after birth, 1.3%.Conclusion: The rate of urinary retention after vaginal delivery is 4.8%. Factors: giving birth incomparison, giving birth to a large baby with a gestational weight: ≥ 3500 grams, head circumference≥36 cm, asisted vaginal delivery, long stage 1 labor, long stage 2 labor, early postpartum inactivityincreases the risk of postpartum urinary retention