Prevalence and associated risk factors of retention of urine after caesarean section

Chai, Anita Hei-Lam; Wong, To; Mak, Ho-Leung Jimmy; Cheon, Cecilia; Yip, Shing‐Kai; Wong, Assumpta Sze Man

doi:10.1007/s00192-007-0470-1

Cited by 26 publications

(29 citation statements)

References 35 publications

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“…Postoperative urinary disturbance after cesarean section is also a relatively common occurrence, which may be affected by various factors such as postpartum bladder dysfunction and complications by surgical or anesthetic procedures [1][2][3]. It is reported that 1) multiple pregnancy, 2) lack of progress in labor, 3) low maternal body mass index and 4) use of postoperative analgesia are the risk factors for postpartum urinary retention after cesarean delivery [2,4,5]. Therefore, this case was thought to be high risk for postpartum urinary retention because it meets the factors (3) and (4) described above.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, this case was thought to be high risk for postpartum urinary retention because it meets the factors (3) and (4) described above. The incidence of postpartum urinary retention associated with postoperative analgesia was reported to be affected by the analgesics and administration methods [4,6]. Epidural analgesia with morphine was thought to increase post-cesarean urinary retention [6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A case of acute urinary retention after cesarean section caused by herpes zoster infection

Yoshida¹,

Ishii²,

Saito³

et al. 2012

OJOG

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We experienced a case of acute urinary retention after an elective cesarean section. In this case, an epidural catheter was inserted for the postoperative pain relief, and we had to rule out anesthetic complications including epidural hematoma. After careful investigation, sacral herpes zoster was found to be responsible for urinary retention. Early administration of antiviral agent was started and the outcome was good. As various factors may lead to postpartum urinary disorders, we should be careful not to miss serious complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A case of acute urinary retention after cesarean section caused by herpes zoster infection

Yoshida¹,

Ishii²,

Saito³

et al. 2012

OJOG

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“…Chai et al [35] recently noted that cesarean section poses a higher risk of postpartum urinary retention, defi ned in their series as a PVR (by ultrasound) more than 150 mL after removal of the Foley catheter. Logistic regression analysis indicated that the only signifi cant associated factor was "lack of progress in labor."…”

Section: Cesarean Sectionmentioning

confidence: 98%

Female voiding dysfunction: Prevalence and common associations

Haylen

2009

Curr Urol Rep

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The understanding of voiding dysfunction has been greatly assisted by the current introduction of clear definitions for its diagnosis and for the abnormalities of urine flow rates and postvoid residuals that are its basis. Its prevalence in women with symptoms of pelvic floor dysfunction is up to 40%. Most of the recent research has centered on the associations of voiding dysfunction with age, pelvic organ prolapse, and prior continence surgery. The effects of parity, medications, and pelvic tumors have also been explored.

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“…In the literature, most data about postpartum urinary retention focus on vaginal delivery while the exact role of the CS in this complication is still unknown (7). But the clinical risk factors related to POUR must be identified in order to take necessary cautions against poor outcomes of this condition.…”

Section: Introductionmentioning

confidence: 99%

“…In the literature, the reported incidence rate for postcesarean urinary retention varies widely, between 5% and 33.3%, which, in fact, reflects its multifactorial etiology (including comorbidities, type of surgery, and type of anesthesia etc.) and that it lacks a uniform definition (7,10).…”

Section: Introductionmentioning

confidence: 99%

An investigation of potential risk factors for postoperative urinary retention following cesarean section

2015

J Turgut Ozal Med Cent

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Objectives: To investigate the risk factors for postoperative urinary retention following cesarean section. Materials and Method: 135 female patients in Ankara Zekai Tahir Burak Woman's Health, Training and Research Hospital who underwent cesarean section were included in the study. Women who had postvoidal residual bladder with a volume of ≥150 ml measured by ultrasonography were the main group of patients. Women with postvoidal residual bladder with a volume of <150 ml were the control group patients. Demographic data such as age, parity, body mass index weight gain during pregnancy as well as obstetrical characteristics including gestational age and indications of cesarean section, number of cesarean section, anesthesia type, estimated blood loss during cesarean section, birth weight of newborn, presence of labor induction with intravenous oxytocin infusion before cesarean section were all among the data we collected throughout our research. At the end, a logistic regression model was performed to analyze the possible risk factors for postoperative urinary retention following cesarean section. Results: We detected postoperative urenary retention in 21 (%15.6) patients. There were statistically significant relationships between the potential risks of postoperative urinary retention and the gain weight in the logistic regression model (Odds Ratio=20.8; 95; Confidence Interval=1.8-245.9; p=0.016), birth weight (>4000 gr) (Odds Ratio=0.1, 95%; Confidence Interval=0.0-0.5; p=0.002), birth induction before the cesarean section (Odds Ratio=0.2, 95%; Confidence Interval =0.0-0.8; p=0.027), and the presence of pain in the first urination after removing the urinary catheter (Odds Ratio=92.9, 95%; Confidence Interval =6.6-1299.0; p=0.001). Conclusion: Postcesarean urinary retention risk increases if there is increased weight gain during pregnancy, macrosomic newborn delivery, cesarean section subsequent to labor induction, and high pain perception during the first urination after cesarean section. Key Words: Urinary Retention; Cesarean Section; Risk Factors. Sezaryeni Takiben Gelişen Postoperatif İdrar Retansiyonu İçin Potansiyel Risk Faktörlerinin AraştırılmasıÖzet Amaç: Sezaryeni takiben gelişen postoperatif idrar retansiyonunun potansiyel risk faktörlerini araştırmak bu çalışmanın amacıdır. Gereç ve Yöntem: Ankara Dr Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesinde Ocak 2014 ve Mayıs 2014 tarihleri arasında sezaryene alınan 135 hasta çalışmaya dahil edildi. Ultrasonografi ile işeme sonrası mesane hacmi ≥150 ml olan kadınlar çalışma grubu olarak olarak tanımlandı. İşeme sonrası mesane hacmi < 150 ml olan kadınlar ise kontrol grubunu oluşturdu. Bütün kadınlar yaş,parite,vücut kütle indeksi gibi demografik bilgileri ile gebelikte kilo alımı,gestasyonel yaş,sezaryen endikasyonu,sezaryen sayısı,anestezi tipi,sezaryen sırasında tahmini kan kaybı,yenidoğanın kilosu,sezaryen öncesi doğum indüksiyonunun varlığı açısından değerlendirildi. Lojistik regresyon modeli sezaryeni takiben gelişen postoperatif ...

show abstract

Prevalence and associated risk factors of retention of urine after caesarean section

Cited by 26 publications

References 35 publications

A case of acute urinary retention after cesarean section caused by herpes zoster infection

A case of acute urinary retention after cesarean section caused by herpes zoster infection

Female voiding dysfunction: Prevalence and common associations

An investigation of potential risk factors for postoperative urinary retention following cesarean section

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