Covert postpartum urinary retention, is there a place for routine bladder ultrasound in postpartum care ?

Kazibe KOYUNCU; Batuhan TURGAY; Bulut VARLI; Can Ozan ULUSOY; Ruşen AYTAÇ; Feride SÖYLEMEZ

Article Details

Covert postpartum urinary retention, is there a place for routine bladder ultrasound in postpartum care ?

Authors:

Kazibe KOYUNCU | Batuhan TURGAY | Bulut VARLI | Can Ozan ULUSOY | Ruşen AYTAÇ | Feride SÖYLEMEZ

Publisher:

Ondokuz Mayıs University

Main Topics:

Promotion of health

Journal:

Journal of Experimental and Clinical Medicine 2021 Vol.38 Issue 2, pp.138-142

Document Type:

Article

Publication Date:

4/2021

Document Language:

English

Document ID (Org No.):

2000507598

Frequency:

Quarterly

eISSN:

1309-5129

pISSN:

1309-4483

Abstract:

 

Objective: Postpartum urinary retention(PUR) is defined as inability to void after six
hours from delivery or having abnormal post-void residual volume after delivery
(PVRV). Overt PUR is easily detectable condition but covert PUR usually remains
undiagnosed. We aim to investigate the incidence of covert PUR and identify the risk
factors.

Material and Methods: A retrospective analysis of the postpartum women was
undertaken between January-July 2016. PVRV of the patients either delivered
vaginally or cesarean section were assessed with ultrasound after first micturition.
All the ultrasound scans were made by experienced gynecologist. PVRV of more
than 150 mL was defined as covert PUR. Maternal age, parity, BMI, type of delivery,
episiotomy, first urination time, fetal head circumference, labor augmentation and
fetal birth weight were investigated as possible risk factors for covert PUR. The
characteristics of the patients with or without covert PUR were compared.

Results: Of the 450 women included, 67 (17.49%) were diagnosed as covert PUR.
Birth weight (p= 0.001), head circumference (p=0.043), vaginal delivery (p=0.001)
and need for episiotomy (p=0.003) were statistically different between patients with
PVRV under 150 mL and above 150 mL. Fetal head circumference appeared as the
only independent risk factor for covert PUR (95% CI for OR=1.11-1.127, p=0.04).

Conclusions: Although covert PUR is a common problem after delivery, risk factors
and treatment have not been established. Until risk factors are identified clearly with
larger studies, postpartum routine PVRV evaluation may be beneficial for preventing
long-term voiding dysfunction problems.

Article Details

Covert postpartum urinary retention, is there a place for routine bladder ultrasound in postpartum care ?

Authors: Kazibe KOYUNCU | Batuhan TURGAY | Bulut VARLI | Can Ozan ULUSOY | Ruşen AYTAÇ | Feride SÖYLEMEZ

Publisher: Ondokuz Mayıs University

Main Topics: Promotion of health

Journal: Journal of Experimental and Clinical Medicine 2021 Vol.38 Issue 2, pp.138-142

Document Type: Article

Publication Date: 4/2021

Document Language: English

Document ID (Org No.): 2000507598

Frequency: Quarterly

eISSN: 1309-5129

pISSN: 1309-4483

Issues

Authors:

Kazibe KOYUNCU | Batuhan TURGAY | Bulut VARLI | Can Ozan ULUSOY | Ruşen AYTAÇ | Feride SÖYLEMEZ

Publisher:

Ondokuz Mayıs University

Main Topics:

Promotion of health

Journal:

Journal of Experimental and Clinical Medicine 2021 Vol.38 Issue 2, pp.138-142

Document Type:

Article

Publication Date:

4/2021

Document Language:

English

Document ID (Org No.):

2000507598

Frequency:

Quarterly

eISSN:

1309-5129

pISSN:

1309-4483