The study of risk factors for asymptomatic urinary retention in post-partum women following vaginal delivery at a tertiary referral centre
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| Titel: | The study of risk factors for asymptomatic urinary retention in post-partum women following vaginal delivery at a tertiary referral centre |
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| Autoren: | Anuradha Singh, Shalini Meena, G. S. Triveni, Kiran Aggarwal, Brijesh Saran |
| Quelle: | Current Medicine Research and Practice, Vol 15, Iss 5, Pp 191-195 (2025) |
| Verlagsinformationen: | Wolters Kluwer Medknow Publications, 2025. |
| Publikationsjahr: | 2025 |
| Bestand: | LCC:Medicine |
| Schlagwörter: | covert urinary retention, post-partum women, post-void residual volume, urinary tract infections, Medicine |
| Beschreibung: | Background: Post-partum urinary retention (PUR) is an important aspect of maternal health care. Missed diagnoses and management can have long-term adverse health effects. The sparse literature and lack of standard guidelines pose a clinical challenge in the identification of this condition. The study of risk factors for urinary retention aids in the timely diagnosis and management of this condition. Aim: To assess the risk factors to predict occurrence of PUR after vaginal delivery. Materials and Methods: This prospective analytical cohort study included 180 post-natal women. A post-void residual volume (PVRV) ≥150 ml on ultrasound was considered covert urinary retention and was classified as a case, while a PVRV ≤150 ml was classified as the control. The groups were compared for various risk factors. After 6 weeks, an ultrasound evaluation was performed in patients with covert urinary retention to assess PVRV. Univariate and multivariate logistic regression analyses were used to identify the significant risk factors for PUR. Results: The prevalence of covert urinary retention was 15% in this study. Multivariate regression analysis identified a longer duration of the second stage of labour (odds ratio [OR]: 1.026; P = 0.049), a longer total duration of labour (OR: 2.573; P = 0.044) and assisted/instrumental deliveries (OR: 39.180; P = 0.001) as significant risk factors for PUR. PVRV, which was significantly higher in these cases, showed a considerable decrease at the 6-week follow-up visit. Additionally, 13.04% of the patients experienced urinary tract infections. Conclusion: PUR increases the risk of UTI and may lead to serious sequelae. Timely identification of this condition is crucial for initiating early treatment to prevent physical and psychological morbidities in post-partum women. |
| Publikationsart: | article |
| Dateibeschreibung: | electronic resource |
| Sprache: | English |
| ISSN: | 2352-0817 2352-0825 |
| Relation: | https://journals.lww.com/10.4103/cmrp.cmrp_89_25; https://doaj.org/toc/2352-0817; https://doaj.org/toc/2352-0825 |
| DOI: | 10.4103/cmrp.cmrp_89_25 |
| Zugangs-URL: | https://doaj.org/article/e9b10e535a8445cdb29b40012faeca29 |
| Dokumentencode: | edsdoj.9b10e535a8445cdb29b40012faeca29 |
| Datenbank: | Directory of Open Access Journals |
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Nájsť tento článok vo Web of Science | Abstract: | Background: Post-partum urinary retention (PUR) is an important aspect of maternal health care. Missed diagnoses and management can have long-term adverse health effects. The sparse literature and lack of standard guidelines pose a clinical challenge in the identification of this condition. The study of risk factors for urinary retention aids in the timely diagnosis and management of this condition. Aim: To assess the risk factors to predict occurrence of PUR after vaginal delivery. Materials and Methods: This prospective analytical cohort study included 180 post-natal women. A post-void residual volume (PVRV) ≥150 ml on ultrasound was considered covert urinary retention and was classified as a case, while a PVRV ≤150 ml was classified as the control. The groups were compared for various risk factors. After 6 weeks, an ultrasound evaluation was performed in patients with covert urinary retention to assess PVRV. Univariate and multivariate logistic regression analyses were used to identify the significant risk factors for PUR. Results: The prevalence of covert urinary retention was 15% in this study. Multivariate regression analysis identified a longer duration of the second stage of labour (odds ratio [OR]: 1.026; P = 0.049), a longer total duration of labour (OR: 2.573; P = 0.044) and assisted/instrumental deliveries (OR: 39.180; P = 0.001) as significant risk factors for PUR. PVRV, which was significantly higher in these cases, showed a considerable decrease at the 6-week follow-up visit. Additionally, 13.04% of the patients experienced urinary tract infections. Conclusion: PUR increases the risk of UTI and may lead to serious sequelae. Timely identification of this condition is crucial for initiating early treatment to prevent physical and psychological morbidities in post-partum women. |
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| ISSN: | 23520817 23520825 |
| DOI: | 10.4103/cmrp.cmrp_89_25 |