Journal ArticleDOI
Is Postpartum Urinary Retention a Neurogenic Phenomenon
Alexandriah Alas,Eric A. Hurtado +1 more
TLDR
It is likely that the causes of PUR are multifactorial, and that physiologic changes of pregnancy and trauma from childbirth play a critical role.Abstract:
Postpartum urinary retention (PUR) can be classified as covert, those with postvoid residuals higher than 150 cm3, or overt, those unable to void 6 hours after vaginal delivery or after removal of a catheter after cesarean section There is limited data and research on the mechanism of PUR However, it has been suggested that there is a neurological component to the development of PUR This includes disruption of the afferent system through analgesic blockade, crush or stretch injuries to the pudendal nerve during delivery, and impairment of neurotransmitters required for proper signal transduction However, it is likely that the causes of PUR are multifactorial, and that physiologic changes of pregnancy and trauma from childbirth play a critical roleread more
Citations
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Journal ArticleDOI
Postpartum urinary retention: Assessment of contributing factors and long-term clinical impact
Liang Ching-Chung,Chang Shuenn-Dhy,Tseng Ling-Hong,Hsieh Ching-Chang,Chung Chao-Lun,Cheng Po-Jen +5 more
TL;DR: Nulliparity, longer labour course, instrumental delivery, extensive vaginal and perineal laceration and use of epidural analgesia were contributing obstetric factors to postpartum urinary retention.
Journal ArticleDOI
The risk factors of postpartum urinary retention after vaginal delivery: A systematic review
TL;DR: The independent risk factors for PUR were found to include episiotomy, epidural analgesia, instrumental delivery, primiparity, and a longer second stage of labor, indicating that healthcare providers could pay more attention to women with these factors and prevent postpartum urinary retention.
References
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