Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery
Background: Postpartum urinary retention (PPUR) is the lack of spontaneous micturition for over six hours post-delivery. Its incidence varies due to differing definitions and risk factors. Objective: To determine the prevalence of PPUR following vaginal delivery at the Maternity Teaching Hospital in...
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Levy Library Press
2025-01-01
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| Series: | Journal of Scientific Innovation in Medicine |
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| Online Access: | https://account.journalofscientificinnovationinmedicine.org/index.php/ll-j-jsim/article/view/226 |
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| author | Nadia Al-Dujaili Mohanad Albayyaa Mazin Al-Dujaili Shahla Alaf |
| author_facet | Nadia Al-Dujaili Mohanad Albayyaa Mazin Al-Dujaili Shahla Alaf |
| author_sort | Nadia Al-Dujaili |
| collection | DOAJ |
| description | Background: Postpartum urinary retention (PPUR) is the lack of spontaneous micturition for over six hours post-delivery. Its incidence varies due to differing definitions and risk factors. Objective: To determine the prevalence of PPUR following vaginal delivery at the Maternity Teaching Hospital in Erbil and identify associated risk factors. Methods: This descriptive cross-sectional study was conducted over a year from April 1, 2019, to March 31, 2020. A sample of 500 women who delivered vaginally was analyzed. PPUR was defined as failure to void spontaneously within six hours post-delivery or a post-void bladder volume >150 cc. Results: PPUR was observed in 49 (9.8%) women. Significant risk factors included obesity, nulliparity, late gestational age, induction of labor, episiotomy, and perineal tear. Multiple logistic regression identified later gestational age, longer second stage of labor, induction of labor, and episiotomy as significant predictors of PPUR (p = 0.03, OR = 0.6; p < 0.001, OR = 0.8; p = 0.02, OR = 4.6; p = 0.001, OR = 0.01, respectively). Conclusions: The prevalence of postpartum urinary retention (PPUR) observed in this study is consistent with findings from previous studies. Early detection and proactive management of risk factors are essential for mitigating complications related to PPUR and urinary tract infections. Implementing routine screening and timely interventions can significantly improve postpartum care and patient outcomes. |
| format | Article |
| id | doaj-art-451194b5f7464e3c9df9c9eebb964ef9 |
| institution | Kabale University |
| issn | 2579-0153 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Levy Library Press |
| record_format | Article |
| series | Journal of Scientific Innovation in Medicine |
| spelling | doaj-art-451194b5f7464e3c9df9c9eebb964ef92025-02-11T05:39:16ZengLevy Library PressJournal of Scientific Innovation in Medicine2579-01532025-01-01811110.29024/jsim.226225Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal DeliveryNadia Al-Dujaili0Mohanad Albayyaa1https://orcid.org/0000-0003-4185-5294Mazin Al-Dujaili2Shahla Alaf3Obstetrics and Gynaecology, Maternity Teaching Hospital, ErbilInternal Medicine, University of Texas Medical Branch, GalvestonInternal Medicine, Kirkuk Teaching Hospital, KirkukObstetrics and Gynaecology, Maternity Teaching Hospital, ErbilBackground: Postpartum urinary retention (PPUR) is the lack of spontaneous micturition for over six hours post-delivery. Its incidence varies due to differing definitions and risk factors. Objective: To determine the prevalence of PPUR following vaginal delivery at the Maternity Teaching Hospital in Erbil and identify associated risk factors. Methods: This descriptive cross-sectional study was conducted over a year from April 1, 2019, to March 31, 2020. A sample of 500 women who delivered vaginally was analyzed. PPUR was defined as failure to void spontaneously within six hours post-delivery or a post-void bladder volume >150 cc. Results: PPUR was observed in 49 (9.8%) women. Significant risk factors included obesity, nulliparity, late gestational age, induction of labor, episiotomy, and perineal tear. Multiple logistic regression identified later gestational age, longer second stage of labor, induction of labor, and episiotomy as significant predictors of PPUR (p = 0.03, OR = 0.6; p < 0.001, OR = 0.8; p = 0.02, OR = 4.6; p = 0.001, OR = 0.01, respectively). Conclusions: The prevalence of postpartum urinary retention (PPUR) observed in this study is consistent with findings from previous studies. Early detection and proactive management of risk factors are essential for mitigating complications related to PPUR and urinary tract infections. Implementing routine screening and timely interventions can significantly improve postpartum care and patient outcomes.https://account.journalofscientificinnovationinmedicine.org/index.php/ll-j-jsim/article/view/226perineal traumapregnancyprolonged labornormal vaginal deliverypostpartum urinary retention |
| spellingShingle | Nadia Al-Dujaili Mohanad Albayyaa Mazin Al-Dujaili Shahla Alaf Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery Journal of Scientific Innovation in Medicine perineal trauma pregnancy prolonged labor normal vaginal delivery postpartum urinary retention |
| title | Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery |
| title_full | Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery |
| title_fullStr | Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery |
| title_full_unstemmed | Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery |
| title_short | Prevalence and Risk Factors of Postpartum Urinary Retention Following Vaginal Delivery |
| title_sort | prevalence and risk factors of postpartum urinary retention following vaginal delivery |
| topic | perineal trauma pregnancy prolonged labor normal vaginal delivery postpartum urinary retention |
| url | https://account.journalofscientificinnovationinmedicine.org/index.php/ll-j-jsim/article/view/226 |
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