Association of Obstetric Risk Factors with Postpartum Urine Retention after Vaginal Delivery

Amina Hanif, Memoona Hanif, Tahira Akhtar, Ayesha Arshad, Amina Waheed  and Saher Arshad

ABSTRACT

Objective: The basic aim of the study is to find the association of obstetric risk factors with postpartum urine retention after vaginal delivery.

Study Design: Case-control study

Place and Duration of Study: This study was conducted at the Gujranwala Medical College Teaching Hospital in Gujranwala from March–June 2024.

Methods: Our research included 300 females who had undergone vaginal delivery. Thirty-four of the women (11.3%) experienced postpartum urinary retention, while 266 (88.6%) did not. The rest of the women served as controls. Suppose a woman is unable to urinate within eight hours of giving birth and has a significant postpartum residual volume (PMRV) or a postvoid residual bladder volume of at least one hundred milliliters (mL). In that case, she is said to have postpartum urinary retention (PPUR). Through the use of logistic regression, risk factors were defined.

Results: The tendency to retain urine after giving birth was strongly linked to several factors, such as labor that lasted longer than six hours (Odds ratio = 0.46, 95% Confidence interval for OR = 0.06-3.67, p<0.001), perineal injuries (Odds ratio = 97.09, 95% Confidence interval for OR = 7.93-1188.93, p<0.001), an episiotomy (Odds ratio = 0.07, 95% Confidence interval for OR = 0.01-0.68, p = 0.022), and a baby that weighed more than 4 kg (Odds ratio = 0.04, 95% Confidence interval for OR = 0.01-0.20, p<0.001).

Conclusion: Postpartum urine retention is a quite prevalent issue following vaginal delivery. Preventing this problem requires understanding the related risk factors, which include protracted labour, perineal lacerations, episiotomy, and macrosomic birth.

Key Words: Bladder, risk factors, urinary retention, delivery, postpartum

Citation of article: Hanif A, Hanif M, Akhtar  T, Arshad A, Waheed  A, Arshad S, Association of Obstetric Risk Factors with Postpartum Urine Retention after Vaginal Delivery. Med Forum 2024;35(10):74-77. doi:10.60110/medforum.351017.