TY  - JOUR
T1  - Covert postpartum urinary retention, is there a place for routine bladder ultrasound in postpartum care ?
AU  - Koyuncu, Kazibe
AU  - Turgay, Batuhan
AU  - Varlı, Bulut
AU  - Ulusoy, Can Ozan
AU  - Aytaç, Ruşen
AU  - Söylemez, Feride
PY  - 2021
DA  - April
Y2  - 2020
JF  - Deneysel ve Klinik Tıp Dergisi
JO  - J. Exp. Clin. Med.
PB  - Ondokuz Mayıs University
WT  - DergiPark
SN  - 1309-4483
SP  - 138
EP  - 142
VL  - 38
IS  - 2
LA  - en
AB  - Objective: Postpartum urinary retention(PUR) is defined as inability to void after sixhours from delivery or having abnormal post-void residual volume after delivery(PVRV). Overt PUR is easily detectable condition but covert PUR usually remainsundiagnosed. We aim to investigate the incidence of covert PUR and identify the riskfactors.Material and Methods: A retrospective analysis of the postpartum women wasundertaken between January-July 2016. PVRV of the patients either deliveredvaginally or cesarean section were assessed with ultrasound after first micturition.All the ultrasound scans were made by experienced gynecologist. PVRV of morethan 150 mL was defined as covert PUR. Maternal age, parity, BMI, type of delivery,episiotomy, first urination time, fetal head circumference, labor augmentation andfetal birth weight were investigated as possible risk factors for covert PUR. Thecharacteristics 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 withPVRV under 150 mL and above 150 mL. Fetal head circumference appeared as theonly 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 factorsand treatment have not been established. Until risk factors are identified clearly withlarger studies, postpartum routine PVRV evaluation may be beneficial for preventinglong-term voiding dysfunction problems.
KW  - voiding dysfunction
KW  - vaginal delivery
KW  - urinary retension
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UR  - https://dergipark.org.tr/en/pub/omujecm/issue//834739
L1  - https://dergipark.org.tr/en/download/article-file/1427012
ER  -