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Diagnoses of postpartum urinary retention using next-generation non-piezo ultrasound technology: assessing the accuracy and benefits.
Sci Rep
December 2024
Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Venusberg Campus 1, 53127, Bonn, Germany.
Postpartum urinary retention has a wide range of publicized incidences, likely caused by frequent misdiagnosis of this puerperal complication. Especially covert postpartum urinary retention has a high number of missed diagnoses due to the lack of symptoms and the time-extensive diagnostics via ultrasound, leading to no treatment and no appropriate follow-up. To simplify the diagnosis and establish a screening tool we analyzed the application of portable handheld-ultrasound devices (PUD) as used in Point-of-care diagnostics in comparison to established standard ultrasound devices (SUD).
View Article and Find Full Text PDFIncidence, risk factors and diagnostic accuracy of clinical palpation in picking up post-void residual urine in postnatal women.
Arch Gynecol Obstet
September 2024
Department of Community Health, Christian Medical College, Vellore, India.
Purpose: To determine the incidence of covert and overt postpartum urinary retention after vaginal delivery and the associated risk factors for postpartum urinary retention. To determine how well clinical examination by abdominal palpation correlates with ultrasound findings of urinary retention.
Methods: Patients after delivery were screened with ultrasound and examined clinically to check for retention of urine after voiding.
Use of Opioids and Epidural Anaesthesia in Labor Analgesia as Important Risk Factors for Apparent Postpartum Urinary Retention: A Case-Control Study.
Arch Esp Urol
July 2024
Anesthesia Department, Ma'anshan Maternal and Child Health Hospital, 243000 Ma'anshan, Anhui, China.
Background: Labor analgesic interventions, particularly the use of opioids and epidural anaesthesia, have raised concerns regarding their potential impact on postpartum urinary retention (PUR), necessitating a comprehensive investigation into their association with this clinical outcome.
Methods: This retrospective case-control study analysed clinical data from postpartum patients at our hospital from January 2023 to December 2023. Anaesthetic methods, including opioid and non-opioid drug usage, epidural analgesia and non-use of analgesia, were assessed.
Neuraxial Morphine Anesthesia Given During Cesarean Delivery and Risk of Urinary Retention: A Retrospective Study.
Isr Med Assoc J
August 2024
Department Anesthesia, Intensive Care and Pain Medicine, Carmel Medical Center, Haifa, Israel, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Background: Cesarean deliveries (CD) are commonly performed using neuraxial anesthesia. The use of neuraxial morphine has proven beneficial in terms of postoperative pain management; however, its effect on postoperative urine retention remains unclear.
Objectives: To determine whether morphine injection into the neuraxis during CD influences postoperative urinary retention rate.
Risk factors for postpartum urinary retention: An updated systematic review and meta-analysis.
Int J Gynaecol Obstet
January 2025
Department of Gynecology and Obstetrics, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Background: There are conflicting reports on the factors that increase the likelihood of postpartum urinary retention (PUR).
Objectives: We completed an updated systematic review and meta-analysis to identify the risk factors for PUR.
Search Strategy: An exhaustive search of the literature was undertaken using multiple databases, including PubMed, Web of Science, the Cochrane Library, and Embase to identify pertinent studies published up until November 4, 2023.
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