Postpartum urinary retention and contributing factors in Taiwanese women
Ya-Wen Lin, RN,MS; Ya-Ling Tzeng, RN, PhD; Pei-Shun Ning, RN,BS
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- Lambda Beta at-Large
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Session presented on Saturday, July 26, 2014:
Objectives: The purposes of this study were to describe the incidence, duration, type, clinical management and its effect of postpartum urinary retention and to identify the factors influencing PUR.
Method: A prospective observational study was adopted. 270 women who had vaginal delivery, were recruited from a medical center in central Taiwan. We used either bladder scan or urine output to measure the post voiding residual volume, and further record the participants' information related to Postpartum Urinary Retention with a structural questionnaire.
Result: The PUR incidence of our participants was 7.78%, including 38.10% overt PUR and 61.90% covert PUR. 23.80% of the women could self-urinate after one-hour helping measure; 9.52% with indwelling catheterization and 66.67% adopted intermittent catheterization. Based on the logistic regression, women who are primiparas (OR,0.2; p=0.000), who have perineal laceration (OR,3.2; p=0.000), and who adopt epidural anesthesia (OR,2.8; p=0.000) have higher incidence of PUR.
Conclusion: Evaluate the bladder function of the women after birth is suggested, especially primiparas, those who adopted epidural anesthesia, and with severe perineal laceration. Though not being the major reason causing PUR, episiotomy does affect postpartum women's urinary function. The result of this study contributes to the understanding of the characteristics and risk factors of resulting in postpartum urinary retention, which could either help prevent or control postpartum urinary retention as well as increase the quality of the nursing care in the early postpartum period. Keywords: postpartum, urinary retention, episiotomy, perineal laceration, catheterization
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
|Review Type||Abstract Review Only: Reviewed by Event Host|
|Keywords||Episiotomy, Perineal Laceration;
Postpartum, Urinary Retention
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