RESEARCH ON POSTPARTUM URINARY RETENTUON AND SOME RELATED FACTORS IN VAGINAL DELIVERY IN DA NANG HOSPITAL FOR WOMEN AND CHIDREN
Main Article Content
Abstract
Objective: To determine the rate of urinary retention after vaginal delivery and evaluation some factors
related to urinary retention after vaginal delivery at Da Nang Hospital For Women And Chidren.
Methods: Cross-sectional study describing 673 women giving birth vaginally, at Da Nang Hospital
For Women And Chidren from March 2018 to the end of September 2018. The pregnant women
in the research group will be examined, interviewed, and refer to the medical records to record the
variables according to the research questionnaire.
Results: Women who are primigravida with postpartum urinary retention rate 6.6%, higher than
2.4% for multigravida who have postpartum urinary retention. In infants with a weight of ≥ 3500
grams, the prevalence of birth urinary retention was 16.7%, higher than that of women with babies
<3500 grams with neonatal urinary retention (1.7%). The rate of postpartum urinary retention among
women who had a baby with a head circumference ≥ 36 cm was 24.3% higher than for women with a
head circumference <36 cm (3.6%). The rate of urinary retention in pregnant women: asisted vaginal
delivery was 50.0%; time of labor in stage 1 lasted ≥ 12 hours was 13.0%; the duration of second stage
labor was 16.4% prolonged, higher than the rate of urinary retention in the group of pregnant women:
vaginal delivery (4.6%); period of labor for stage 1 <12 hours (2.1%); period of labor for stage 2 did
not last long (3.3%). In the group of women who did not exercise early after giving birth, the rate of
urinary retention was 37.5%, higher than this group of women with early movement after birth, 1.3%.
Conclusion: The rate of urinary retention after vaginal delivery is 4.8%. Factors: giving birth in
comparison, giving birth to a large baby with a gestational weight: ≥ 3500 grams, head circumference
≥36 cm, asisted vaginal delivery, long stage 1 labor, long stage 2 labor, early postpartum inactivity
increases the risk of postpartum urinary retention
Article Details
Keywords
Postpartum urinary retention, pregnant women, vaginal delivery
References
2. Khoa NTQ, Postpartum urinary retention and some related factors on pregnant women at Tu Du Hospital, Master's thesis in medicine, Ho Chi Minh City University of Medicine and Pharmacy, 2002. (in Vietnamese)
3. Lang HX, Postpartum urinary retention and related factors in vaginal delivery at Hue Central Hospital, Master thesis in medicine, Hue University of Medicine and Pharmacy, 2006. (in Vietnamese)
4. Cavkaytar S, Kokanalı MK, Baylas A et al., Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study, J Turk Ger Gynecol Assoc., 2014; 15(3): 140-3.
5. Kekre AN, Vijayanand S, Dasgupta R et al., Postpartum urinary retention after vaginal delivery, Int J Gynaecol Obstet., 2011; 112(2): 112-5.
6. Rizvi RM, Khan ZS, Khan Z, Diagnosis and management of postpartum urinary retention, Int J Gynaecol Obstet., 2005; 91(1): 71-2.
7. Yip SK, Brieger G, Hin LY et al., Urinary retention in the post-partum period. The relationship between obstetric factors and the post-partum post-void residual bladder volume, Acta Obstet Gynecol Scand., 1997; 76(7): 667-72.