Impact of systematic urinary catheterization protocol in delivery room on covert postpartum urinary retention: a before-after study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12-18

AUTHORS

Mathias Neron, Lucie Allègre, Stéphanie Huberlant, Eve Mousty, Renaud de Tayrac, Brigitte Fatton, Vincent Letouzey

ABSTRACT

We investigated whether implementation of a routine catheterization procedure in labor improves covert postpartum urinary retention (cPUR) rates. We conducted a prospective before-after study. 121 women admitted to delivery room in the observational group, and 82 in the intervention group, in a tertiary university hospital in Southern France were included. All patients in the intervention group were systematically catheterized 2 hours after delivery. cPUR was screened for in both groups. The primary end-point was cPUR (post-void residual bladder volume >150 ml when voided volume is >150 mL). The rate of cPUR decreased from 50% (60 out of 121 patients) in the observational group to 17% (14/82) in the intervention group (OR = 0.21; 95% Confidence Interval [0.13;0.58]; p < 0.001). Similarly, in the subgroup of patients who underwent instrumental delivery, the rate of cPUR was lower in the intervention group (18%, 2/11) than in the observational group (65%, 15/23) (p = 0.02). Systematic intermittent bladder catheterization immediately postpartum could decrease cPUR. Further studies are necessary to assess the long-term outcomes and improve understanding of postpartum voiding dysfunction. More... »

PAGES

17720

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-017-18065-8

DOI

http://dx.doi.org/10.1038/s41598-017-18065-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1099696415

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29255204


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