| dc.description.abstract | Introduction: Postpartum urinary retention (PPUR) is a urological complication
occurring in the postpartum period that may cause both short- and long-term
voiding dysfunction if not identified and managed appropriately. Several maternal
and intrapartum factors—including parity, birth canal trauma, tissue edema,
instrumental delivery, neonatal birthweight, and intrapartum catheterization—
have been proposed to influence PPUR. However, current evidence remains
inconsistent, necessitating further investigation within specific clinical
populations.
Objectives: This study aims to determine the difference in effectiveness between
intrapartum catheterization and no intrapartum catheterization in preventing
postpartum urinary retention.
Methods: A comparative analytic study with a cross-sectional design was
conducted involving 44 postpartum women who underwent vaginal delivery at
RSP Prof. C.P.L. USU Medan. Participants were allocated into two groups,
namely those who received intrapartum catheterization (n = 22) and those without
catheterization (n = 22). Data were analyzed using Chi-square, Fisher’s Exact
Test, and the Mann–Whitney test.
Results: Most participants were <35 years old (95.5% in both groups) and
primigravida (59.1%). No significant associations were observed between PPUR
and parity (p = 0.614), perineal rupture (p = 0.205), vulvar edema (p = 0.813), or
macrosomia (p = 0.086). Intrapartum catheterization demonstrated a trend toward
higher PPUR incidence (59.1% vs. 31.8%; p = 0.069). A significant difference in
residual urine volume was identified between the catheter and non-catheter
groups, with medians of 200 mL and 100 mL, respectively (p < 0.001). Overall,
PPUR occurred in 20 of 44 participants (45.5%).
Conclusion: No demographic or clinical variables were significantly associated
with PPUR. Nevertheless, intrapartum catheterization showed a tendency to
increase PPUR risk and was significantly associated with higher postpartum
residual urine volume.
Keywords: postpartum urinary retention, intrapartum catheterization, post-void
residual volume, vaginal delivery, risk factors | en_US |
