Incidence of Early Postpartum Voiding Dysfunction in Primiparae: Comparison Between Vaginal Delivery and Cesarean Section

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2013-07-29 DOI:10.1111/luts.12027

Hazem AL-MANDEEL, Ahmed AL-BADR, Ghadeer AL-SHAIKH

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引用次数: 2

Abstract

Objectives

To compare the incidence of early postpartum voiding dysfunction (PPVD) in primiparae women delivered vaginally (VD) to those delivered by elective Caesarean section (CS).

Methods

A prospective study of primiparae in early postpartum period, were grouped into: VD group and CS group. Following the first 24 h from delivery, patients had uroflowmetry and post-void residual urine (PVR) volume measurement.

Results

Two hundred and fifty six primiparae women recruited; 204 (81%) had VD and 48 (19%) had primary elective CS. Forty-two women in the VD group (20.2%) diagnosed with PPVD compared to only four (8.3%) in the CS group (P = 0.05). Within VD group, women who had vaginal tear (86.4% vs. 44%, P < 0.001) or epidural analgesia (33.3% vs. 18.1%, P < 0.05) experienced higher incidence of PPVD.

Conclusion

Women who had normal VD are at higher risk of transient PPVD than those delivered by CS during their early postpartum period.

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初产妇产后早期排尿功能障碍的发生率:阴道分娩与剖宫产的比较

目的比较顺产(VD)和择期剖宫产(CS)初产妇产后早期排尿功能障碍(PPVD)的发生率。方法对产后早期初产妇进行前瞻性研究，分为:VD组和CS组。分娩后24小时，患者进行尿流仪和空后残余尿(PVR)体积测量。结果共招募初产妇256例;204例(81%)有VD, 48例(19%)有原发性选择性CS。VD组中42名女性(20.2%)被诊断为PPVD，而CS组中只有4名(8.3%)被诊断为PPVD (P = 0.05)。在VD组中，阴道撕裂(86.4% vs. 44%， P < 0.001)或硬膜外镇痛(33.3% vs. 18.1%， P < 0.05)的女性PPVD发生率更高。结论正常VD的妇女在产后早期发生短暂性PPVD的风险高于经CS分娩的妇女。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.