Current status and influencing factors of protracted postpartum urinary retention in women with labor analgesia
10.3760/cma.j.cn211501-20210309-00687
- VernacularTitle:分娩镇痛产妇发生持续性产后尿潴留的现状及影响因素研究
- Author:
Xuemei FAN
1
;
Congshan PU
;
Chunjian SHAN
;
Chunxiu ZHOU
;
Zhu ZHU
Author Information
1. 南京医科大学附属妇产医院产房，南京 210004
- Keywords:
Influencing factors;
Labor analgesia;
Protracted postpartum urinary retention
- From:
Chinese Journal of Practical Nursing
2022;38(7):481-486
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and the influencing factors of protracted postpartum urinary retention(P-PUR) in women with labor analgesia, so as to provide evidences for early diagnosis and timely intervention for P-PUR.Methods:A total of 41 995 women who were given vaginal delivery under labor analgesia from January 2017 to October 2020 in Women′s Hospital of Nanjing Medical University were chosen as the research objects. A retrospective analysis was performed for the clinical data of 62 women with P-PUR, and a 1∶4 matching case control study was conducted. Logistic regression analysis was used to analyze the variables with statistical difference in univariate analysis, so as to explore the independent influencing factors of P-PUR in women with labor analgesia.Results:Among 41 995 women with labor analgesia, 62 women suffered from P-PUR, and the incidence was about 0.15% (62/41 995). The Logistic regression model showed that nulliparity ( OR=121.80, 95% CI 8.59-1 727.40, P<0.05), forceps delivery ( OR=13.41, 95% CI 2.21-81.58, P<0.05),Ⅱdegree porineal iaceration ( OR=0.04, 95% CI 0.01-0.11, P<0.05), episiotomy ( OR=0.13, 95% CI 0.04-0.47, P<0.05) and perineotomy with perineal laceration ( OR=0.20, 95% CI 0.06-0.63, P<0.05) were the independent risk factors. Conclusions:For primiparas with labor analgesia, interventions should be taken to reduce perineal injury, and indications of forceps delivery should be strictly controlled, so as to reduce P-PUR and adverse urinary tract complications.
