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SAN DIEGO -- Regional anesthesia, instrumental delivery, mediolateral episiotomy, and primiparity were each associated with an increased risk of postpartum urinary retention after vaginal delivery in a retrospective study.
Careful follow-up of patients with these risk factors can help physicians spot postpartum urinary retention (PUR) early, Dr. Michael Carley said in an interview at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
Dr. Carley, who is with the Mayo Clinic, Rochester, Minn., conducted, a retrospective case-control study of 11,332 women who were delivered at the clinic between August 1992 and April 2000.
He found that 51 of these women experienced clinically overt PUR, defined, as an inability to void within 12 hours after delivery. The 51 case patients were similar to controls on the basis of maternal age, race, body mass index, parity, and fetal ...
Source: HighBeam Research, Several Risk Factors for Postpartum Urinary Retention Identified.