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

Hazem Al-Mandeel; Ahmed Al-Badr; Ghadeer Al-Shaikh

doi:10.1111/luts.12027

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

Low Urin Tract Symptoms. 2014 May;6(2):103-6. doi: 10.1111/luts.12027. Epub 2013 Jul 29.

Authors

Hazem Al-Mandeel¹, Ahmed Al-Badr², Ghadeer Al-Shaikh¹

Affiliations

¹ Department of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
² Department of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.

PMID: 26663549
DOI: 10.1111/luts.12027

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.

Keywords: elective Caesarean section; postpartum; primiparae; voiding dysfunction.