Background- Among females who have undergone vaginal delivery, postpartum urinary retention is common. Many females report difficulty in passing urine in puerperal period. Evaluation of the Post void residual bladder volume is done by ultrasound scan which is a non invasive method to detect urinary retention. Study is done to understand the problem better and risk factor associated with it, so that measures can be taken to improve them. Method- A Observational, cross-sectional study was conducted in the department of Obstetrics & Gynaecology in RMCH, Bareilly, Uttar Pradesh, India, for a period of 6 months on 220 women who have delivered vaginally and post-void urine volume was estimated by transabdominal ultrasound and cause of urinary retention was evaluated. Result - Among 220 women, 24 (10.9%) experienced PUR—20 (9.08%) had covert PUR and 4 (1.82%) had overt PUR. No statistically significant association was found between PUR and parity (p=0.56), mode of delivery (p=0.23), episiotomy (p=0.28), or birth canal injury (p=0.77). Women with PUR had longer mean durations in both the first (684.55 ± 103.95 minutes) and second (40.37 ± 11.48 minutes) stages of labor compared to those without PUR. Conclusion: The incidence of PUR was 10.9%, with covert PUR being more prevalent. While no individual risk factor showed statistical significance, prolonged labor and instrumental delivery were more commonly observed among women with PUR. Early detection and intervention are essential to prevent irreversible bladder dysfunction.
Singh et al. (Tue,) studied this question.