Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study
Objective Postpartum urinary retention (PUR) is a common complication that often arises following vaginal childbirth, leading to discomfort and higher readmission rates, which can adversely affect maternal recovery and mental health. Consequently, the objective of this study was to examine the preva...
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Taylor & Francis Group
2025-12-01
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| Series: | The Journal of Maternal-Fetal & Neonatal Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/14767058.2025.2512145 |
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| author | Jianfang Wang |
| author_facet | Jianfang Wang |
| author_sort | Jianfang Wang |
| collection | DOAJ |
| description | Objective Postpartum urinary retention (PUR) is a common complication that often arises following vaginal childbirth, leading to discomfort and higher readmission rates, which can adversely affect maternal recovery and mental health. Consequently, the objective of this study was to examine the prevalence and distinct risk factors associated with PUR in women after vaginal delivery.Methods This was a single-center, retrospective case-control study conducted at Jinhua People’s Hospital between January and December 2023. The study included women who delivered vaginally at term and met the defined criteria for postpartum urinary retention (PUR). Maternal demographic, labor, and delivery characteristics were extracted from electronic medical records, and univariate and multivariate logistic regression analyses were used to identify risk factors for PUR.Results Among the 2,690 women who delivered during the study period, 72 cases of PUR were identified, yielding an incidence rate of 2.67%. Univariate analysis indicated that patients had a significantly higher incidence of epidural analgesia (91.67% vs. 76.76%, p < 0.05) and instrumental delivery (18.06% vs. 7.58%, p < 0.05). The multivariate logistic regression analysis revealed one distinct, independent risk factor associated with PUR: prolonged second-stage labor (OR = 1.009, 95% CI: 1.003–1.015, P= <0.05). Of the 72 patients with PUR, 69 regained urinary function within 48 h after catheterization.Conclusions The results of this research highlight the essential requirement for effective labor management strategies to reduce the risk of PUR. The identification of key risk factors provides valuable insight into patient management following vaginal delivery, suggesting that interventions focused on monitoring second-stage labor duration and timely catheterization may contribute to improved maternal outcomes. |
| format | Article |
| id | doaj-art-39feda80eade4135becd7caa2a3bf400 |
| institution | DOAJ |
| issn | 1476-7058 1476-4954 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | The Journal of Maternal-Fetal & Neonatal Medicine |
| spelling | doaj-art-39feda80eade4135becd7caa2a3bf4002025-08-20T03:12:49ZengTaylor & Francis GroupThe Journal of Maternal-Fetal & Neonatal Medicine1476-70581476-49542025-12-0138110.1080/14767058.2025.2512145Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control studyJianfang Wang0Department of Obstetrics, Jinhua People’s Hospital, Zhejiang, People’s Republic of ChinaObjective Postpartum urinary retention (PUR) is a common complication that often arises following vaginal childbirth, leading to discomfort and higher readmission rates, which can adversely affect maternal recovery and mental health. Consequently, the objective of this study was to examine the prevalence and distinct risk factors associated with PUR in women after vaginal delivery.Methods This was a single-center, retrospective case-control study conducted at Jinhua People’s Hospital between January and December 2023. The study included women who delivered vaginally at term and met the defined criteria for postpartum urinary retention (PUR). Maternal demographic, labor, and delivery characteristics were extracted from electronic medical records, and univariate and multivariate logistic regression analyses were used to identify risk factors for PUR.Results Among the 2,690 women who delivered during the study period, 72 cases of PUR were identified, yielding an incidence rate of 2.67%. Univariate analysis indicated that patients had a significantly higher incidence of epidural analgesia (91.67% vs. 76.76%, p < 0.05) and instrumental delivery (18.06% vs. 7.58%, p < 0.05). The multivariate logistic regression analysis revealed one distinct, independent risk factor associated with PUR: prolonged second-stage labor (OR = 1.009, 95% CI: 1.003–1.015, P= <0.05). Of the 72 patients with PUR, 69 regained urinary function within 48 h after catheterization.Conclusions The results of this research highlight the essential requirement for effective labor management strategies to reduce the risk of PUR. The identification of key risk factors provides valuable insight into patient management following vaginal delivery, suggesting that interventions focused on monitoring second-stage labor duration and timely catheterization may contribute to improved maternal outcomes.https://www.tandfonline.com/doi/10.1080/14767058.2025.2512145Postpartum urinary retentionprolonged second-stage laborintermittent catheterizationrisk factorsvaginal delivery |
| spellingShingle | Jianfang Wang Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study The Journal of Maternal-Fetal & Neonatal Medicine Postpartum urinary retention prolonged second-stage labor intermittent catheterization risk factors vaginal delivery |
| title | Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study |
| title_full | Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study |
| title_fullStr | Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study |
| title_full_unstemmed | Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study |
| title_short | Risk factors associated with postpartum urinary retention following full-term vaginal delivery in a tertiary hospital in China: a case-control study |
| title_sort | risk factors associated with postpartum urinary retention following full term vaginal delivery in a tertiary hospital in china a case control study |
| topic | Postpartum urinary retention prolonged second-stage labor intermittent catheterization risk factors vaginal delivery |
| url | https://www.tandfonline.com/doi/10.1080/14767058.2025.2512145 |
| work_keys_str_mv | AT jianfangwang riskfactorsassociatedwithpostpartumurinaryretentionfollowingfulltermvaginaldeliveryinatertiaryhospitalinchinaacasecontrolstudy |