caa a22 4500 44530877X CHVBK 20190327083712.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00404-009-1320-9 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1320-9 Risk factors in prolonged postpartum urinary retention: an analysis of six cases [Elektronische Daten] [Joerg Humburg, Carolyn Troeger, Wolfgang Holzgreve, Irene Hoesli] Purpose: Prolonged first and second stage of labor, isolated prolongation of the second stage, forceps delivery or vacuum extraction, perineal laceration, nulliparity and epidural anesthesia are known risk factors for developing prolonged postpartum urinary retention (PUR). The aim of our study was to analyze number and constellations of these risk factors, in prolonged postpartum urinary retention (PPUR) in our own unit to facilitate the identification of patients at high risk and thus to prevent bladder overdistension by early intervention. Methods: We performed a retrospective analysis of all our cases with PPUR between 2003 and 2008 including variables like age weight, height, body mass index, fetal birth weight and head circumference. Results: The incidence of PPUR at our institution is low being 0.06%. No woman combined all six risk factors. The majority had five risk factors, all had at least four. An isolated prolonged second stage of labor was common to all patients with PPUR. Five women had an epidural anesthesia, three were nulliparous and only two women delivered spontaneously. All but one woman suffered from perineal tears. Interestingly, fetal head circumference was larger than 36cm in four of six cases. Conclusion: In contrast to simple PUR, the prolonged form of PUR could be the result of a cumulative effect of different single risk factors. Springer-Verlag, 2009 Postpartum urinary retention nationallicence Episiotomy nationallicence Perineal laceration nationallicence Vaginal delivery nationallicence Fetal head circumference nationallicence Prolonged second stage of labor nationallicence Humburg Joerg Department of Obstetrics and Gynecology, University Women's Hospital, Spitalstrasse 21, 4031, Basel, Switzerland aut Troeger Carolyn Department of Obstetrics and Gynecology, University Women's Hospital, Spitalstrasse 21, 4031, Basel, Switzerland aut Holzgreve Wolfgang University Medical Center University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany aut Hoesli Irene Department of Obstetrics and Gynecology, University Women's Hospital, Spitalstrasse 21, 4031, Basel, Switzerland aut Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 179-183 0932-0067 283:2<179 2011 283 404 https://doi.org/10.1007/s00404-009-1320-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1320-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Humburg Joerg Department of Obstetrics and Gynecology, University Women's Hospital, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 700 1- Troeger Carolyn Department of Obstetrics and Gynecology, University Women's Hospital, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 700 1- Holzgreve Wolfgang University Medical Center University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany aut NATIONALLICENCE 700 1- Hoesli Irene Department of Obstetrics and Gynecology, University Women's Hospital, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 179-183 0932-0067 283:2<179 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer