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https://www.readbyqxmd.com/read/27492303/-to-push-or-not-to-push-reflections-on-the-uterine-fundal-pressure-application-in-the-second-stage-of-labor
#1
Ching-Hsing Hsieh
Women who undergo vaginal birth apply uterine fundal pressure during the second stage of labor. Uterine fundal pressure is done manually with the practitioner's forearms, elbows, or palms pressed on the uterine fundus at a 30° to 45° angle to the maternal spine in the direction of the pelvis. The pressure is applied in the longitudinal direction. Gentle, firm, and steady pressure is recommended. The various side effects of applying uterine fundal pressure include: uterine rupture, postpartum urinary retention, severe perineal trauma and pain, rib fracture, postpartum dyspareunia, and potential neonatal distress or trauma...
August 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27262850/ultrasound-induces-contraction-of-the-bladder-smooth-muscle
#2
Yan Ren, Yi Zhu, Li Liu, Tinghe Yu, Xiaojing Dong
PURPOSE: To investigate whether the treatment of overt postpartum urinary retention (PUR) with low-intensity pulsed ultrasound (LIPUS) was clinically effective and whether LIPUS could accelerate bladder smooth muscle (BSM) contraction by opening the L-type calcium channels and activating the Ca(2+) signaling pathway. METHODS: Records of 136 patients undergoing PUR were retrospectively reviewed in two different groups for LIPUS and neostigmine between from 2014 to July 2015...
August 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/26700983/effects-of-sacral-nerve-stimulation-on-postpartum-urinary-retention-related-changes-in-rat-bladder
#3
Shuenn-Dhy Chang, Yi-Hao Lin, Ching-Chung Liang, Tse-Ching Chen
OBJECTIVE: To examine the effect of sacral nerve stimulation (SNS) on the urodynamic function and molecular structure of bladders in rats following acute urinary retention (AUR) after parturition. MATERIAL AND METHODS: Thirty primiparous rats were divided into three groups: postpartum, postpartum+AUR, and postpartum+AUR+SNS. AUR was achieved by clamping the distal urethra of a rat for 60 minutes. The postpartum+AUR+SNS group received electrical stimulation 60 minutes daily for 3 days after AUR...
December 2015: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26637088/obstetrical-anal-sphincter-injuries-oasis-prevention-recognition-and-repair
#4
Marie-Andrée Harvey, Marianne Pierce, Jens-Erik W Alter, Queena Chou, Phaedra Diamond, Annette Epp, Roxana Geoffrion, Marie-Andrée Harvey, Annick Larochelle, Kenny Maslow, Grace Neustaedter, Dante Pascali, Marianne Pierce, Jane Schulz, David Wilkie, Abdul Sultan, Ranee Thakar
OBJECTIVE: To review the evidence relating to obstetrical anal sphincter injuries (OASIS) with respect to diagnosis, repair techniques and outcomes. To formulate recommendations as to patient counselling regarding route of delivery for subsequent pregnancy after OASIS. OPTIONS: Obstetrical care providers caring for women with OASIS have the option of repairing the anal sphincter using end-to-end or overlapping techniques. They may also be involved in counselling women with prior OASIS regarding the route of delivery for future pregnancies...
December 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26530172/-postpartum-pelvic-floor-muscle-training-and-abdominal-rehabilitation-guidelines
#5
REVIEW
X Deffieux, S Vieillefosse, S Billecocq, A Battut, J Nizard, B Coulm, T Thubert
OBJECTIVE: Provide guidelines for clinical practice concerning postpartum rehabilitation. METHODS: Systematically review of the literature concerning postpartum pelvic floor muscle training and abdominal rehabilitation. RESULTS: Pelvic-floor rehabilitation using pelvic floor muscle contraction exercises is recommended to treat persistent urinary incontinence at 3 months postpartum (grade A), regardless of the type of incontinence. At least 3 guided sessions with a therapist is recommended, associated with pelvic floor muscle exercises at home...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/26224379/delivery-related-risk-factors-for-covert-postpartum-urinary-retention-after-vaginal-delivery
#6
Femke E M Mulder, Katrien Oude Rengerink, Joris A M van der Post, Robert A Hakvoort, Jan-Paul W R Roovers
INTRODUCTION AND HYPOTHESIS: Postpartum urinary retention (PUR) is a common consequence of bladder dysfunction after vaginal delivery. Patients with covert PUR are able to void spontaneously but have a postvoid residual bladder volume (PVRV) of ≥150 mL. Incomplete bladder emptying may predispose to bladder dysfunction at a later stage of life. The aim of this cross-sectional study was to identify independent delivery-related risk factors for covert PUR after vaginal delivery in order to identify women with an increased risk of covert PUR...
January 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/25731655/risk-factors-for-acute-postpartum-urinary-retention-after-vaginal-delivery-focus-on-episiotomy-direction
#7
Jong Jin Oh, Soo Hyun Kim, Joong Sik Shin, Seung Ju Shin
OBJECTIVE: This study aimed to investigate the independent factors for acute postpartum urinary retention (APUR) after vaginal delivery. METHODS: From January 2008 to December 2013, 98 patients with APUR after vaginal delivery without instrument use were compared with 108 control patients matched by age and medical history. Multivariate logistic regression analysis was performed to identify independent risk factors for APUR. Predictive accuracy for the multivariate model was assessed using the derived area under a receiver operating characteristics curve...
2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/25317040/postpartum-urinary-retention-after-vaginal-delivery-assessment-of-risk-factors-in-a-case-control-study
#8
Sabri Cavkaytar, Mahmut Kuntay Kokanalı, Ayşegül Baylas, Hasan Onur Topçu, Bergen Laleli, Yasemin Taşçı
OBJECTIVE: To assess the obstetrics risk factors for postpartum urinary retention after vaginal delivery. MATERIAL AND METHODS: Of 234 women with a vaginal delivery, 19 (8.1%) women who had postpartum urinary retention were cases, and 215 (91.9%) women who did not were controls. Postpartum urinary retention was defined as the presence of postvoid residual bladder volume ≥150 mL or the inability to void within 6 hours after vaginal delivery. Logistic regression analysis identified risk factors for urinary retention...
2014: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/25181378/acute-urinary-retention-after-cesarean-delivery-a-case-control-study
#9
Padma Kandadai, Venk Kandadai, Jyot Saini, Katharine O'Dell, Danielle Patterson, Michael K Flynn
INTRODUCTION: This study aimed to identify risk factors for postpartum urinary retention (PPUR) after cesarean delivery (CD). METHODS: A case-control study design was used. Cases of PPUR after CD were identified using billing codes for CD and "urinary retention" and confirmed by chart review. Matched controls were identified in a 2:1 ratio using an obstetrics database and billing data. Patient demographics, operative, and anesthetic data were collected. Fisher exact tests and Wilcoxon rank sum tests were used to determine differences in medical risk factors, postoperative analgesic use, and catheter management between cases and controls...
September 2014: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/25166910/implementing-a-clinical-practice-guideline-to-manage-postpartum-urinary-retention
#10
Angela Y Stanley, Brian T Conner
Postpartum urinary retention is a common condition in obstetric units. A Clinical Practice Guideline was implemented in a high-risk obstetrical unit to decrease variance of clinical practice, rate of postpartum urinary retention, and number of urinary catheterizations and increase awareness of this common condition. Guideline implementation met the 4 aims, including a decreased rate of urinary retention.
April 2015: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/24842120/postpartum-urinary-retention-a-systematic-review-of-adverse-effects-and-management
#11
REVIEW
F E M Mulder, R A Hakvoort, M A Schoffelmeer, J Limpens, J A M Van der Post, J P W R Roovers
INTRODUCTION AND HYPOTHESIS: Postpartum urinary retention (PUR) is a well-known condition after childbirth. Often clinicians assume that this condition is transient, either through belief or by not being aware that its occurrence as measurement of post-void residual volume (PVRV) is often not routine. However, long lasting urinary retention is a serious condition that needs management in order to prevent urogenital tract morbidity. By performing a systematic review of the adverse effects of PUR and management of this condition, we aimed to identify the necessity of diagnosing this condition in the puerperium and to evaluate whether treatment is required...
December 2014: International Urogynecology Journal
https://www.readbyqxmd.com/read/24617228/-clinical-observation-on-deep-oblique-acupuncture-with-long-needle-at-guanyuan-cv-4-for-urinary-retention
#12
RANDOMIZED CONTROLLED TRIAL
Yun-Qi Fu
OBJECTIVE: To observe differences of clinical therapeutic effects between deep-oblique acupuncture with long needle and regular perpendicular acupuncture at Guanyuan (CV 4) for urinary retention to explore standard acupuncture method in clinic. METHODS: One hundred and thirty-two cases of urinary retention were randomly divided into an observation group (78 cases) and a control group (54 cases). Needles with 75 mm in length were deeply and obliquely inserted into Guanyuan (CV 4) in the observation group while needles with 40 mm in length were perpendicularly inserted...
December 2013: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/24111705/postpartum-voiding-dysfunction-identifying-the-risk-factors
#13
Julie Buchanan, Michael Beckmann
BACKGROUND: Postpartum urinary retention (PPUR) (also known as voiding dysfunction) is a common problem, defined as the inability to completely void after giving birth. If voiding dysfunction is not recognised, bladder overdistension can lead to denervation, detrusor atony and prolonged voiding dysfunction. AIM: To describe the incidence of PPUR amongst postpartum women undergoing routine bladder scanning and to identify the factors that lead to postpartum voiding dysfunction...
February 2014: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/22900796/risk-factors-for-postpartum-urinary-retention-a-systematic-review-and-meta-analysis
#14
REVIEW
F E M Mulder, M A Schoffelmeer, R A Hakvoort, J Limpens, B W J Mol, J A M van der Post, J P W R Roovers
BACKGROUND: Postpartum urinary retention (PUR) is a common condition with varying prevalence. Measurement of the post-void residual volume (PVRV) is not regularly performed. Various studies have been published on overt (the inability to void after giving birth, requiring catheterisation) and covert (an increased PVRV after spontaneous micturition) PUR. To evaluate which clinical prognostic factors are related to PUR, the identification of independent risk factors for covert and overt PUR is needed...
November 2012: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/21692586/continuous-primary-nursing-care-increases-satisfaction-with-nursing-care-and-reduces-postpartum-problems-for-hospitalized-pregnant-women
#15
RANDOMIZED CONTROLLED TRIAL
Hongwei Wan, Senqi Hu, Marshelle Thobaben, Yanwen Hou, Tao Yin
OBJECTIVE: To compare the differences in practicing continuous primary nursing care (CPNC) versus task-centered nursing care (TCNC) with regard to patient satisfaction with nursing care and early postpartum health problems for hospitalized pregnant women. DESIGN: All participants filled out the satisfaction with nursing care questionnaire, breastfeeding knowledge questionnaire, and early postpartum problem questionnaire. SETTING: Participants in the CPNC group received continuous individualized primary nursing care and participants in the TCNC group received task-centered nursing care during their perinatal period...
February 2011: Contemporary Nurse
https://www.readbyqxmd.com/read/21323083/-have-you-had-a-wee-yet-postpartum-urinary-retention
#16
REVIEW
Sue Leach
Physiological changes in the bladder that occur during pregnancy predispose women to develop symptomatic retention of urine during the first hours to days after birth (Saultz et al 1991, Lose et al 1992). A basic definition of postpartum urinary retention (PUR) is the lack of spontaneous micturition six hours after vaginal birth or after removing an indwelling catheter (Humburg 2008). PUR after vaginal birth is a relatively common event, with the reported incidence ranging from 1.7 per cent to 17.9 per cent (Carley et al 2002, Ching-Chung et al 2002, Glavind and Bjørk 2003, Yip et al 2004)...
January 2011: Practising Midwife
https://www.readbyqxmd.com/read/21193140/-postpartum-urinary-retention
#17
REVIEW
A C Bouhours, P Bigot, M Orsat, N Hoarau, P Descamps, A Fournié, A-R Azzouzi
Postpartum urinary retention is an uncommon event that occurs in 0.7 to 0.9% of vaginal deliveries. An ignorance of this situation can lead to delayed diagnosis worsening the prognosis and to inadequate treatments. This complication is defined as the absence of spontaneous micturition within 6hours of vaginal delivery with a bladder volume above 400mL. The etiology depends on multiple factors. Because of physiological changes during pregnancy, the bladder is hypotonic with an increased post-void residual volume...
January 2011: Progrès en Urologie
https://www.readbyqxmd.com/read/21130452/postpartum-urinary-retention-after-vaginal-delivery
#18
Aruna N Kekre, Shyamala Vijayanand, Rupashree Dasgupta, Nitin Kekre
OBJECTIVE: To determine the incidence of covert and overt postpartum urinary retention (PUR) after vaginal delivery and to determine obstetric variables contributing to PUR. METHODS: In a cross-sectional study, women who delivered vaginally underwent a transabdominal ultrasound scan for estimation of postvoid residual bladder volume and diagnosis of PUR. Patient data, including age, obstetric history, mode of delivery, and duration of labor, were compared between women with and those without PUR...
February 2011: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/20860036/protracted-postpartum-urinary-retention-the-importance-of-early-diagnosis-and-timely-intervention
#19
Asnat Groutz, Ishai Levin, Ronen Gold, David Pauzner, Joseph B Lessing, David Gordon
AIMS: To evaluate the prevalence and obstetric risk factors of protracted postpartum urinary retention, beyond the third postpartum day. METHODS: Thirty thousand seven hundred fifty-seven consecutive women delivered in Lis maternity hospital during June 2006 to June 2009. The term "protracted postpartum urinary retention" was defined as the absence of adequate voiding beyond the third postpartum day. Study group comprised 55 women who developed protracted postpartum urinary retention...
January 2011: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/20846254/effects-of-postoperative-analgesia-on-postpartum-urinary-retention-in-women-undergoing-cesarean-delivery
#20
Ching-Chung Liang, Shuenn-Dhy Chang, Shu-Yam Wong, Yao-Lung Chang, Po-Jen Cheng
AIM: Various analgesics and administration methods are used to provide women undergoing cesarean delivery pain relief after surgery. We compared three methods of postoperative analgesia regarding the incidence of postpartum urinary retention (PUR) in primiparous women undergoing elective cesarean delivery. METHODS: We estimated post-void residual bladder volume after the first postpartum micturition among 150 parturient women. Risk factors stratified for PUR defined by 150-mL post-void residual bladder volume were analyzed...
October 2010: Journal of Obstetrics and Gynaecology Research
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