Although pregnancy can be a magical experience, it can also cause stress on your bladder, sometimes leaving long-lasting effects. This article helps you learn more about the causes, symptoms, risk factors, and treatments for postpartum urinary retention.
Starting with early pregnancy, the bladder undergoes a series of changes due to hormonal, neurological, and mechanical stress. The frequency of urination begins to increase in the first trimester and keeps on increasing as the baby grows and presses on the bladder.
The bladder rests on the lower uterine wall and is loosely connected to the uterus via a membrane. As the uterus grows, the bladder is stretched but its capacity is not increased—this makes the bladder more irritable, creating the feeling of urgency.
Urgency and urinary incontinence are common during pregnancy, often causing dribbling and can persist after childbirth depending on the degree of pelvic floor trauma.
If you are experiencing incontinence, try doing pelvic floor exercises to strengthen your muscles that help you hold it in. You can also regularly wear pads to avoid leakage.
For many women, conditions of incontinence and urgency persist after childbirth, but for others, they develope the opposite condition—postpartum urinary retention (PPUR).
Postpartum urinary retention is defined as the absence of spontaneous micturition (the action of urinating) more than six hours after birth or when residual urine volume after urination is more than 150 cc. If neglected, postpartum urinary retention may result in damage to the nerves and muscle of the bladder, leading to permanent bladder voiding dysfunction.
To treat urinary retention, doctors often prescribe intermittent catheters, which are thin tubes that are inserted into the bladder through the urethra to drain urine out.
According to one study, out of the 234 women recruited for the research, 8.1 percent of women developed urinary retention postpartum. Out of the 8.1 percent, 7.7 percent of women exhibited symptoms of PPUR, while 0.4 percent did not.
Here are some of the potential risky elements:
The causes of postpartum urinary retention are still unclear. Some physiologic, neurologic, and mechanical causes that may be responsible are:
Other times, postpartum urinary retention has no symptoms and is considered ‘covert’ and may not be picked up. One episode of retention increases the chance of another one so early diagnosis and intervention are crucial to prevent long term consequences.
If the person is unable to void (urinate) within six hours of delivery, she will be diagnosed for PPUR in one of two ways:
If neglected, urinary retention may result in
In some cases, bladder infections can present as urinary retention but that is rare. It is more likely that the retention itself leads to a bladder infection.
If you have a prescription for an intermittent catheter, here is a comprehensive guide on how to choose the best catheter that is useful for both beginners and seasoned users. The guide helps you make important considerations such as catheter discretion, portability, infection risks, size, and tip.
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