Covert postpartum urinary retention, is there a place for routine bladder ultrasound in postpartum care?

Postpartum urinary retention (PUR) is defined as inability to void after six hours from delivery or having abnormal post-void residual volume (PVRV). Overt PUR easily detectable condition but covert usually remains undiagnosed. We aim investigate the incidence of and identify risk factors. A retrospective analysis postpartum women was undertaken between January-July 2016. PVRV patients either delivered vaginally cesarean section were assessed with ultrasound first micturition. All scans made by experienced gynecologist. more than 150 mL PUR. Maternal age, parity, BMI, type delivery, episiotomy, urination time, fetal head circumference, labor augmentation birth weight investigated possible factors for The characteristics without compared. Of 450 included, 67 (17.49%) diagnosed Birth (p= 0.001), circumference (p=0.043), vaginal (p=0.001) need episiotomy (p=0.003) statistically different under above mL. Fetal appeared only independent factor (95% CI OR=1.11-1.127, p=0.04). Although a common problem treatment have not been established. Until are identified clearly larger studies, routine evaluation may be beneficial preventing long-term voiding dysfunction problems.