This study will learn us about the prevalence of asymptomatic urinary retention postpartum, as well as the natural course and complications.
ID
Source
Brief title
Condition
- Postpartum and puerperal disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
bladder related quality of life after 3 months in women with asymptomatic
postpartum urinary retention in a prospective cohort.
Secondary outcome
1. Prevalence of asymptomatic postpartum urinary retention.
2. Natural course of bladder function in women with a PVRV of < 150 ml.
3. Prevalence of urinary tract infections in patients with asymptomatic
postpartum urinary retention.
4. Development of a risk profile for asymptomatic postpartum urinary retention.
5. Care consumption of patients with abnormal post void residual volume.
6. Micturition changes in patients with an abnormal and
patients with a normal post void residual volume.
Background summary
Postpartum urinary retention (PUR) is a common complication with a varying
prevalence, from 0.5 - 18%; the prevalence of asymptomatic urinary retention is
even higher, up to 45%. This great variety is mainly due to the use of
different and non-standardized definitions.
Therefore, it seams plausible that there is a large discrepancy between the
registered patients with PUR and the unknown and untreated. Postpartum urinary
retention is most often selflimiting; patients are able to void spontaneous and
empty their bladders completely within a few days. More than 50% of women with
overt PUR recover within 24-48 hours, but a small part has to learn self
catheterization for the duration of weeks to months.
Untreated and unrecognized postpartum urinary retention can lead to serious
complications like urinary tract infections, pyelonefritis, urinary
incontinence, renal failure and bladder rupture. This could have detrimental
effects on the patient*s general health and quality of life. Accordance about
definition and management of symptomatic urinary retention postpartum is
missing worldwide; treatment is therefor in hands of the treating physician.
Study objective
This study will learn us about the prevalence of asymptomatic urinary retention
postpartum, as well as the natural course and complications.
Study design
This is an observational study in a prospective cohort.
Study burden and risks
All women who participate in this study will return to the hospital three times
for an abdominal bladderscan. They will return three months postpartum for the
last check; in the period between they will fill out a care consumption diary
and short questionnaires on different times.
Meibergdreef 9
1105 AZ Amsterdam
NL
Meibergdreef 9
1105 AZ Amsterdam
NL
Listed location countries
Age
Inclusion criteria
All women of 18 years and older who deliver in the participating hospitals, vaginally, and have a post void residual volume of > 150 ml.
Exclusion criteria
1. Age < 18 years
2. Insufficient knowledge or understanding of the Dutch language
3. Congenital urinary tract abnormalities
4. Pre-existent and treated urinary tract infection < 1 week before the delivery
5. History of chronic neurological disease, including diabetic neuropathy
6. Maternal fever (i.e. temperature >= 38.0 °C) due to a proved urinary tract infection
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL34461.018.10 |