Postpartum Urinary Retention

Urinary retention in the postpartum mother is one of the common complications, especially during vaginal delivery. This is a urinary tract disorder that indicates urination but cannot walk and has a tight bladder bridge at the examination.
Although postpartum urinary retention (BTSS) is not dangerous, it causes lots of physical and sensory discomfort for the mother. The incidence of disease is about 13.5%

. Need to understand the situation of BTSS disease to take preventive measures as well as active treatment to help the mother relieve unpleasant things.
Causes urinary retention after birth
During labor, when the fetus is low, the fetus often presses on the neck of the bladder or urethra to cause stagnation of urine, causing the bladder to stretch, when the dilatation causes loss of tone, constriction of the bladder neck muscle .
In addition, in the case of birth, an episiotomy is required to facilitate the opening of the fetus, the sewing site must be sewn after birth, the swelling may make the mother unable to urinate because of pain when urinating .



After birth, the bladder is not sensitive to irritation when urine is full, causing urinary retention.
In addition, when urinary retention, urinary movement repeatedly causes cystitis, making symptoms of urine clear.
Clinical manifestations
About 3 to 4 hours after giving birth, the mother may have a feeling of urination but cannot urinate. Clinical examination showed that the soft abdomen, the area below the navel in addition to the safe sphere is the uterus with good elasticity, another sphere is the bladder, which is pressed into the feeling of tension.
After being instructed to practice urinating, such as sitting in a natural position, cover the abdomen below the belly button and open the faucet for a slow flow. But as a result, the mother could not urinate on her own. Feelings increasingly tense and uncomfortable
Treatment
It is necessary to address the situation of BTSS with the following four principles: practice urinating to recreate urination reflexes, use antibiotics to fight infections, use anti-inflammatory anti-edematous drugs to compress the bladder neck and the last principle to support enhances bladder tonicity to help normalize bladder contraction.




Practice urinating to regain the urination reflex by placing a catheter in the urine, removing the clamp every 4 hours, when the urine is drained, the mother pushes herself through the catheter. Combine warm compress under the belly button, drink plenty of water. The duration of ureter catheterization lasts 3-4 days.
Broad-spectrum antibiotics such as cephalexin, doncef, augmentin, taken orally, use continuously for an average of 7 days. Anti-edematous drugs alphachymotrypsin, buscopan ...
Drugs to support tonic and bladder contraction with prostigmin or xatral for 4-5 days.



Also combine vitamins B1, vitamin B6 and vitamin B12 to increase health.
Prevention
Encourage the postpartum mother to exercise early, to urinate should not be afraid of pain for episiotomy, practice normal urination in a natural urinary position.
Drink plenty of water, do not urinate, clean the vulva area with gynofar gynofar, lactacyd FH. Always keep the vaginal area dry, avoiding infection of the perineal seam.
Adequate nutrition helps restore health after birth, as well as provide adequate breastfeeding.

. Dịch vụ: Thiết kế website, quảng cáo google, đăng ký website bộ công thương uy tín