Abstract:
Objective: To determine the relationship between obstetric
risk factors and the incidence of postpartum urinary
retention in spontaneous labour at RSUD Ulin Banjarmasin.
Methods: This clinical study used an analytical observational
design with a cross-sectional approach. The population
of this study was patients with a diagnosis of postpartum
urinary retention in spontaneous labour in the delivery ward
and postpartum ward of Ulin Banjarmasin Hospital between
January 2018-January 2020. The sample for this study was a
part of the target population selected by purposive sampling,
which fulfi lled the inclusion and exclusion criteria. Data were
analyzed using the Chi square test and multivariate analysis
using binary logistics.
Result: The results showed 35 samples of patients diagnosed
with postpartum urinary retention in spontaneous
labour and had met the inclusion and exclusion criteria.
Characteristic data of the study samples found that most of
the study subjects were> 35 years old, 27 patients (77%), 21
patients (60%) of cases with primigravida parity, 26 patients
(76%) with the duration of second stage labour ≥1 hour.
Episiotomy was performed in 30 patients (86%), 34 patients
(97%) had a newborn birthweight of <4000 grams. There was
a signifi cant association between the risk factors for parity in
primigravida (p-value 0.02), second stage labour duration in
primigravida (p-value 0.01), and episiotomy (p-value 0.01),
with postpartum urinary retention in spontaneous labour. In
contrast, age (p-value 0.19), and birthweight (p-value 0.10)
were not signifi cantly associated with postpartum urinary
retention in spontaneous labour.
Conclusions: There were signifi cant associations between
obstetric risk factors (parity, duration of second stage
labour, and episiotomy) with postpartum urinary retention
in spontaneous labour. Whereas age and birth weight
were not signifi cantly associated with postpartum urinary
retention in spontaneous labour.
