Association of Obstetric Risk Factors with Postpartum Urine Retention in Spontaneous Labor

Abstract

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. Keywords: obstetric risk, postpartum retention, spontaneous delivery