Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia

HIGHLIGHTS • Maternal age and fetal birth weight are key risk factors for PPUR. • Among 300 subjects, 63.7% experienced PPUR, identified using the Suskhan score, with catheterization as a useful tool for prevention and management planning.   ABSTRACT Objective: Postpartum urinary retention...

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Main Authors: Suskhan Djusad, Alfa Putri Meutia, Surahman Hakim
Format: Article
Language:English
Published: Universitas Airlangga 2024-11-01
Series:Majalah Obstetri dan Ginekologi
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Online Access:https://e-journal.unair.ac.id/MOG/article/view/50852
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author Suskhan Djusad
Alfa Putri Meutia
Surahman Hakim
author_facet Suskhan Djusad
Alfa Putri Meutia
Surahman Hakim
author_sort Suskhan Djusad
collection DOAJ
description HIGHLIGHTS • Maternal age and fetal birth weight are key risk factors for PPUR. • Among 300 subjects, 63.7% experienced PPUR, identified using the Suskhan score, with catheterization as a useful tool for prevention and management planning.   ABSTRACT Objective: Postpartum urinary retention (PPUR) is a common voiding disorder, defined as the inability to void spontaneously within 6 hours after delivery with a residual bladder volume exceeding 200 mL. High rates of PPUR in Indonesia indicate a need for greater awareness and intervention. This study aims to assess the incidence and potential contributing factors of PPUR among postpartum patients at Koja Regional Hospital in Jakarta, Indonesia. Materials and Methods: A descriptive case-control study was conducted, including women who experienced urinary retention following vaginal delivery at Koja Hospital between September and December 2022. Residual urine volume was measured by catheterization 6 hours after delivery. Data analysis, performed using SPSS version 22, included patient demographics and clinical factors such as maternal age, parity, gestational age, neonatal birth weight, and postvoid residual urine volume. These factors were analyzed to determine their association with PPUR. Results: Out of 300 subjects selected through consecutive random sampling, 63.7% experienced PPUR, while 36.3% had normal urinary function. Patients with a mean age of 26.91 ± 5.02 years (p = 0.000), primiparous status (first-time mothers) (p < 0.001), and a mean neonatal birth weight of 2980.95 ± 450.52 grams (p = 0.000) showed a higher risk of developing PPUR compared to other postpartum patients. Conclusion: The study indicates a significant association between postpartum urinary retention and maternal factors, including younger age, primiparity, and higher neonatal birth weight. Identifying these high-risk factors can enhance PPUR management, allowing healthcare providers to implement targeted monitoring and preventive measures, potentially improving postpartum outcomes in this patient population. This underscores the importance of monitoring these risk factors to better manage and potentially mitigate the incidence of PPUR.
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spelling doaj-art-75dc7c61308b41fc8c1e2c733f2a2ea92025-01-07T03:23:16ZengUniversitas AirlanggaMajalah Obstetri dan Ginekologi0854-03812598-10132024-11-0132315616010.20473/mog.V32I32024.156-16049010Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, IndonesiaSuskhan Djusad0https://orcid.org/0000-0001-9818-7456Alfa Putri Meutia1https://orcid.org/0000-0002-5966-4034Surahman Hakim2https://orcid.org/0000-0001-5921-7093Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo National Central Public Hospital, JakartaDepartment of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo National Central Public Hospital, Jakarta Department of Obstetrics and Gynecology, Faculty of Medicine Universitas Indonesia, Dr Cipto Mangunkusumo National Central Public Hospital, JakartaHIGHLIGHTS • Maternal age and fetal birth weight are key risk factors for PPUR. • Among 300 subjects, 63.7% experienced PPUR, identified using the Suskhan score, with catheterization as a useful tool for prevention and management planning.   ABSTRACT Objective: Postpartum urinary retention (PPUR) is a common voiding disorder, defined as the inability to void spontaneously within 6 hours after delivery with a residual bladder volume exceeding 200 mL. High rates of PPUR in Indonesia indicate a need for greater awareness and intervention. This study aims to assess the incidence and potential contributing factors of PPUR among postpartum patients at Koja Regional Hospital in Jakarta, Indonesia. Materials and Methods: A descriptive case-control study was conducted, including women who experienced urinary retention following vaginal delivery at Koja Hospital between September and December 2022. Residual urine volume was measured by catheterization 6 hours after delivery. Data analysis, performed using SPSS version 22, included patient demographics and clinical factors such as maternal age, parity, gestational age, neonatal birth weight, and postvoid residual urine volume. These factors were analyzed to determine their association with PPUR. Results: Out of 300 subjects selected through consecutive random sampling, 63.7% experienced PPUR, while 36.3% had normal urinary function. Patients with a mean age of 26.91 ± 5.02 years (p = 0.000), primiparous status (first-time mothers) (p < 0.001), and a mean neonatal birth weight of 2980.95 ± 450.52 grams (p = 0.000) showed a higher risk of developing PPUR compared to other postpartum patients. Conclusion: The study indicates a significant association between postpartum urinary retention and maternal factors, including younger age, primiparity, and higher neonatal birth weight. Identifying these high-risk factors can enhance PPUR management, allowing healthcare providers to implement targeted monitoring and preventive measures, potentially improving postpartum outcomes in this patient population. This underscores the importance of monitoring these risk factors to better manage and potentially mitigate the incidence of PPUR.https://e-journal.unair.ac.id/MOG/article/view/50852urinary retentionvaginal deliverypost-partumrisk factorsmaternal health
spellingShingle Suskhan Djusad
Alfa Putri Meutia
Surahman Hakim
Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia
Majalah Obstetri dan Ginekologi
urinary retention
vaginal delivery
post-partum
risk factors
maternal health
title Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia
title_full Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia
title_fullStr Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia
title_full_unstemmed Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia
title_short Profile of postpartum patients with urinary retention at Koja Regional Hospital, Jakarta, Indonesia
title_sort profile of postpartum patients with urinary retention at koja regional hospital jakarta indonesia
topic urinary retention
vaginal delivery
post-partum
risk factors
maternal health
url https://e-journal.unair.ac.id/MOG/article/view/50852
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AT alfaputrimeutia profileofpostpartumpatientswithurinaryretentionatkojaregionalhospitaljakartaindonesia
AT surahmanhakim profileofpostpartumpatientswithurinaryretentionatkojaregionalhospitaljakartaindonesia