COMPARISON OF INCIDENCE URINARY RETENTION BETWEEN
VACUUM EXTRACTION AND NORMAL LABOR
Nurul Hikmah Petrana, Ova. Emilia, Heru. Pradjatmo
Departement of Obstetric and Gynecology
Medical Faculty of Gadjah Mada University
Dr. Sardjito Hospital Yogyakarta
Background: postpartum Urinary retention in vaginal delivery are relatively common,reported incidence is between 1.7% – 17.9%. Physiological changes during pregnancy, the ,use of regional analgesia, with the instruments of labor, perineal trauma, nulliparous and long labor associated with the cause of urinary retention. One episode of bladder overdistenton when not in diagnosis and early treatment can lead to persistent postpartum urinary retention and
irreversible damage to the detrusor muscle with recurrent urinary tract infections and urinary difficulties persist.
Objective: To compare a normal vaginal delivery and vaginal delivery with vacuum extraction ad the factors that affect theincidence of urinary retention.
Design: The study is a prospective cohortMaterials and Methods: The study was conducted section of Obstetrics and Gynecology at the Bantul Hospital,
Purworejo Hospital, Klaten Hospital, Mergangsan health centers and Tegalrejo health centers for 6 months from September
2013 – February 2014. Subjects who met the inclusion criteria and exclusion were divided into 2 groups: normal vaginal delivery with
vacuum extraction delivery groups, each of 118 samples. Then calculated the incidence of urinary retention and the factors that
influence. The study data include the characteristics and results of research
conducted Chi-Square test and Fisher’s exact test and logistic regression analysis.
Results and Discussion: Th were 236 study subjects. No significant differences in Results and Discussion: There were 236 study subjects. No significant differences in age and parity in study characteristics. Incidence of urinary retention at delivery with vacuum extraction was 32.2% compared to 11.9% of normal vaginal delivery. After multivariate logistic
regression analysis, there was no significant difference between vacuum extraction with the incidence of urinary retention, p = 0.074. RR 2.71 (95% CI 1.55 to 4.73). Fetal weight and perineal trauma also no significant on
the incidence of urinary retention with a value of p = 0.230, OR 1.95 (95% CI 0.65-5.84) p = 0.614 and OR 1.35 (95% CI 0:41 to 4:36), while the duration of labor and parity significantly to incidence of urinary retention, p = 0.003, OR 3.71 (95% CI 1.55 to 8.86) and p = 0.023, OR 2.29 (95% CI 1.2 to 4.66).
Conclusion: The incidence of urinary retention was higher in vaginal delivery with vacuum extraction than normal deliveries. There is the influence of external factors on the incidence of urinary retention is a long
labor and parity
Keywords: Delivery by vacuum extraction, normal delivery, urinary retention, postpartum.