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Catheter Question/Post ChildbirthFrom: mary (anonymous@obgyn.net)Fri, 29 Oct 1999 20:35:01 -0700
Hello, my name is Mary; I am a nursing student at the University of North Dakota. I came across your question on the Woman's Health Forum list serve and I hope that I can answer your questions. I found some information in my textbook and some journals that might be of interest to you. You mentioned an epidural was administered about an hour prior to delivery. In my reading, I found that women who have had an epidural will have problems emptying their bladder, and are more susceptible to urinary retention (Olds, London, Ladwig, 1996). After you have your baby, your risk for a urinary tract infection is increased; there are several reasons that this occurs. After a normal pregnancy urinary output will increase, but if there is swelling around the bladder the flow of urine is slowed, thus making it hard to urinate. The chance of a Urinary tract infection will increase, because of the presence of bacteria (Olds, London, Ladwig, 1996). I also went to the medical library and researched some journals for you. I found two that you might be interested in looking up. There was a study done to find out the relationship between increased bladder capacity and deceased bladder sensitivity from stretching or trauma. One of the findings that came out of this article was the association between postpartum urinary retention and the length of the first and second stage of labor. The ability to urinate may be difficult because of swelling due to the fetus putting pressure in the pelvic area (Gentry & Liu, 1997). Another article talked about other medications (i.e. epidural infusion of morphine) also to be linked to difficulty in urinating (Yip, Grieger, Hin & Ching, 1997). As far your pain when urinating it could be due to either, a urinary tract infection, swelling, bruising around the urethra or episiotomy site. I hope that the information provided to you will be beneficial. I would also encourage you to seek the advice of your medical doctor if you have any further concerns in regards to your questions. Thank you, Mary McGreevy College of Nursing University of North Dakota Olds, S., London, M., & Ladewig, P. (1996). Maternal newborn nursing a family centered approach (5th ed.). California: Addison-Wesley. J.A. Gedney. & e.h.c., Liu (1998). Side effects of epidural infusions of upload bupivacaine mixtures. Anesthesia, 53, (12): p. 1148-1155. Shing-Kai Yip, Geoffrey Brieger, Lin-Yee Hin & Tony Chung (1977). Urinary Retention in the post-partum period. ACTA Obstetricia ET Gynecologica Scandinavica: 76 (7): 667-72.
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