Comparison of frequency of urinary problems after caesarean section and instrumental vaginal delivery

Authors

  • Tabassum Naz
  • Benish
  • Khushboo
  • Waheeda
  • Samreen Shamas Din Lakho

DOI:

https://doi.org/10.63682/jns.v14i32S.9881

Keywords:

Vaginal delivery, instrumental delivery, Cesarean, Mode of delivery, Urinary complications, Urinary tract complications

Abstract

Objective: The Objective Of The Study Was:

To Determine Frequency Of Post-Partum Urinary Complications Among Women

To Compare Frequency Of Urinary Problems (Ppvd, Uti And Urinary Incontinence) Following Caesarean Section And Instrumental Vaginal Delivery.

Study Design: A Cross-Sectional Study

Setting:  Study Was Conducted In Obstetrics And Gynaecology Department, Shaikh Zayed Women Hospital, Larkana.

Duration Of Study: Six Months After The Approval Of Synopsis.

 (13-01-2020 To 12-07-2020)

Sampling Technique:        Non- Probability Consecutive Sampling

Methodology:All The Female Patients Of Age 18-45 Years Undergoing Delivery Of Fetus Either Through Caesarean Section Or Instrumental Vaginal Delivery And With Any Parity Or Gravidity Were Included. Written Informed Consent For Inclusion In The Study Was Taken From Each Patient. Appropriate Evaluation Was Done In All The Cases And Name, Age, Body Mass Index (Bmi), Gravidity And Parity Was Obtained. Patients Were Divided Into Two Groups. Patients In Group A Were Those Undergoing Cesarean Section While Patients In Group B Were Those Undergoing Instrumental Vaginal Delivery. Mode Of Delivery Was Decided As Per Obstetrical Merits As Decide By Consultant Obstetrician. All The Patients In Both Groups Were Looked In The Follow Up Clinic For Urinary Problems ((Ppvd, Uti And Urinary Incontinence)). All Data Was Analyzed Using Spss Version 24.

Results: A Total Of 138 Patients Were Included In The Study. The Mean Age Of The Patients Was Found To Be 30.73 ± 7.33 Years. Patients Were Further Categorized According To Age Groups Into 2 Groups And Most Were In The Age Range Of 31-45 Years. Also, Most Of The Patients Had Parity ≤3. The Mean Parity Was 2.85 ± 2.07. The Mean Bmi Of Patients Was Found As 29.89 ± 4.20 Kg/M2. Regarding Gravidity, Mean Gravidity Was 4.38 ± 2.21. Most Of The Patients Had Undergone Ivd. The Most Common Urinary Problem Seen Was Ppvd (N=29), Followed By Urinary Incontinence And Uti. Also, Stratification Of Urinary Problems With Respect To Age, Parity, Bmi And Gravidity Was Done.

Conclusion:Urinary Complications Were Frequently Higher Among Our Patients Who Had Undergone Pregnancy And Childbirth. Therefore, We Suggest That We Need To Educate Our Patients Regarding These Complications And Take Certain Measures To Prevent Them.



Downloads

Download data is not yet available.

References

1. Noor R, Neelam H, Bashir MS. Mode of delivery and pelvic floor disorder. Rawal Med J 2017;42(4):503-6.

2. Hazem AM, Ahmed AB, Ghadeer AS. Incidence of early postpartum voiding dysfunction in primiparae: comparison between vaginal delivery and cesarean section. LUTS. 2014;6(2):103-6.

3. Sharif S, Gondal MJI, Kamboh SM, Adeel M, Qamar M, Chaudhry A, et al. Frequency of urinary incontinence in pregnant multigravida from second trimester up to the delivery. ANNALS. 2017;23(2):1-4.

4. Axelsson D, Brynhildsen J, Blomberg M. Postpartum infection in relation to maternal characteristics, obstetric interventions and complications. J Perinat Med. 2018;46(3):271-8.

5. Wesnes SL, Hannestad Y, Rortveit G. Delivery parameters, neonatal parameters and incidence of urinary incontinence six months postpartum: a cohort study. Acta Obstet Gynecol Scand. 2017;96(10):1214-22.

6. Pifarotti P, Gargasole C, Folcini C, Gattei U, Nieddu E, Sofi G, et al. Acute post-partum urinary retention: analysis of risk factors, a case-control study. Arch Gynecol Obstet. 2014;289(6):1249-53.

7. Hazem AM, Ahmed AB, Ghadeer AS. Incidence of early postpartum voiding dysfunction in primiparae: comparison between vaginal delivery and cesarean section. LUTS: Lower Urinary Tract Symptoms. 2014;6(2):103-6.

8. Gundersen TD, Krebs L, Loekkegaard ECL, Rasmussen SC, Glavind J, Clausen TD. Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study. BMJ open. 2018;8(3):e018479.

9. Dolezal P, Zahumensky J, Otapkova P, Papcun P, Krizko M, Jr. Covert postpartum urinary retention. Bratisl Lek Listy. 2019;120(9):673-5.

10. Fairthorne J, Bourke J, O'Donnell M, Wong K, de Klerk N, Llewellyn G, et al. Pregnancy and birth outcomes of mothers with intellectual disability and their infants: Advocacy needed to improve well-being. Disabil Health J. 2019:100871.

11. Kutluev MM, Safiullin RI. [Experience of using fosfomycin for the treatment of acute uncomplicated cystitis in women in postpartum period]. Urologiia. 2019(5):27-30.

12. Paladine HL, Blenning CE, Strangas Y. Postpartum Care: An Approach to the Fourth Trimester. Am Fam Physician. 2019;100(8):485-91.

13. Yuksel Y, Yuksel D, Yucetin L, Erbis H, Sarier M, Karatas O, et al. Use of Tacrolimus During Pregnancy After Kidney Transplantaion. Transplant Proc. 2019;51(7):2361-6.

14. Liang C-C, Chang S-D, Lin S-J, Lin Y-J. Lower urinary tract symptoms in primiparous women before and during pregnancy. Arch Gynecol Obstet. 2012;285(5):1205-10.

15. Wesnes SL, Rortveit G, Bø K, Hunskaar S. Urinary incontinence during pregnancy. Obstet Gynecol. 2007;109(4):922-8.

16. Van Brummen HJ, Bruinse HW, Van De Pol G, Heintz APM, Van Der Vaart CH. Bothersome lower urinary tract symptoms 1 year after first delivery: prevalence and the effect of childbirth. BJU Int. 2006;98(1):89-95.

17. Zhang L, Zhu L, Xu T, Lang J, Li Z, Gong J, et al. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. Eur Urol. 2015;68(1):97-112.

18. Hantoushzadeh S, Javadian P, Shariat M, Salmanian B, Ghazizadeh S, Aghssa M. Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency. International urogynecology journal. 2011;22(6):651-5.

19. MacArthur C, Wilson D, Herbison P, Lancashire R, Hagen S, Toozs‐Hobson P, et al. Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12–year longitudinal cohort study. BJOG. 2016;123(6):1022-9.

Downloads

Published

2025-11-15

How to Cite

1.
Naz T, Benish B, Khushboo K, Waheeda W, Shamas Din Lakho S. Comparison of frequency of urinary problems after caesarean section and instrumental vaginal delivery. J Neonatal Surg [Internet]. 2025 Nov. 15 [cited 2026 Apr. 14];14(32S):10316-21. Available from: https://jneonatalsurg.com/index.php/jns/article/view/9881

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

Section

Original Article

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

You are free to:

  • Adapt — remix, transform, and build upon the material for any purpose, even commercially.

Terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.