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dc.contributor.authorWaldum, Åsa
dc.contributor.authorStaff, Anne Cathrine
dc.contributor.authorLukasse, Mirjam
dc.contributor.authorFalk, Ragnhild Sørum
dc.contributor.authorSørbye, Ingvil
dc.contributor.authorJacobsen, Anne Flem
dc.date.accessioned2022-04-26T09:29:08Z
dc.date.available2022-04-26T09:29:08Z
dc.date.created2021-07-08T22:59:32Z
dc.date.issued2021-04-16
dc.identifier.citationInternational Urogynecology Journal. 2021, 32 2383-2391.en_US
dc.identifier.issn0937-3462
dc.identifier.issn1433-3023
dc.identifier.urihttps://hdl.handle.net/11250/2992758
dc.description.abstractIntroduction and hypothesis: Pudendal nerve block analgesia (PNB) is used as pain relief in the final stage of childbirth. We hypothesized that PNB is associated with higher rates of postpartum urinary retention. Methods: We performed a cohort study among primiparous women with a singleton, cephalic vaginal birth at Oslo University Hospital, Norway. Women receiving PNB were included in the exposed group, while the subsequent woman giving birth without PNB was included in the unexposed group. We compared the likelihood of postpartum urinary retention, defined as catheterization within 3 h after birth. Logistic regression analysis stratified by mode of delivery was performed adjusting for epidural analgesia, episiotomy and birth unit. Results: Of the 1007 included women, 499 were exposed to PNB and 508 were unexposed. In adjusted analyses, women exposed to PNB did not differ in likelihood of postpartum urinary retention compared to women unexposed to PNB in either spontaneous (odds ratio[OR]: 0.82, 95% confidence interval [CI] 0.55–1.22) or instrumental (OR 1.45, 95% CI 0.89–2.39) births. Furthermore, no differences between the groups were observed with excessive residual urine volume or catheterization after > 3 h. Conclusions: PNB was associated with neither risk of postpartum urinary retention nor excessive residual urine volume and is therefore unlikely to hamper future bladder function.en_US
dc.description.sponsorshipOpen access funding provided by University of Oslo (incl Oslo University Hospital). This work was supported by a PhD grant from Oslo University Hospital, Norway.en_US
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.ispartofseriesInternational Urogynecology Journal;32, (2021)
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectDeliveryen_US
dc.subjectObstetricsen_US
dc.subjectPostpartum urinary retentionen_US
dc.subjectPudendal nerve blocksen_US
dc.subjectAnalgesiaen_US
dc.subjectObstetrical careen_US
dc.titleIntrapartum pudendal nerve block analgesia and risk of postpartum urinary retention: a cohort studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© The Author(s) 2021en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doihttps://doi.org/10.1007/s00192-021-04768-0
dc.identifier.cristin1921083
dc.source.journalInternational Urogynecology Journalen_US
dc.source.volume32en_US
dc.source.issue32en_US
dc.source.pagenumber2383-2391en_US


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal