摘要
Abstract
Objective To analyze the risk factors of postpartum urinary retention(PUR)among primiparous women after painless delivery.Methods A total of 202 primiparous women who had natural labor and painless delivery in Women and Children's Health Care Hospital of Linyi from May 2023 to October 2024 were retrospectively selected as the research objects.According to whether PUR occurred,they were divided into PUR group(102 cases)and non-PUR group(100 cases),and the clinical data of the two groups were compared.The logistic regression was used to analyze the risk factors of PUR in primiparous women with painless delivery.Results There were statistically significant differences in gestational diabetes mellitus,perineum condition,fetal head suction midwifery,the second stage of labor and vulvar edema between the two groups(P<0.05).Multivariate logistic analysis showed that gestational diabetes mellitus(OR=2.692,95%CI:1.011-7.167),fetal head suction midwifery(OR=5.736,95%CI:1.541-21.348),gradeⅡperineal tear(OR=6.643,95%CI:1.245-35.448),episiotomy(OR=2.672,95%CI:1.314-5.434)and vulvar edema(OR=3.485,95%CI:1.144-10.612)were the risk factors of PUR in primiparous women with painless labor(P<0.05).Conclusion Gestational diabetes mellitus,fetal head suction midwifery,gradeⅡperineal tear,and episiotomy can increase the risk of PUR in primiparous women with painless labor,and preventive measures should be implemented for high-risk groups.关键词
无痛分娩/初产妇/产后尿潴留/危险因素Key words
Painless delivery/Primiparous women/Postpartum urinary retention/Risk factor分类
医药卫生
