Understanding Urinary Retention during pregnancy

 

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Treatments of Urinary Retention in Pregnancy Using Catheters. For immediate and short-term relief, catheters are often used to empty the bladder. During this Suggesting Double Voiding. Sometimes bladder retraining and pelvic muscle exercises are. Treatments for postpartum urinary retention Home remedies: timed voiding—urinating on a set schedule, and double voiding—voiding once, then voiding again in 10-15 Prescribed drugs.

If you are breastfeeding, you would need to discuss the effects of the drugs in detail with your Catheter: your. During pregnancy, many women experience at least some degree of urinary incontinence, which is the involuntary loss of urine.The incontinence may. It is well known at about the fourth month of pregnancy ureteral dilatation begins, a condition of atonia that expresses itself as a relaxation of the smooth musculature of the ureters. 1 This dilatation is demonstrable by pyelography and includes the renal pelves. Acute urinary retention in early pregnancy is a rare but serious problem.

In most cases a causative factor can be identified. In the absence of a readily identifiable causative factor following basic investigation, the further diagnostic and treatment approach can be a challenge, as there are no defined guidelines. Acute urinary retention during pregnancy is rare. Retention secondary to an impacted, gravid uterus is an emergency. Retroversion of the uterus, a history of pelvic inflammatory disease, and large fibroids are predisposing factors.

Acute Urinary Retention. Although postpartum urinary retention is more common, urinary retention during pregnancy develops in approximately 1 in 3000 to 1 in 8000 women. 22 Urinary retention often occurs because of the enlargement of a retroverted uterus with entrapment of the fundus below the sacral promontory.

23 Uterine fibroids or other uterine. Urinary retention is less common in women, but there are a few typical causes. Obstruction A mass or cancer in your uterus can push into your bladder outlet or urethra and cause an obstruction. Urinary retention results from either a blockage that partially or fully prevents the flow of urine, or your bladder not being able to maintain a strong enough force to expel all the urine. Diagnosis Health care professionals use your medical history, a physical exam, and tests to help find the cause of urinary retention.

The causes of urinary retention are related to either a blockage that partially or fully prevents urine from leaving your bladder or urethra, or your bladder not being able to maintain a strong enough force to expel all the urine. Blockage or narrowing in the urethra or bladder neck.

List of related literature:

However, the most likely cause of urinary frequency during pregnancy is increasing compression of the bladder by the growing uterus.

“Blueprints Obstetrics and Gynecology” by Tamara L. Callahan, Aaron B. Caughey
from Blueprints Obstetrics and Gynecology
by Tamara L. Callahan, Aaron B. Caughey
Wolters Kluwer Health/Lippincott William & Wilkins, 2009

Urogenital System and Anorectal Issues Anatomic and hormonal changes during pregnancy place the pregnant woman at risk for both lower and upper urinary tract infections (UTIs) and for urinary incontinence.

“Primary Care for the Physical Therapist E-Book: Examination and Triage” by William G. Boissonnault, William R Vanwye
from Primary Care for the Physical Therapist E-Book: Examination and Triage
by William G. Boissonnault, William R Vanwye
Elsevier Health Sciences, 2020

Anatomic and functional changes in the lower urinary tract during pregnancy.

“Maternity and Pediatric Nursing” by Susan Scott Ricci, Terri Kyle
from Maternity and Pediatric Nursing
by Susan Scott Ricci, Terri Kyle
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Anatomical and functional changes in the lower urinary tract during pregnancy.

“Primary Care for the Physical Therapist E-Book: Examination and Triage” by William G. Boissonnault
from Primary Care for the Physical Therapist E-Book: Examination and Triage
by William G. Boissonnault
Elsevier Health Sciences, 2010

Changes in the urinary tract from early in pregnancy increase the risk of bacteria present in the bladder spreading up the urinary tract with resulting pyelonephritis.

“Understanding Laboratory Investigations: A Guide for Nurses, Midwives and Health Professionals” by Chris Higgins
from Understanding Laboratory Investigations: A Guide for Nurses, Midwives and Health Professionals
by Chris Higgins
Wiley, 2012

Pregnancy alters this self-cleaning action, as pressure on urinary structures keeps the bladder from emptying completely and the ureters dilate and lose motility under the relaxing effects of the hormone progesterone.

“Introduction to Maternity and Pediatric Nursing E-Book” by Gloria Leifer
from Introduction to Maternity and Pediatric Nursing E-Book
by Gloria Leifer
Elsevier Health Sciences, 2018

Dilation of the ureters and renal pelvises, and a decrease in bladder tone place the pregnant woman at risk for urinary tract infection and asymptomatic bacteriuria.

“Health Assessment and Physical Examination” by Mary Ellen Zator Estes, Pauline Calleja, Karen Theobald, Theresa Harvey
from Health Assessment and Physical Examination
by Mary Ellen Zator Estes, Pauline Calleja, et. al.
Cengage Learning Australia, 2019

Changes in the urinary tract during normal pregnancy are so marked that norms in the nonpregnant state cannot be used for obstetric management.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Robert K. Creasy, Jay D. Iams, Charles J. Lockwood, Thomas Moore, Michael F Greene, Lesley Frazier
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Robert K. Creasy, et. al.
Elsevier Health Sciences, 2008

During prenatal and postnatal maturation, there are anatomical changes which occur that likely affect urinary concentrating ability.

“Pediatric Nephrology” by Ellis D. Avner, William E. Harmon, Patrick Niaudet, Norishige Yoshikawa
from Pediatric Nephrology
by Ellis D. Avner, William E. Harmon, et. al.
Springer Berlin Heidelberg, 2009

Urinary tract infection (UTI) risk is increased in pregnancy due to anatomic changes to the urinary tract caused by the enlarging uterus.

“Gunner Goggles Obstetrics and Gynecology E-Book: Shelf Review” by Hao-Hua Wu, Leo Wang
from Gunner Goggles Obstetrics and Gynecology E-Book: Shelf Review
by Hao-Hua Wu, Leo Wang
Elsevier Health Sciences, 2018

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • 0:14 What is self catheterising & why it’s used
    0:55 my self-catheterising story
    3:06 what I use while out & in hospital
    6:03 my medical storage at home
    9:28 my self-catheterising tips!

  • Self catheterization didn’t work for me because it just causes bleeding for me,and surgery stresses me out,I don’t retain a lot of urine, but I still wet the bed and i still urinate frequently, I’ve even peed myself while awake a couple times and I’m so embarrassed

  • I can’t even find the urethra even with the mirror and labia separated the self cath procedure too traumatic, I prefer the surgery suprapubic catheter.

  • I could tell you about many diapers you sound interested
    You are pretty Georginatry a b u preschool diapers I don’t know if you like plastic the cloth
    I can help you with all sorts of diapers we have princess diapers super pink diapers

    I would like to get to know you Georgina

  • Just wanted to say thank you for posting this video. My ic has been acting up since October and the last catheter meds didn’t work.. going to the uro on Tuesday to talk over options, the bladder retention is driving me nuts.. a tad better but not great.