Perbandingan Kejadian Retensi Urin antara Persalinan dengan Vakum Ekstraksi dan Persalinan Normal

Nurul Hikmah Petrana(1*), Ova Emilia(2), Heru Pradjatmo(3)

(1) Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
(2) Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
(3) Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
(*) Corresponding Author


Background: Urinary retention after vaginal delivery is a common problem with incidence 1.7% - 17.9%. Assissted vaginal delivery is one risk factor for the occurence of urinary retention.

Objective: to compare urinary retention between normal vaginal delivery and assissted vaginal delivery using extraction vacum, and evaluate factors related to urinary retention.

Method: The study was prospective cohort design, conducted in 3 hospitals and 2 primary health centres during 6 month period since September 2013- February 2014. Subjects were divided into two groups i.e. normal delivery and assissted delivery using extraction vacum, each 118 subjects. Events of urinary retention was assessed and also related factors were identified. Analysis used Chi-Square test, Fisher test and also logistic regression analysis.

Result and Discussion: In total 236 subjects were involved, there was no difference in age and parity among the subjects. Incidence of urinary retention among extraction vacum delivery group was higher (32.2%) compare to normal delivery (11.9%). Multivariate analysis using logistic regression showed that extraction vacum (p=0.074; OR 2.71; 95% CI 1.55-4.73), baby weight (p= 0.230; OR 1.95; 95% CI 0.655.84) and perineal injury (p= 0.614; OR 1.35; 95% CI 0.41-4.36) were not significant risk factors for urinary retention. Length of labour (p=0.003; OR 3.71; 95% CI 1.55-8.86) and parity (p= 0.023; OR 2.29; 95% CI 1.2-4.66) were significant risk factors for urinary retention.

Conclusion: Urinary retention is higher among vaginal delivery with extraction vacum compare to normal delivery. Length of labour and parity are external factors related to urinary retention.

Keywords: Assissted vaginal delivery, extraction vacum, normal delivery, urinary retention, postpartum


Assissted vaginal delivery; extraction vacum; normal delivery; urinary retention; postpartum; Persalinan dengan vakum ekstraksi; persalinan normal; retensi urin; postpartum

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  1. Kekre NA, Vijayanand S, Dasgupta R, Kekre N, Postpartum Urinary Retention after Vaginal Delivery, 2011.International Journal of Gynecology and Obstetrics, 112 (2): 112–115
  2. Yustini E, dkk. Efektifitas bladder training terhadap BAK spontan postpartum. Majalah Obstetri Ginekologi Indonesia. 2008;32:4.
  3. Rizvi RM and Rizvi J, Management of Postpartum Urinary Retention, 2006. Review in Gynaecological and Perinatal Practice, 6(3-4): 140-144
  4. Rahmanou P, Postpartum Bladder Care: Background, practice and complication, University College London Hospital Trust, London, 2011.
  5. Carley ME, Carley JM, Vasdev G, Lesnick TG, Webb MJ, Ramin KD and Lee RA, Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery, 2002. Am J Obstet Gynecol 187(2):430-433.
  6. Chaliha C, Postpartum Bladder Dysfunction, 2006. Review in Gynaecological and perinatal practice, 6(3-4): 133-139
  7. Handler, SJ, Cheng, YW, Knight, S., Lyell, D., Caughey, AB, What factors are associated with postpartum urinary retention?, 2011. American Journal of Obstetrics and Gynecology. 204():S79
  8. Lim, JL. Post-partum voiding dysfunction and urinary retention, 2010. Australian and New Zealand Journal of Obstetrics and Gynaecology 50(3): 502–505
  9. Liang CC, Chang SD, Chang YL, Chen SH, Chueh HY, Cheng PJ, Postpartum Urinary retention after Cesarean Delivery, 2007. International Journal of Gynecology and Obstetrics 99( 3): 229–232
  10. Ching-Chung L, Shuenn-Dhy C, Ling-Hong T, Ching C, Chao-Lun C, Po-Jen C. Postpartum urinary retention: assessment of contributory factors and long term clinical impact. Aust NZ J Obstet Gynecol 2002;42(4):365-8


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