Risk Factors of Postpartum Urinary Retention

Abstract

Risk Factors of Postpartum Urinary Retention Faktor Risiko Retensio Urine Pascasalin Eka H. Oktharina 1 , Amir Fauzi 1 , Nuswil Bernolian 1 , Theodorus 2 , Cindy Kesty 1 1 Department of Obstetrics and Gynecology 2 Medical Research Unit Faculty of Medicine Universitas Sriwijaya Dr. Mohammad Hoesin General Hospital, Palembang Abstract Abstrak Objective: To determine the correlation between risk factors and the incidence of postpartum urinary retention (PUR) at RSUP Dr. Mohammad Hoesin Palembang. Tujuan: Untuk mengetahui hubungan antara faktor risiko dan kejadian retensio urin pascasalin di RSUP Dr. Mohammad Hoesin Palembang. Methods: Analytical observational study with cross sectional design to fi nd out the correlation between risk factors and incidence of PUR at emergency room, delivery room and ward at dr. Mohammad Hoesin General Hospital Palembang since October 2018 to April 2019. There were 82 samples that met inclusion criteria. The correlation between risk factors and the incidence of urinary retention was analyzed using Chi Square test/ Fisher Exact test, and the most important risk factor was determined using the Logistic Regression test. Data analysis used SPSS version 22.0. Metode: Penelitian observasional analitik dengan desain potong lintang untuk mengetahui hubungan antara faktor risiko dan kejadian retensio urin pascasalin di IGD, kamar bersalin dan bangsal perawatan RSUP Dr. Mohammad Hoesin Palembang sejak Oktober 2018 sampai April 2019. Didapatkan 82 sampel yang memenuhi kriteria inklusi. Hubungan antara faktor risiko dan kejadian retensio urine dianalisis menggunakan uji Chi Square/Fisher Exact, sedangkan untuk mengetahui faktor risiko yang paling berperan menggunakan uji regresi logistik. Analisis data menggunakan SPSS versi 22.0. Result: In this study, it was found that there was a signifi cant relationship between prolonged second stage of labor (PR=40.75, p=0.000), type of labor (PR=9.028 CI 95% 2.114– 38.558; p=0.004 ) and perineal laceration (PR=12.938 CI95% 1.872–89.414; p=0.016) with PUR. However, there was no signifi cant relationship between age, parity, neonatal birth weight, episiotomy, vulvar edema and urinary retention (p>0.05). It was concluded that instrumental delivery had a signifi cant effect on the incidence of urinary retention (PR=13,541 CI95% 2.381–77.018, p value=0.003) by using logistic regression test. Hasil: Pada penelitian ini, didapatkan hubungan yang signifi kan antara lama kala II (PR=40,75, p=0,000), jenis persalinan (PR=9,028 IK95% 2,114–38,558; p=0,004), laserasi perineum (PR=12,938 CI95% 1,872–89,414; p=0,016), dan retensio urine pascasalin. Namun, didapatkan hubungan yang tidak signifi kan antara usia, paritas, BBL bayi, episiotomi, edema vulva, dan kejadian retensio urin (p>0,05). Dengan uji regresi logistik, didapatkan kesimpulan bahwa jenis persalinan dengan instrumen berpengaruh secara signifi kan terhadap kejadian retensio urin (PR = 13,541 IK95% 2,381– 77,018, p value = 0,003). Conclusions: The most important risk factor of urinary retention was instrumental delivery. Kesimpulan: Faktor risiko yang paling berperan terhadap kejadian retensio urin pascasalin adalah persalinan dengan instrumen. Keywords: instrumental delivery, perineal laceration, postpartum urinary retention, type of labor. Kata kunci: jenis persalinan, instrumen, laserasi perineum, retensio urin pascasalin.