Urinary retention during and after labor with programmed intermittent epidural bolus (PIEB) analgesia: a prospective observational study
Authors' conclusion
Women who are able to successfully void during labor have a low risk of intrapartum urinary retention.
Study context
- Population
- Women with labor epidural analgesia using PIEB277 voiding attempts during labor
- Participants
- 137 women
- Outcome
- Urinary retention (post-void residual volume >150 mL by catheterization after spontaneous voiding) during voiding attempts in labor
Main finding
As reported in the abstract
Intrapartum urinary retention
Urinary retention rate per voiding attempt during labor
20.6%
Women with urinary retention during labor
48
35%
Observational data: associations, not effects.
Further findings
Urinary retention when spontaneously voided volume >50 mL
- Urinary retention in less than 10% of attempts
Postpartum urinary retention
- Women with postpartum urinary retention
- 9 (6.7%)
- Mean post-void residual volume
- 1133 ± 447 mL
- Nulliparous
- all
- Induced labor
- 7
- Episiotomy
- 5
Original publication
Urinary retention during and after labor with programmed intermittent epidural bolus (PIEB) analgesia: a prospective observational study. Int J Obstet Anesth. Published 6 January 2025. doi:10.
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