Hi Deborah, here is a reference:
Musselwhite K et al (2007) Use of epidural anaesthesia and the risk of acute postpartum urinary retention. American Journal of Obstetrics & Gynaecology, 196(5):471e1-472e5
Walsh D (2007) The medicalisation of bladder care. Birthwrite. British Journal of Midwifery, 15(2):87
Best wishes,
Denis
Reader in Normal Birth
University of Central Lancashire
Independent Midwifery Consultant
Home address:
366 Hinckley Rd
Leicester LE3 0TN
Mobile: 07905735777
-----Original Message-----
From: A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] On Behalf Of Deborah Caine
Sent: 15 June 2007 20:03
To: [log in to unmask]
Subject: Re: Evidence based guidelines
Denis, I would be interested to know of evidence about deranged function of
the bladder following epidurals. It would be good to include references to
this in antenatal classes.
Deborah
Denis Walsh writes:
> Hi Sue,
>
> This is an issue I feel strongly about because it worries me that it is
> becoming another area to medicalise. (see Birthwrite BJM earlier in the
> year). I think there are two principles that need adhering to when
> formulating guidelines:
>
> 1. Don�t undermine trust in women�s self regulation of their bladders
> post birth. Professionals taking over �management� smacks of paternalism.
>
> 2. Ensure that clinical skills of midwives in assessing bladder
> fullness are maintained
>
>
>
> This concern has arisen largely because of the epidural epidemic which
> nullifies normal bladder physiology and women should be informed of this
> side effect of epidural and that they are at increased risk of bladder
> damage. There are references to support this. There are plenty of units
> where indwelling catheters are mandatory with epidurals now but this needs
> to weighed against infection risks and loss of skills in assessment.
>
> Best wishes,
>
> Denis Walsh
>
> Reader in Normal Birth
>
> University of Central Lancashire
>
> Independent Midwifery Consultant
>
> Home address:
>
> 366 Hinckley Rd
>
> Leicester LE3 0TN
>
> Mobile: 07905735777
>
>
>
> From: A forum for discussion on midwifery and reproductive health research.
> [mailto:[log in to unmask]] On Behalf Of Sue Fenwick
> Sent: 14 June 2007 21:04
> To: [log in to unmask]
> Subject: Evidence based guidelines
>
>
>
> Dear list members,
>
>
>
> I am currently developing evidence based guidelines relating to intrapartum
> and postpartum bladder management. I would be very grateful to receive any
> information on the latest research/ guidelines available.
>
>
>
> Many thanks
>
> Sue Fenwick
>
> MPhil, RM
>
> Salisbury NHS Trust
>
>
>
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