Hello everyone! A small thread for the study “Intrapartum pudendal nerve block analgesia (PNB) and risk of postpartum urinary retention: a cohort study” - rdcu.be/cja2o - PNB is used as #pain relief in the final stage of childbirth. 1/4
The authors hypothesized PNB is associated with higher rates of #postpartum #urinaryretention. A #cohort study in Norway with women receiving PNB (n=499) was done. The unexposed group was women without PNB (n=508) giving birth 2/4
They have found that, in adjust analyses, women receiving PNB did not differ in likelihood of postpartum urinary retention compared to women with without PNB in either spontaneous or instrumental births. 3/4
No # between groups were observed with excessive residual urine volume or catheterization after > 3h – PNB is therefore unlikely to hamper future bladder function 4/4
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More from @IUJ_BlueJournal

20 Apr
Dear IUJ readers, another Journal Club coming! This April we will discuss the study from Kowalski et al. entitled “A randomized controlled trial of permanent vs absorbable suture for uterosacral ligament suspension”. 1/11 – this is a thread.
A randomized controlled trial of permanent vs absorbable suture for uterosacral ligament suspension
J. T. Kowalski, R. Genadry, P. Ten Eyck & C. S. Bradley
Prepared by Glaucia Varella, PT, MsC - on behalf of IUJ Social Media Scholar Group
Int Urogynecol J 2021;32: 785–790. 2/11
Questions:
1-According to the authors, in the introduction section, permanent apical sutures can be considered as the “gold standard”. However, some advocate an absorbable suture. Discuss your preference between sutures in your clinical practice and why? 3/11
Read 11 tweets
19 Oct 20
Dear IUJ readers, another Journal Club coming! This October we will discuss the study from Diez-Itza et al. about factors involved in prolapse recurrence one year after anterior vaginal repair (shared link - rdcu.be/b8IEf ) - 1/11 - this is a thread
Factors involved in prolapse recurrence one year after anterior vaginal repair
Prepared by: Glaucia Varella, PT, MsC - on behalf of IUJ Social Media Scholar Group
Volume 31, issue 10, October 2020 - 2/11
-The authors mentioned the conservative treatment for pelvic organ prolapse. What are conservative options for treating pelvic organ prolapse? What is your experience with conservative treatment for pelvic organ prolapse in your clinical practice? 3/11
Read 12 tweets
2 May 20
Hello everyone! Here comes the first #IUJTweetorial from @IUJ_BlueJournal! The study will be "Outpatient visits versus telephone interviews for postoperative care: a randomized controlled trial", published last year. rdcu.be/b3NZO - 1/16
Healthcare in the US is expensive and quality care must be included in this package. It incorporates clinical outcomes, safety, and patient satisfaction. The need of routine, in-person post-op visits is unknown. 2/16
▶️Telephone-based postop care provides safe and effective care with ⬇️ global scales.
▶️300k+ surgeries for pelvic organ prolapse (POP) each year in US
▶️Authors aimed a non-inferiority, RCT comparing routine postop outpatient clinic x telephone calls. 3/16
Read 18 tweets

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