دورية أكاديمية
Postpartum urinary retention: a survey of obstetrics and gynaecology residents in the United States.
| العنوان: | Postpartum urinary retention: a survey of obstetrics and gynaecology residents in the United States. |
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| المؤلفون: | Napoe GS; Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA., Adjei NN; Department of Obstetrics, Gynecology and Reproductive Sciences, Yale New Haven Hospital, New Haven, CT, USA., Cooper AC; Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA., Raker CA; Department of Obstetrics and Gynecology, Division of Research, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA., Korbly NB; Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI, USA. |
| المصدر: | Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology [J Obstet Gynaecol] 2020 Nov; Vol. 40 (8), pp. 1118-1121. Date of Electronic Publication: 2020 Feb 18. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8309140 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1364-6893 (Electronic) Linking ISSN: 01443615 NLM ISO Abbreviation: J Obstet Gynaecol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: [Bristol, England] : Wright, PSG, |
| مواضيع طبية MeSH: | Clinical Competence*/statistics & numerical data , Internship and Residency*/statistics & numerical data , Obstetrics*/education , Puerperal Disorders* , Urinary Retention*, Adult ; Female ; Humans ; Pregnancy ; Disease Management ; Health Knowledge, Attitudes, Practice ; Surveys and Questionnaires ; United States |
| مستخلص: | Postpartum urinary retention (PUR) is a common and potentially morbid condition if not recognised and managed promptly. We surveyed obstetrics and gynaecology (OBGYN) residents to determine residents' knowledge of the management of PUR. A total of 168 OBGYN residents in ACGME accredited programmes in the United States completed the survey. A percentage of 30.3 reported having a PUR prevention protocol at their institution, 43.3% reported not having a protocol and 26.7% did not know whether a protocol existed. About 89.3% of participants reported having previously taken care of a patient with PUR and 17.1% reported prior formal teaching on the management of PUR. Those who reported having a protocol were more likely to report feeling comfortable managing PUR. Overall, knowledge was low for management of PUR. Given the potential morbidity associated with inadequate management of PUR, formal education and standardisation through national guidelines may help improve care of patients with PUR.Impact statement What is already known on this subject? PUR is a common condition and if left untreated may lead to long-term impacts on patients' health. Early recognition of the condition and appropriate management can prevent these complications. Protocols have been shown to improve patient outcomes. Thus, it has been postulated that the implementation of protocols could improve recognition of the condition. What do the results of this study add? No previous studies have looked at the impact of PUR management protocols on physicians in training. Because physicians in training are often the first-in-line to manage patients at academic institutions, we sought to determine the proportion of obstetrics and gynaecology residents in the United States who report having a PUR management protocol at their institution and how this impacts their reported comfort at caring for patients with PUR, knowledge on PUR risk factors and recognition of scenarios concerning for PUR. While awareness of a PUR protocol did not lead to increased knowledge of risk factors or increased recognition of scenarios concerning for PUR, it did increase resident comfort with managing PUR patients. We also found that overall PUR knowledge was low. What are the implications of these findings for clinical practice and/or further research? Based on our findings, OBGYN residents would benefit from having protocols at their institutions since it increased their comfort at managing patients with PUR. Further, formal education on PUR is likely needed to improve knowledge of risk factors and recognition of scenarios concerning for PUR. |
| فهرسة مساهمة: | Keywords: OBGYN residents; PUR; Postpartum urinary retention; bladder distension; protocol |
| تواريخ الأحداث: | Date Created: 20200219 Date Completed: 20210707 Latest Revision: 20240625 |
| رمز التحديث: | 20240626 |
| DOI: | 10.1080/01443615.2019.1706159 |
| PMID: | 32068448 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1364-6893 |
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| DOI: | 10.1080/01443615.2019.1706159 |