Postpartum urinary retention

Introduction

􀂈 Postpartum urinary retention, also known as
puerperal urinary retention
, is a common condition in obstetric practice, which can pose significant maternal morbidity.

􀂈 It has been variably defined as part or all of the following: sudden onset of painful or painless inability to void the bladder over 12 hours, with urine volume greater than bladder capacity, requiring catheterization.

Homoeopathic management

Commonly used medicines with their indications

Medicine General indications

Particular symptoms

Arnica montana
Septic conditions;
prophylactic for purulent conditions
;
• Retention of urine after prolonged labor with great
offensiveness; upper part of the body hot, lower cold;
soreness of the parts.

bruised, soreness all over the body as if beaten; desire
• Retained urine with much aching and pressing in bladder.

for sour food; aversion to meat and milk; nervous; fear
• Must wait for a long time for urine to pass.

of being touched or being approached; fear of space;
• Involuntary dribbling and constant urging.

aversion to company.
• Prevents puerperal complications.

Causticum
Chilly patent; rigid fibers; weakly with excessively yellow,
•
Retention of urine after labor and after surgical operation.

sallow complexion; subject to affection of respiratory and
• Urine spurts on coughing, sneezing or blowing nose;

urinary tract; emaciated due to long standing disease or
dribbles or passes slowly; better by sitting.

worry; progressive weakness; burning, rawness, soreness;
• Retention of urine with frequent and urgent desire;

aversion to sweets; desire for salt; restlessness at night;
occasionally a few drops or small quantity may dribble

sympathetic, melancholic, hopeless.
away.

• Sensation as if urethra has been narrowed.

Aconitum napellus

Chilly patient; women who lead sedentary life; easily affected
•
Retention of urine after deliver
by atmospheric changes; acute, sudden, and violent onset of
• Sudden and violent effects, sudden retention of urine.

symptoms; thirst for large quantities of cold water; physical and
• Retention of urine associated with screaming and

mental restlessness; anxiety, fear and fright; tension - physical,
restlessness.

mental and emotional.
• Anxiety always on beginning to urinate.

• Micturition painful, difficult, drop by drop.

• Urine: scanty, scalding, red, hot and painful.

Staphisagria
Chilly patient; sickly, sharp, sunken and hollow eyed with blue
• Great urging to urinate after labor; has to sit in the
rings around; ailments from insults and threatened pride, envy
urinal for hours.

or chagrin; sensitive subjects; bottled up emotions; always
• Burning in urethra when urinating.

angry, easily offended; apathetic; indifferent.
• Stinging, stitching, smarting pains as if cut.

•
Sensation as if a drop of urine were rolling continuously

along the urethra; worse after walking, better urinating.

• Genitals are very sensitive; worse sitting down.

NOTE:
Any information given above is not intended to be taken as a replacement for medical advice. Therefore, it is very important that the patients should avoid self-treatment and rather consult the most abled and qualified homoeopath and take the treatment under his /her proper guidance and advice.