Classic presentation of postpartum urinary retention (inability to void or small volume voids for at least 6 hours after vaginal delivery with incomplete emptying of bladder) complicated by overflow incontinence (dribbling of small amounts of urine)
Key idea: Post-void residual > 150 mL is a sign of urinary retention
Key idea: This specific presentation managed by intermittent catheterization
submitted by โmedicalmike(82)
High PVR indicates urinary retention -> overflow incontinence, likely 2/2 decreased detrusor contractility from residual effects of epidural anesthesia.