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Effect of Low-Frequency Pulsed Electrotherapy Combined with Acupoint Nursing on Postpartum Urinary Retention in Patients with Vaginal Delivery

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Abstract

Introduction and Hypothesis

This study was carried out to investigate the effect of low-frequency pulsed electrotherapy combined with acupoint massage on postpartum urinary retention (PUR).

Methods

The patients were divided into control group, intervention group 1, and intervention group 2 according to the nursing method. The control group received conventional postpartum care, intervention group 1 received conventional postpartum care and low frequency pulsed electrotherapy, and intervention group 2 received conventional postpartum care, low-frequency pulsed electrotherapy, and Shuidao point massage. The bladder function, comfort score, and quality of life score before and after intervention were compared among the three groups.

Results

The bladder function, comfort level, and quality of life of intervention group 1 and intervention group 2 after nursing were significantly better than those of the control group. In addition, intervention group 2 had better bladder function than intervention group 1, with lower residual urine volume and higher bladder compliance. In the Kolcaba score, the mental dimension of intervention group 2 was significantly higher than that of intervention group 1. In terms of QOL scores, the social function, physical function, and state of material life scores of intervention group 2 were significantly higher than those of intervention group 1.

Conclusions

Low-frequency pulsed electrotherapy combined with acupoint massage can significantly improve the bladder function, comfort, and quality of life of patients with PUR.

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Data Availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

References

  1. Cao D, Rao L, Yuan J, Zhang D, Lu B. Prevalence and risk factors of overt postpartum urinary retention among primiparous women after vaginal delivery: a case-control study. BMC Pregnancy Childbirth. 2022;22(1):26.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Li S, Zhang X, Liu Y, Wang Y, Zheng X. The occurrence and factors associated with overt urinary retention among postpartum women after vaginal delivery with labor epidural analgesia. Int J Gen Med. 2023;16:5333–41.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Tsoulis MW, Chang PE, Moore CJ, et al. Maternal high-fat diet-induced loss of fetal oocytes is associated with compromised follicle growth in adult rat offspring. Biol Reprod. 2016;94(4):94.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Zhang S, Yuan L, Zhou L, Lei X, Zhu L. Design of exercise nursing program for pelvic floor muscle function recovery at 42 days postpartum. Comput Math Methods Med. 2021;2021:1714610.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Ozlu DN, Seker KG, Cetin Seker Y, Haciislamoglu A, Kalfazade N. Postrenal acute renal failure due to giant fecaloma-related bilateral hydronephrosis: a case report and brief literature review. Cureus. 2020;12(4): e7815.

    PubMed  PubMed Central  Google Scholar 

  6. Lee JH, You HW, Lee CH. Spontaneous intraperitoneal bladder perforation associated with urothelial carcinoma with divergent histologic differentiation, diagnosed by CT cystography. Korean J Urol. 2010;51(4):287–90.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Liang CC, Wong SY, Tsay PT, et al. The effect of epidural analgesia on postpartum urinary retention in women who deliver vaginally. Int J Obstet Anesth. 2002;11(3):164–9.

    Article  PubMed  Google Scholar 

  8. Bai X, Ta N, Gong GH, Zhang B, Wei CX. Effects of integrated Chinese traditional medicine and conventional western medicine on the quality of life of breast cancer patients: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2022;2022:3123878.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Li T, Hui X, Wang H, Lin Y, Zhao B. Moxibustion therapy for treating patients with postpartum urinary retention: a protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021;100(17): e25683.

    Article  CAS  PubMed  Google Scholar 

  10. Zhu Y, Wang F, Zhou J, et al. Effect of acupoint hot compress on postpartum urinary retention after vaginal delivery: a randomized clinical trial. JAMA Netw Open. 2022;5(5): e2213261.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Yin P, Wang H. Evaluation of nursing effect of pelvic floor rehabilitation training on pelvic organ prolapse in postpartum pregnant women under ultrasound imaging with artificial intelligence algorithm. Comput Math Methods Med. 2022;2022:1786994.

    Article  PubMed  PubMed Central  Google Scholar 

  12. James DC, Solan MC, Mileva KN. Wide-pulse, high-frequency, low-intensity neuromuscular electrical stimulation has potential for targeted strengthening of an intrinsic foot muscle: a feasibility study. J Foot Ankle Res. 2018;11:16.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Yao QH, Zhang H, Wang HW, Jing XR, Guo H, Gao GD. Low- and high-frequency electric cortical stimulation suppress the ferric chloride-induced seizures in rats. Neurosci Lett. 2008;430(3):187–90.

    Article  CAS  PubMed  Google Scholar 

  14. Chen HT, Luo TZ, Jiang ZY, et al. Noninvasive external therapy of traditional Chinese medicine for preventing postpartum urinary retention in women with vaginal delivery: a network meta-analysis. Medicine (Baltimore). 2023;102(41):e35399.

    Article  CAS  PubMed  Google Scholar 

  15. Peng L, Zheng HY, Dai Y. Local dermal application of a compound lidocaine cream in pain management of cancer wounds. Braz J Med Biol Res. 2019;52(11):e8567.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Ding W, Luo F, Lin P, Tang Y, Liu Y. Effect of nursing outcome-oriented intervention on airway management in elderly long-term bedridden patients. Comput Math Methods Med. 2022;2022:9557330.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Kekre AN, Vijayanand S, Dasgupta R, Kekre N. Postpartum urinary retention after vaginal delivery. Int J Gynaecol Obstet. 2011;112(2):112–5.

    Article  PubMed  Google Scholar 

  18. Mohr S, Raio L, Gobrecht-Keller U, Imboden S, Mueller MD, Kuhn A. Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature. Int Urogynecol J. 2022;33(6):1601–8.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Chudinova OA, Fedorov AA, Venediktov DL, Samokhvalova GN, Il’ina MI, Budlianskaia SV. Pulsed low-frequency electrotherapy of vibration disease associated with osteoarthrosis. Vopr Kurortol Fizioter Lech Fiz Kult. 2010;3:15–8.

    Google Scholar 

  20. Yang W, Zhou Y. Effect of pulse repetition frequency of high-intensity focused ultrasound on in vitro thrombolysis. Ultrason Sonochem. 2017;35(Pt A):152–60.

    Article  CAS  PubMed  Google Scholar 

  21. Man B, Li WW, Xu JF, Wang Q. Clinical study on tri-tongue acupuncture combined with low-frequency electrical stimulation for treating post-stroke dysarthria. World J Clin Cases. 2022;10(34):12587–93.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Yan J, Liu Y, Jiao R, Li M, Zhao L. Effect of low-frequency electric pulse technique combined with carboprost methylate suppositories on recovery of gastrointestinal function and postoperative complications of patients with scarred uterus undergoing secondary cesarean section. J Healthc Eng. 2021;2021:6143421.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Eder SE. Evaluation of the EmbaGYN pelvic floor muscle stimulator in addition to Kegel exercises for the treatment of female stress urinary incontinence: a prospective, open-label, multicenter, single-arm study. Womens Health (Lond). 2014;10(1):17–27.

    Article  CAS  PubMed  Google Scholar 

  24. Tang H, Chen Z, Pang J, Mo Q. Treatment of insomnia with shujing massage therapy: a randomized controlled trial. Zhongguo Zhen Jiu. 2015;35(8):816–8.

    PubMed  Google Scholar 

  25. Zhang XP, Jia CS, Wang JL, et al. Acupoint catgut-embedding therapy: superiorities and principles of application. Zhongguo Zhen Jiu. 2012;32(10):947–51.

    PubMed  Google Scholar 

  26. Yuan Y, Xia Q, Cui W, et al. Study on the mechanism of action of different acupuncture regimens on premature ovarian failure model rats. Comput Math Methods Med. 2022;2022:5254628.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Wang XM, Gong J, Li SC, Han M. Acupuncture Compared with intramuscular injection of neostigmine for postpartum urinary retention: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2018;2018:2072091.

    PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Obstetrics Department, The First Affiliated Hospital of Soochow University, No. 188, Shizi Street, Suzhou, 215000, Jiangsu, China

    Xinhui Zhu & Qian Shen

Authors
  1. Xinhui Zhu
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  2. Qian Shen
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Contributions

X.Z.: protocol/project development, data analysis, manuscript writing; Q.S.: data collection or management, data analysis, manuscript editing.

Corresponding author

Correspondence to Qian Shen.

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Ethics Approval

This study has been approved by the Ethics Committee of The First Affiliated Hospital of Soochow University, and all subjects and their families have given informed consent.

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None.

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Handling Editor: Rufus Cartwright

Editor in Chief: Maria A. Bortolini

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Zhu, X., Shen, Q. Effect of Low-Frequency Pulsed Electrotherapy Combined with Acupoint Nursing on Postpartum Urinary Retention in Patients with Vaginal Delivery. Int Urogynecol J (2024). https://doi.org/10.1007/s00192-024-05804-5

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  • DOI: https://doi.org/10.1007/s00192-024-05804-5

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