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. 2021 Apr 16;32(9):2383–2391. doi: 10.1007/s00192-021-04768-0

Table 2.

Primary (overt postpartum urinary retention) and secondary outcomes (overt postpartum urinary retention, catheterization, Apgar score and anal sphincter injury) for the two study groups (delivering women exposed or unexposed to pudendal nerve block) stratified for mode of birth (spontaneous or instrumental)

Spontaneous birth

n = 674

All

n = 674

Pudendal nerve block group

n = 268

Non-pudendal nerve block group

n = 406

p value
N3 n3 % 95% CI N3 n3 % 95% CI N3 n3 % 95% CI
Overt PUR1 657 159 24.2 21.0–27.7 260 57 21.9 17.1–27.5 397 102 25.7 21.5–30.3 0.27*
Residual urine ≥ 1000 ml when overt PUR was diagnosed 138 17 12.3 7.3–19.0 50 3 6.0 1.3–16.6 88 14 15.9 9.0–25.2 0.09*
Residual urine ≥ 750 ml when overt PUR was diagnosed 138 43 31.2 23.6–39.6 50 15 30.0 17.9–44.6 88 28 31.8 22.3–42.6 0.83*
Catheterized after > 3 h postpartum 672 58 8.6 6.6–11.0 267 26 9.7 6.5–13.9 405 32 7.9 5.5–11.0 0.41*
Apgar score at 5 min of age < 7 674 5 0.7 0.2–1.7 268 1 0.4 0.0–2.1 406 4 1.0 0.3–2.5 0.65**
Anal sphincter injury 644 7 1.1 0.4–2.2 258 2 0.8 0.1–2.7 386 5 1.3 0.4–3.0 0.71**

Instrumental birth2

n = 333

All

n = 333

Pudendal nerve block group

n = 231

Non-pudendal nerve block group

n = 102

p value
N3 n3 % 95% CI N3 n3 % 95% CI N3 n3 % 95% CI
Overt PUR1 328 168 51.2 45.7–56.8 229 123 53.7 47.0–60.3 99 45 45.5 35.4–55.8 0.17*
Residual urine ≥ 1000 ml when overt PUR was diagnosed 128 18 14.1 8.6–21.3 90 10 11.1 5.5–19.5 38 8 21.1 9.3–37.3 0.14*
Residual urine ≥ 750 ml when overt PUR was diagnosed 128 39 30.5 22.6–39.2 90 27 30.0 20.8–40.6 38 12 31.6 18.5–48.7 0.86*
Catheterized after > 3 h postpartum 327 58 17.7 13.8–22.3 227 43 18.9 14.1–24.7 100 15 15.0 8.6–23.5 0.39*
Apgar score at 5 min of age < 7 333 9 2.7 1.2–5.1 231 6 2.6 1.0–5.6 102 3 2.9 0.6–8.4 1.00**
Anal sphincter injury 312 7 2.2 0.9–4.6 216 6 2.8 1.0–5.6 96 1 1.0 0.0–5.7 0.68**

1Catheterization within 3 h postpartum. 2Vacuum and/or forceps extraction 3N = numbers of women with valid information. n = number of women the presence of the given characteristics. CI = confidence interval. PUR = postpartum urinary retention. *Pearson Chi-square, **Fisher’s exact test