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Distended bladder following delivery

4 replies

squashysmummy · 17/08/2006 12:36

Hi, I'm new to this, but have been reading the pregnancy and childbirth threads avidly since my third trimester.

I've got a 12 day old DD and whilst delivering was not straightforward, it was not as horrific as some other mums' experiences have been.

My problem is that I have not been able to urinate on my own since DD was born. What happened was my waters broke, there was meconium, I was told to attend the maternity assessment unit, which I did at 10.30 am the day before DD was born. At 12 pm I went up to the delivery suite with MW1. Because of the meconium I was induced and a drip was put in at 2 pm. I was given an epidural. At around 6pm MW2 catheterised me and over 1 litre was drained. DD was born 7 hours later at 1am assisted by MW3.

Eventually went to post-natal ward at 8am. At about 5pm I realised I hadn't wee'd, told the ward MW but didn't realise it was getting on for "handover" time. The night shift MW inserted a "stay in" catheter at about 10 pm and I drained 2 litres. I was hooked up to the bag for 12 hours, then told to try and wee. I tried for 6 hours. In the meantime I was drinking pints and pints of water (and coffee for my post-epidural headache, which felt more like I'd been hit with a baseball bat). Another catheter was inserted, again I drained 2 litres, then the catheter was kept in for 24 hours.

After that was removed, tried to wee for over 6 hours, still not the slightest sensation. Having spent over 4 days in hospital I was allowed to go home with a catheter kept in and a bag strapped to my leg.

3 days later I went back to the hospital. The doctors tell me that my bladder must have got distended during labour, and the failure to drain urine post-natally has worsened the condition. For the past 9 days I have been catheterising myself every 3 hours. I've been trying to use visualising techniques, and DH has made a special 'focusing' program for my ipod (I bawled the first time I heard it, realising how lucky I am to have his love and support).

I am being referred to a uro-gynaecologist, and DH has been doing some research on the Internet. There doesn't seem to be a lot of information around. All the Internet says, and the obstreticians say, is: it will resolve itself. It may take some time, weeks, months, but it will resolve itself.

Has anyone else had a similar experience, or know of someone who has? At the moment, I'm trying to accept the situation but when I think of how this could have been avoided if only the healthcare professionals had kept an eye on things, I just get upset and cry. Surely, there would have been something in those notes that all the delivery suite MWs seemed intent on filling about monitoring my urine?

I would love to hear from you mumsnetters. Sorry it's such a long tale.

OP posts:
jalopy · 17/08/2006 17:32

Squashysmummy, how terrible for you. Haven't any advice for you but didn't want your message overlooked. Hopefully someone will be able to help you. It's sounds encouraging that the condition will improve eventually. I know that's not much help now. Keep strong!

LaDiDaDi · 17/08/2006 17:35

I don't have any experience of this but just wanted to say that I had read your post and I really feel for you. It sounds like you are having a difficult time and self-catheterising every 3hours doesn't sound like fun . I know that after I had my first spinal and the catheter came out it felt like I really had to concentrate to have a wee, and sort of push as if having a poo but actually having a wee iyswim? Sorry if tmi. Hope it gets better soon and someone else who has had a similar experience can come along soon to help you. x

black31cat · 21/08/2006 14:19

Hi,
I have a similar problem to you, except that mine started spontaneously, and got worse over a period of about 10 years. I've had millions of tests and was told it is called Fowlers Syndrome, and that childbirth can sometimes be a trigger for it. The good news is that cases triggered by childbirth are likely to resolve by themselves. For more info look at the following site \link{http://www.ion.ucl.ac.uk/fowlersyndrome/}
I know it is horrible - I have to self catheterise 4 times a day and I hate it.Unfortunately I have the type where there is little hope that things will recover as it is so long standing. I've also had kidney problems from it because of back pressure. I am 14 weeks pregnant at the moment and have been told that catheterizing will get more difficult as I get bigger so I will have to have a permanent catheter in for the third trimester.
If you want any more info, just let me know if I can help. I knoew that sometimes its just good to hear that somebody else has been there.
Hugs,
Blackcat

squashysmummy · 22/08/2006 19:20

LaDiDaDi and Jalopy, thanks very much for the encouragement and suggestions.

Blackcat, thanks very much for sharing your experience. Time will tell, I suppose. The link to ION was very helpful and encouraging. Saw the uro-gynaecologist today and he suggests a complete rest for my bladder for the next 3 weeks, which means a supra-pubic catheter (to minimise risk of infection). If that doesn't work, then it'll be uro-dynamics. Good luck with your pregnancy, and thanks again for letting me know I'm not alone...

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