Abstract：
New pathways for the management of postpartum voiding dysfunction and postpartum urinary retention should be considered to shorten hospital stays and promote early discharge during the COVID-19 pandemic. This rapid systematic review aimed to identify relevant national and international guidelines, and summarise available recommendations on postpartum bladder care that are relevant to women\'s care and management at the time of the pandemic. We searched Medline, Embase and Cochrane from inception till September 2021. Hand-searching of national and international specialist societies\' websites was performed. We identified one international technical consultation, one international society\'s report of recommendations and two national guidelines. Guidelines stated that postnatal women should not be left more than 6 hours without voiding and assessed for postpartum urinary retention. As the cut-off of 150 ml for the diagnosis of significant postvoid residual volume is commonly used with no reported adverse outcomes, it could be beneficial to adopt this instead of 100 ml as further unnecessary interventions can be avoided. Such changes can reduce the number of women staying in the hospital. Clean intermittent self-catheterisation for the management of postpartum urinary retention could be considered as an option during the COVID-19 pandemic aiming to shorten hospital stays and avoid further attendances. Optimised bladder care has become more relevant during the coronavirus pandemic by striving towards self-care, community-based and remote care. We propose consideration of intermittent self-catheterisation in cases of postpartum urinary retention enabling self-care and avoidance of hospital visits.
摘要：
在COVID-19大流行期间，应考虑管理产后排尿功能障碍和产后尿潴留的新途径，以缩短住院时间并促进早期出院。这项快速系统审查旨在确定相关的国家和国际准则，并总结与大流行时妇女的护理和管理相关的产后膀胱护理的现有建议。我们搜查了Medline,Embase和Cochrane从成立到2021年9月。对国家和国际专业协会的网站进行了手工搜索。我们确定了一个国际技术咨询，一份国际社会的建议报告和两项国家准则。指南指出，产后妇女不应超过6小时不排尿，并评估产后尿潴留。由于通常使用150ml的界限来诊断明显的后空隙残余体积，没有报告的不良结果，采用这种方法而不是100毫升可能是有益的，因为可以避免进一步不必要的干预。这种变化可以减少留在医院的妇女人数。在COVID-19大流行期间，可以考虑采用清洁间歇性自我导尿来管理产后尿潴留，目的是缩短住院时间并避免进一步就诊。在冠状病毒大流行期间，优化的膀胱护理通过努力实现自我保健变得更加重要，基于社区的远程护理。我们建议在产后尿潴留的情况下考虑间歇性自我导尿，从而能够自我护理和避免住院。
