For several years, we have followed a definite routine when caring for the urinary bladder post partum. This paper is concerned with an outline of this care, and a review of obstetric conditions that may influence the behavior of the bladder during the puerperium.
Our care of the urinary bladder post partum is based on the principles that overdistention of the bladder, and the presence of residual urine, favor infection of the urinary tract. We recognize a small group of women who are unable to void spontaneously post partum, apparently from no demonstrable cause. Nervous inhibition, posture and decreased intra-abdominal pressure may explain this. In caring for these patients, as well as all others, an attempt is made to cause spontaneous urination by such means as warm external "pitcher douches." However, these are not persisted in to the point of exhausting the patient. We believe that too great value may
RANDALL LM, MURRAY SE. THE BLADDER POST PARTUM. JAMA. 1933;101(26):2023–2025. doi:10.1001/jama.1933.02740510015004