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Full bladder, unable to urinate, abdominal pain during pregnancy. Was drained using catheter before. Happened again. Suggestions?

I am concerned, My daughter is pregnant with her first baby. She lives almost 3 hours out of town from the first available professional gynacological help. She has awoken with a very full bladder and pain in her abdomen and she cannot urinate - this happened two days ago and went to the local country hospitla where the nurses drained her bladder - she was not advised as to whether this could happen again and what course of action she should take should it do so - It is 1:46am and she is very concerned - Apparently they were happy that the first episode was not caused from an infection. My daughter felt that this was caused by the baby/ uterus lying over the urethra and preventing urine draining - nothing was resolved after her bladder was drained via catheter and she went home 5 hours later. Would it hurt her or the baby to travel to her next major centre to go to hospital now?
Asked On : Wed, 16 Jan 2013
Answers:  1 Views:  260
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OBGYN 's  Response
Mar 2013
Thank you for your query.
Retention of urine is sometimes common in pregnancy when the uterus is retroverted ( bent backwards ) and hence causes pressure on the bladder and urethra, leading to obstruction of urine flow.
She should definitely go the hospital, and get the urine drained.
Sometimes, an indwelling catheter is required for upto some days, as the pregnancy grows, the uterus will lift out of the pelvis, thus relieving the pressure and solving the problem.
Sometimes, a full bladder can cause miscarriage also, so first priority should be to drain the overfull bladder.
Take care.
Answered: Fri, 22 Feb 2013
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