Which statement about a distended bladder during labor is NOT true?

• A. Increase the pain associated with uterine contractions
• B. Cause difficulty in voiding after delivery
• C. Interfere with fetal descent
• D. Increase the risk of bladder rupture during long contractions

Answer: (D)

During labor, a full bladder takes up space in the pelvis, which can push against the uterus and presenting part. This can hinder the fetus’s descent and make contractions feel more uncomfortable, contributing to a longer and more painful labor. A distended bladder also makes it harder to urinate after delivery, increasing the chance of postpartum urinary retention. However, bladder rupture during long contractions is not a typical risk associated with a distended bladder in labor; rupture is not a common consequence of simple bladder distension and is not a standard reason to be concerned in this context.