Differences in urinary incontinence symptoms and pelvic floor structure changes during pregnancy between nulliparous and multiparous women

Luo, Dan; Chen, Ling; Yu, Xiajuan; Wan, Chao; Zhou, Ning; Cai, Wenzhi

doi:10.7717/peerj.3615

Cited by 18 publications

(24 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Second, our previous study (21) showed that multiparous women experienced more obvious SUI symptoms and pelvic floor structure changes during pregnancy compared with nulliparous women. First, to better predict SUI during pregnancy, we combined pelvic floor ultrasound parameters and clinical factors.…”

Section: Discussionmentioning

confidence: 96%

“…First, to better predict SUI during pregnancy, we combined pelvic floor ultrasound parameters and clinical factors. Second, our previous study (21) showed that multiparous women experienced more obvious SUI symptoms and pelvic floor structure changes during pregnancy compared with nulliparous women. However, studies exploring the relation between urinary incontinence during pregnancy and pelvic structure merely took nulliparity into consideration (29,30).…”

Section: Discussionmentioning

confidence: 96%

“…The exclusion criteria of the participants, methods of interview, transperineal ultrasound assessment, and offline analysis of the imaging data sets (Figure 1) were described in our previous work (21). The remaining 185 women recruited from Shenzhen Hospital, Southern Medical University, between January 2017 and July 2017 served as the external validation data set.…”

Section: Methodsmentioning

confidence: 99%

“…The remaining 185 women recruited from Shenzhen Hospital, Southern Medical University, between January 2017 and July 2017 served as the external validation data set. The exclusion criteria of the participants, methods of interview, transperineal ultrasound assessment, and offline analysis of the imaging data sets (Figure 1) were described in our previous work (21).…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors

Chen

Luo

et al. 2018

Acta Obstet Gynecol Scand

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors

Chen

Luo

et al. 2018

Acta Obstet Gynecol Scand

Self Cite

View full text Add to dashboard Cite

show abstract

“…Such contexts have been proven from a study which compared the anatomical changes on the pelvic floor structure between nulliparous and multiparous women. The study reported that the Bladder Neck Decent (BND) was greater in multiparous than nulliparous women suggesting poor urethral support [ 35 ]. Similarly, another study also reported that the rate of UI in nulliparous women (31.8%) was lower than multiparous (47.9%) [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia

et al. 2020

View full text Add to dashboard Cite

Background Urinary Incontinence (UI) is when a person is unable to hold his/her urine effectively. This is a common problem which can develop and worsen during pregnancy. An effective way to manage UI is to educate patients on the Pelvic Floor Muscle Exercise (PFME) regularly. The present study aimed to ascertain the pregnant women’s knowledge, attitudes, and practices (KAP) related to PFME. Methods This was a cross-sectional study done in a one primary care clinic located in a semi-urban area in Selangor, Malaysia. Simple random sampling was conducted among pregnant women aged 18 years old and above at any gestation. The validated study instruments used consisted of questions on socio-demography, KAP on UI, and also the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form to determine UI among the respondents. Results The response rate for this study was 72.1%, where 440 pregnant women consented to take part in the study. The median age of study respondents was 30 years old and majority of the study respondents was from the Malay ethnicity (80.9%). The prevalence of UI was 40.9%. The proportion of pregnant women with good knowledge, attitude and practice scores were 58.0%, 46.6% and 45.2% respectively. There was a significant association between UI and age (p = .03), body mass index (p = .03), ethnicity (p = .04), gravida. (p = .001), knowledge on PFME (p = .007) and attitude towards PFME (p = .006). Conclusions Findings from this study fill a gap in the prevalence and KAP concerning PFME at the primary care level. The foundation areas for future education and health promotion on UI should address the importance of correct PFME. This education can be delivered through a pragmatic way to ensure its effectiveness and sustainability of the health promotion program.

show abstract

Disability and functioning of women with low‐risk pregnancy: Assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

Dantas

Correia

et al. 2019

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To evaluate the disability and functioning of women with low‐risk pregnancy in the second and third gestational trimesters. Methods A longitudinal observational study was conducted from June 5, 2015, to April 30, 2016, in Family Health Units in the city of Santa Cruz, Rio Grande do Norte, Brazil, involving women who were in the second trimester of pregnancy where the pregnancy had been classified as low‐risk. A form was designed specifically for the study to collect sociodemographic, urogynecological, and obstetric data. Functioning and disability were assessed using WHODAS 2.0, and descriptive and inferential statistical analyses were performed. Results Higher levels of disability were observed in cognition in the second trimester (P=0.021), while mobility and life activities domains had higher scores (higher score meaning the woman was more adversely affected) in the third trimester (P=0.007 and P=0.029). Urinary incontinence in the second trimester affected functioning in participation (P=0.023). Pain affected life activities (P=0.023) in the second trimester and participation in the third trimester (P=0.044); and general functioning (P=0.050 and P=0.025), mobility (P=0.002 and P=0.001), and self‐care (P=0.0446 and P=0.023) in the second and third trimesters, respectively. Conclusion The findings showed that, even in a low‐risk pregnancy, functioning can be affected in different domains. The identification of impairments to functioning could enable improvement in care. Longitudinal studies involving the first trimester and postpartum are necessary to gain insight into women's disability and functioning during the pregnancy–puerperal period.

show abstract

Differences in urinary incontinence symptoms and pelvic floor structure changes during pregnancy between nulliparous and multiparous women

Cited by 18 publications

References 42 publications

Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors

Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors

Urinary incontinence and its association with pelvic floor muscle exercise among pregnant women attending a primary care clinic in Selangor, Malaysia

Disability and functioning of women with low‐risk pregnancy: Assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

Contact Info

Product

Resources

About