Persistent stress urinary incontinence during pregnancy and one year after delivery; its prevalence, risk factors and impact on quality of life in Taiwanese women: An observational cohort study

Lin, Yun-Hsuan; Chang, Shuenn Dhy; Hsieh, Wu Chiao; Chang, Yao‐Lung; Chueh, Ho Yen; An, Cheolhong; Liang, Ching Chung

doi:10.1016/j.tjog.2018.04.003

Cited by 44 publications

(46 citation statements)

References 34 publications

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“…Instrumental vaginal delivery, with the use of forceps or vacuum extractor, is a known risk factor for UI due to the trauma caused to the muscle and nerve structures of the pelvic floor. 6,7 One of the limitations of the present study regards the assessments, which were performed in person at the first stage, and then by telephone at the end of the study. To minimize the risk of information bias, in both assessments the same validated research instrument (ICIQ-UI SF) was applied and the assessment procedures were standardized and performed by the same expert.…”

Section: Discussionmentioning

confidence: 97%

“…the median time to cessation of UI in the studied population. There are studies that assessed the prevalence of UI after long-term delivery [4][5][6][7]16 and F I G U R E 2 Median time and 95% confidence interval for cessation of urinary incontinence in primiparous adolescents after vaginal delivery. Pernambuco, Brazil, 2017-2019.…”

Section: Discussionmentioning

confidence: 99%

“…Instrumental delivery and episiotomy seem to increase the longterm risk of UI persistence. [5][6][7] The existence of previous studies (Medline/PubMed, Lilacs/ Bireme, Cinahl/Ebsco, Scopus/Elsevier) for this purpose, including only adolescents in their samples, is unknown. Furthermore, adolescence is a period marked by specific physical and psycho-emotional changes, which leads to the question of whether the risk factors of time to cessation of UI after delivery in the present population are similar to those found in adult women.…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors for time to cessation of urinary incontinence in primiparous adolescents after vaginal delivery

Babini

Lemos

2020

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictive factors for time to cessation of urinary incontinence in primiparous adolescents after vaginal delivery

Babini

Lemos

2020

Intl J Gynecology & Obste

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“…SUI is a common PFDs during pregnancy and postpartum [1][2][3] . Lin YH et al [15] investigated that 51.5% (446/866) had self-reported SUI during pregnancy and 12.5% (70/560) women accepting vaginal delivery and 7.2% (22/306) women accepting cesarean delivery had SUI at postpartum 12 months. Zhang G et al [16] found SUI was more likely to manifest as leakage of urine when the abdominal pressure gradually increased with the development of pregnancy weeks.…”

Section: Discussionmentioning

confidence: 99%

A non-randomized chlinical trial The effect of pelvic floor exercises at home and electrical stimulation plus biofeedback in hospital in management of stress urinary incontinence of primiparas in short-term postpartum period

Tang¹,

Zhao²,

Sun³

et al. 2019

Preprint

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Background To investigate the effect of pelvic floor exercises at home and electrical stimulation plus biofeedback in hospital in management of stress urinary incontinence (SUI) primiparas in short-term postpartum period. Methods A total of 150 SUI primiparas at postpartum 6-8 weeks were interviewed. According to participants’ willingness and necessary coordination, the subjects were divided into 2 groups including the treatment group (n=69) and the control group (n=81). The treatment group received at-home pelvic floor muscle training(PFMT) every day and in-hospital electrical stimulation plus biofeedback therapy twice a week for consecutive 5 weeks (from 6-8 postpartum weeks to 11-13 postpartum weeks). The control group was not given pelvic floor exercise at home or in hospital. The PFM strength in the two groups was measured by specially trained personnel using digital palpation (Modified Oxford scale:0-5 grade) and surface electromyography(sEMG) in 6-8 postpartum weeks and in 11-13 postpartum weeks. For statistical analysis, t -test,Chi-square analysis and Wilcoxon test were carried out. Results The recovery rate of SUI in the treatment group was 63.8% (44/69), which was higher than that in the control group (12.3%,10/81) ( p <0.05). In the treatment group, the PFM strength was higher after PFMT than that before PFMT no matter measured by digital palpation or by sEMG ( p <0.05); but in the control group, it had no change at postpartum 6-8 weeks and at postpartum about 12 weeks ( p >0.05). Conclusion: The combination treatment of at-home PFM training and in-hospital electrical stimulation plus biofeedback PFM therapy is an effective method to manage SUI and improve PFM strength in short-time postpartum.

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“…Mulheres após o parto vaginal tem maior risco de incontinência urinária de esforço (IUE) pós-parto do que aqueles após cesárea 5 . De fato, a IUE persistente é mais frequente em mulheres que tiveram parto vaginal do que nas de parto cesárea, contudo mulheres que sofreram de IUE durante a gravidez tendem a se recuperar no primeiro ano pós-parto 6 .…”

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[Id 32401] Sintomas Urinários Em Primíparas De Parto Normal E Cesárea

Siqueira¹,

Souto²,

Rodrigues³

et al. 2019

RBCS

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Objetivo: correlacionar os sintomas urinários em primíparas de parto normal e cesárea. Métodos: foi realizado um estudo observacional analítico do tipo transversal realizado com 98 primíparas, sendo 57 (58,16%) de parto cesárea e 41 (41,84%) de parto normal, com idade de 18 a 35 anos, realizado no Centro de Saúde Escola do Marco na cidade de Belém - PA. Os dados foram coletados através de questionários referentes aos sintomas urinários. A análise estatística foi feita com aplicação do Teste Exato de Fisher com índice de significância de 5% pelo programa Spss 20 e com o estudo de prevalência. Resultados: Esse estudo mostrou que as primíparas de parto normal têm maior chance de apresentar algum sintoma urinário em relação às que tiveram parto cesárea, sendo os sintomas mais frequentes a noctúria, com 22,81% nas primíparas de parto cesárea e a urge-incontinência, com 31,71% nas primíparas de parto normal. Conclusão: dessa maneira, conclui-se que ao analisar à amostra individualmente, as primíparas de parto normal teriam maior chance de apresentarem algum sintoma urinário, porém, ao relacionar esses sintomas com a paridade, os resultados apresentados foram insignificantes, ou seja, independente da via de parto, essas primíparas podem apresentar algum sintoma urinário.

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Persistent stress urinary incontinence during pregnancy and one year after delivery; its prevalence, risk factors and impact on quality of life in Taiwanese women: An observational cohort study

Cited by 44 publications

References 34 publications

Predictive factors for time to cessation of urinary incontinence in primiparous adolescents after vaginal delivery

Predictive factors for time to cessation of urinary incontinence in primiparous adolescents after vaginal delivery

A non-randomized chlinical trial The effect of pelvic floor exercises at home and electrical stimulation plus biofeedback in hospital in management of stress urinary incontinence of primiparas in short-term postpartum period

[Id 32401] Sintomas Urinários Em Primíparas De Parto Normal E Cesárea

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