Postpartum evaluation of stress urinary incontinence among primiparas

Eftekhar, Tahereh; Hajibaratali, Bahareh; Ramezanzadeh, Fatemeh; Shariat, Mamak

doi:10.1016/j.ijgo.2006.04.042

Cited by 49 publications

(57 citation statements)

References 7 publications

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“…Identifying women at high risk of delivery-related pelvic floor trauma should be a priority for future research in this field. 22 The Eftekhar et al 2 found that the prevalence of urinary incontinence was associated with a high birth weight (P = 0.00, χ 2 = 25.5). The effect of high birth weight is seen in the extra weight borne by the lower abdominal organs during pregnancy, in addition to the size of the infant that has to pass through the delivery canal.…”

Section: Discussionmentioning

confidence: 99%

“…Incontinence rates have not been correlated with delivery method, but elective cesarean sections without attempting labor have been associated with a significantly lower prevalence of postpartum urinary incontinence. 2 It is questionable whether cesarean section delivery can prevent pelvic floor injury, [3][4][5] but recent data have suggested that this protective effect is less pronounced and that gestational urinary incontinence appears to be the most important predictive factor for developing postnatal urinary incontinence. [6][7][8] The risk of urinary incontinence has been found to be higher among women who had only experienced cesarean delivery than among nulliparous women, and even higher among those who had only delivered vaginally.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study

et al. 2013

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CONTEXT AND OBJECTIVE: There is uncertainty in the literature regarding the theory that obstetric events and pelvic floor injuries give rise to lower risk of subsequent urinary incontinence among women delivering via cesarean section than among women delivering vaginally. The objective of this study was to assess the two-year postpartum prevalence of urinary incontinence and pelvic floor muscle dysfunction and the factors responsible for them. DESIGN AND SETTING: Cross-sectional study, conducted in a public university. METHODS: 220 women who had undergone elective cesarean section or vaginal childbirth two years earlier were selected. Their urinary incontinence symptoms were investigated, and their pelvic floor muscle dysfunction was assessed using digital palpation and a perineometer. RESULTS:The two-year urinary incontinence prevalences following vaginal childbirth and cesarean section were 17% and 18.9%, respectively. The only risk factor for pelvic floor muscle dysfunction was weight gain during pregnancy. Body mass index less than 25 kg/m 2 and normal pelvic floor muscle function protected against urinary incontinence. Gestational urinary incontinence increased the risk of two-year postpartum urinary incontinence. CONCLUSION: Gestational urinary incontinence was a crucial precursor of postpartum urinary incontinence. Weight gain during pregnancy increased the subsequent risk of pelvic floor muscle dysfunction, and elective cesarean section did not prevent urinary incontinence. RESUMOCONTEXTO E OBJETIVO: É ainda controversa na literatura a teoria de que eventos obstétricos e traumas no assoalho pélvico representariam menor risco para mulheres submetidas ao parto cesárea do que para aquelas submetidas a parto vaginal, no tocante a subsequente incontinência urinária. O objetivo do estudo foi avaliar a prevalência de incontinência urinária e disfunção muscular do assoalho pélvico dois anos após o parto e os fatores responsáveis por elas. TIPO DE ESTUDO E LOCAL: Estudo transversal conduzido em universidade pública. MÉTODOS: Foram selecionadas 220 mulheres dois anos após parto cesáreo eletivo ou parto vaginal. Foram avaliados sintomas de incontinência urinária e disfunção muscular do assoalho pélvico por palpação digital e perineômetro. RESULTADOS: A prevalência de incontinência urinária dois anos após parto vaginal e cesárea foi de 17% e 18,9% respectivamente. O único fator de risco para disfunção muscular do assoalho pélvico foi o ganho de peso durante a gestação. Índice de massa corporal inferior a 25 kg/m 2 e disfunção muscular do assoalho pélvico normal foram fatores de proteção contra incontinência urinária. Incontinência urinária na gestação aumentou o risco de incontinência urinária dois anos pós-parto. CONCLUSÃO: Incontinência urinária gestacional foi um precursor crucial de incontinência urinária pós-parto. O ganho de peso durante a gestação aumentou o risco posterior de disfunção muscular do assoalho pélvico e o parto cesárea eletivo não foi uma ação de prevenção para a incontinência urinária.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study

et al. 2013

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“…Recent studies show that women undergoing elective cesarean section had a lower prevalence of SUI than those undergoing this procedure on an emergency basis because of obstructed labor and they had the same prevalence of urinary disorder as the women who gave birth via vaginal delivery. 43,44 Considering the findings of these studies, we believe that, in regions where the percentage of elective cesarean delivery is very high due to cultural or socioeconomic issues, there may be a low prevalence of SUI even in multiparas.…”

Section: Discussionmentioning

confidence: 95%

Incontinência urinária de esforço em mulheres pertencentes ao Programa de Saúde da Família de Dourados (MS)

Gomes¹,

Silva²

2010

Rev. Assoc. Med. Bras.

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StreSS urinary incontinence among women participating in the family health program of DouraDoS (mS), Brazil 649Rev Assoc Med Bras 2010; 56(6): 649-54 IntroductIonUrinary incontinence (UI) is defined as involuntary loss of urine through the urethra. 1 This condition can be classified into three common types: stress urinary incontinence (SUI), urge urinary incontinence (UUI), and mixed urinary incontinence. In SUI, urine leakage occurs when there is increased intraabdominal pressure, such as while practicing physical exercise, coughing, or sneezing. UUI is the inability to hold urine because of a strong need to void. Mixed urinary incontinence is a combination of the two previous conditions. 2 The economic impact of UI is significant both for the public health system and the families of patients with this pathology. In the United States, the cost of the treatment of patients with UI was estimated to be approximately $ 19.5 million in 2000. 3 The annual amount paid for routine care of a U.S. woman with UI was estimated at $ 900.00. 4 Studies have shown the negative impact of UI on the social, sexual, and psychological dimensions. 5 Fultz et al. assessed the impact of UI in 3,364 employed women and demonstrated impairment of work rhythm because of increased frequency of bathroom breaks. 6 Tamanini et al., using the International Consultation on Incontinence Questionnaire (ICIQ-SF), showed that among 225 patients with UI, 8.9% (20) and 17.8% (40) considered the impact of this condition on their quality of life to be severe and very severe, respectively. 7 Telephone interviews conducted in 2003 with 82,196 people over 65 years demonstrated that the prevalence of UI is twice as high in women compared to men and UI is significantly associated with depression. 8 The prevalence of female UI can range from 8.5% to 55%. showed a weak association. Using logistic regression, only pairing of weight and hysterectomy was able to predict the outcome (SUI). Most women with SUI (63.9%) had very severe impairment in the QOL. conclusIon. The prevalence of SUI was similar to that found in other studies; BMI, parity, number of pregnancies, and hysterectomy were associated with this disease, which seriously impairs the QOL.

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“…A study conducted in Australia, with 1,336 mothers, found that women in labour for a period greater than or equal to 12 hours were more likely to complain of urinary incontinence than those with shorter labour (less than 6 hours) (23) , even though the results of a study in Tehran showed no association between the prevalence of urinary incontinence after childbirth and the duration of the second stage of labour (17) .…”

Section: Discussionmentioning

confidence: 98%

Prevalência de incontinência urinária autorreferida no pós-parto e fatores relacionados

Lopes¹,

Praça

2012

Acta paul. enferm.

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Objectives: To verify the prevalence of self-reported urinary incontinence (UI) in women after childbirth, and to identify related factors. Methods: A cross-sectional epidemiological study was conducted between January and August 2009. We interviewed 288 women, who were 30 days to 6 months postpartum. Data were statistically analyzed. Results: The prevalence of self-reported postpartum UI was 24.6%. The average age of women was 26 years; only skin color showed a statistically significant difference, with the largest representation among white women. Among the 71 women who reported postpartum UI, the majority were primiparas and underwent normal delivery. Conclusion: The occurrence of self-reported urinary incontinence after childbirth is associated with skin color, predominantly in primiparous women as compared to non primiparous. Identification of factors related to UI in women after childbirth and its prevalence contribute to the planning of midwifery care for women who experience reproductive events. Keywords: Obstetrical nursing; Urinary incontinence; Women's health RESUMOObjetivos: Verificar a prevalência de incontinência urinária (IU) autorreferida por mulheres no pós-parto e identificar os fatores relacionados. Métodos: Estudo epidemiológico transversal, realizado no período de janeiro a agosto de 2009. Foram entrevistadas 288 mulheres com 30 dias a 6 meses de pós-parto. Os dados foram analisados estatisticamente. Resultados: Observou-se prevalência de 24,6% de IU autorreferida no pós-parto. A idade média das mulheres foi de 26 anos, apenas a cor da pele apresentou diferença estatística significante, com maior representatividade em mulheres brancas. Dentre as 71 entrevistadas que referiram IU no pós-parto, a maioria era primípara e submeteu-se ao parto normal. Conclusão: A ocorrência de IU autorreferida no pós-parto associa-se à cor da pele com predominância em primíparas em comparação às não primíparas. Identificar os fatores relacionados à IU em mulheres no pós-parto e sua prevalência contribui no planejamento de atenção de enfermagem obstétrica à mulher que vivencia o período reprodutivo. Descritores: Enfermagem obstétrica; Incontinência urinária; Saúde da mulher RESUMEN Objetivos: Verificar la prevalencia de incontinencia urinaria (IU) autorreferida por mujeres en el postparto e identificar los factores relacionados. Métodos: Estudio epidemiológico transversal, realizado en el período de enero a agosto del 2009. Fueron entrevistadas 288 mujeres con 30 días a 6 meses de postparto. Los datos se analizaron estadísticamente. Resultados: Se observó prevalencia de 24,6% de IU autorreferida en el postparto. La edad promedio de las mujeres fue de 26 años, apenas el color de la piel presentó diferencia estadística significativa, con mayor representatividad en mujeres blancas. De las 71 entrevistadas que refirieron IU en el postparto, la mayoría era primípara y se sometió al parto normal. Conclusión: La ocurrencia de IU autorreferida en el postparto se asocia al color de la piel con predominio en primíp...

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Postpartum evaluation of stress urinary incontinence among primiparas

Abstract: Elective CS significantly reduced the rate of postpartum SUI.

Cited by 49 publications

References 7 publications

Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study

Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study

Incontinência urinária de esforço em mulheres pertencentes ao Programa de Saúde da Família de Dourados (MS)

Prevalência de incontinência urinária autorreferida no pós-parto e fatores relacionados

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