Postpartum urinary incontinence

Hvidman, Lone; Foldspang, Anders; Mommsen, S; Nielsen, Jesper Buus

doi:10.1034/j.1600-0412.2003.00132.x

Cited by 70 publications

(43 citation statements)

References 47 publications

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“…In this study, there was no statistical difference between the two groups, weight of the newborn at birth with the occurrence of urinary incontinence in the postpartum, the result is consistent with studies conducted in Denmark (5) and USA (24) which also did not identify such associations, but the result of a research conducted in Sweden, with 2,450 women revealed an association between the weight of the newborn being greater than 3,500 grams with UI in multipara. In this study, a similar association was not seen, although the interviewees with UI had greater representation to women without UI, when considering the baby's weight at birth between 3,000 and 3,999 g.…”

Section: Discussionsupporting

confidence: 80%

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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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Section: Discussionsupporting

confidence: 80%

“…The sample size was calculated based on research conducted in Denmark, in which the prevalence of UI identified was 23.4% in women, after 6 months postpartum (5) . It was assumed a 5% error with a probability of 95% of certainty of this error.…”

Section: Methodsmentioning

confidence: 99%

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

Lopes¹,

Praça

2012

Acta paul. enferm.

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“…This location was chosen because it offers the chance to be in touch with women who were within six months of the postpartum period. The decision for conducting the interview between 30 days and six months postpartum was based on the fact that literature studies have been performed considering periods within this time interval (10)(11) .…”

Section: Methodsmentioning

confidence: 99%

“…Studies performed in Denmark and Spain (4,10) found a high association rate between UI in the postpartum and the type of childbirth and with the occurrence of UI during pregnancy. Similarly, a United States study (11) performed with 80 pregnant women with UI found that 44% of the participants continued incontinent after childbirth.…”

Section: Introductionmentioning

confidence: 99%

“…The present study addressed UI in the postpartum period, as there is scarce national literature regarding this morbidity in this phase of the pregnancypuerperium cycle. In literature, studies state that urinary incontinence affect up to 74% of the formerly continent pregnant women (10)(11)(12) . Considering a population of age between 17 and 45 years, studies show UI prevalence in the postpartum between 20% and 27.5% (10,(12)(13)(14)(15) .…”

Section: Introductionmentioning

confidence: 99%

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Incontinência urinária autorreferida no pós-parto: características clínicas

Lopes¹,

Praça

2012

Rev. esc. enferm. USP

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RESUmoEste estudo transversal teve como objetivo caracterizar as manifestações de incontinência urinária autorreferida no pós-parto. RESUmEnEste estudio transversal tuvo como objetivo caracterizar las manifestaciones de incontinencia urinaria autorreferida en el posparto. Fueron entrevistadas 288 mujeres atendidas en un Centro de Salud Escuela del municipio de São Paulo, entre enero y agosto de 2009. Los datos demostraron que de las 71 mujeres con incontinencia (24,6%). 44 de ellas (62%) refirieron incontinencia ante los esfuerzos, 65 (91,5%) sentían el escurrimiento de la orina, 33 mujeres (46,5%) presentaban pérdidas más de una vez a la semana, y 24 (33,8%) refirieron perdida urinaria persistente en el momento de la entrevista. La gravedad, clasificada como incontinencia urinaria moderada, se constató en 53 mujeres (74,7%). Los hallazgos realzan la importancia de investigaciones sobre incontinencia urinaria en el período de posparto, así como su abordaje en la enseñanza y atención a la mujer en el período reproductivo.

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Injectable biomaterials for incontinence and vesico‐ureteral reflux: Current status and future promise

2005

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Many injectable biomaterials have been produced as bulking agents for compression of urethral sphincter or ureteral orifice for treating adult stress incontinence or vesico-ureteral reflux in pediatrics. The agents being developed include glutaraldehyde crosslinked collagen, dextranomer/hyaluronic acid copolymer, pyrolytic carbon-coated zirconium oxide beads, polydimethyl-siloxane microparticles, polytetrafluoroethylene paste, autologous fats, autologous chondrocytes, and others. Though less invasive nature of these agents has gained their popularity as a quick solution of the disease symptoms, most of such treatments fail to produce good long-term efficacy. The failure is likely caused by the rapid degradation of material implants and the lack of tissue regeneration/integration properties. We thus believe that a good injectable biomaterial for incontinence should possess the following two properties: (1) to resist degradation and to reside in the implantation sites for a long period of time or (2) to enhance tissue regeneration and to establish permanent periurethral or subureteric tissue. Here we report some recent results for supporting this hypothesis.

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Postpartum urinary incontinence

Abstract: In the present study, which included a comprehensive causal model, postpartum UI could be explained first of all as the decline of pregnancy UI, secondly as a manifestation of a pre-existing tendency to react by UI, and finally as a consequence of the birth process itself.

Cited by 70 publications

References 47 publications

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

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

Incontinência urinária autorreferida no pós-parto: características clínicas

Injectable biomaterials for incontinence and vesico‐ureteral reflux: Current status and future promise

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