Prevalence and predictors of urinary/anal incontinence after vaginal delivery: prospective study of Nigerian women

Obioha, Kingsley Chukwu; Ugwu, Emmanuel Onyebuchi; Nnamdi, Samuel; Dim, Cyril Chukwudi; Oguanuo, Theophilus Chimezie

doi:10.1007/s00192-015-2690-0

Cited by 33 publications

(69 citation statements)

References 26 publications

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“…No doubt, episiotomy can extend to involve the anal sphincter or decrease the integrity of the perineum, thereby predisposing the clients to fecal and or flatus incontinence . The observed incidence of UI, AI and their distributions at various post‐partum periods are similar to that of a recent study from the study area …”

Section: Discussionsupporting

confidence: 82%

“… On the other hand, data concerning the development of AI were obtained using a pretested questionnaire (Appendix S2). Operational definitions of UI and AI were as described in recently published studies . The cumulative incidence rate of UI was defined as the proportion of women who ever reported any type of UI during the 3‐month follow up and cumulative AI as the proportion of women who ever reported any type of AI during the 3‐month follow up …”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, none of the studies included in the Cochrane review was from sub‐Saharan Africa where the burden of perineal trauma is high because of the high fertility rate in the subregion and the aversion to caesarean section. A recent study from the subregion has also documented a high incidence of UI and AI following vaginal birth …”

Section: Introductionmentioning

confidence: 97%

“…A recent study from the subregion has also documented a high incidence of UI and AI following vaginal birth. 11 This study therefore aims to evaluate the effectiveness of APM in preventing perineal trauma during childbirth and reducing subsequent post-partum morbidities in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of antenatal perineal massage in reducing perineal trauma and post‐partum morbidities: A randomized controlled trial

Ugwu

Iferikigwe

Nnamdi

et al. 2018

J of Obstet and Gynaecol

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APM reduces the incidence of episiotomy and increases the incidence of women with an intact perineum after vaginal delivery. It also reduces the risk of flatus incontinence after childbirth without increased maternal or neonatal complications. Women should therefore be counseled on the likely benefits of APM and the information provided during antenatal care. Obstetricians should consider the technique as routine prenatal care for nulliparous women so as to reduce the incidence of perineal trauma during vaginal birth.

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Section: Discussionsupporting

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of antenatal perineal massage in reducing perineal trauma and post‐partum morbidities: A randomized controlled trial

Ugwu

Iferikigwe

Nnamdi

et al. 2018

J of Obstet and Gynaecol

Self Cite

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“…Studies evaluating the relationship between these two variables were not found. However, the literature shows that fetal weight greater than 4 kg is a predictor for urinary and fecal incontinence, suggesting that to prevent such problems, normal birth of macrosomic babies should be avoided 25 .…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study

Mendes

Oliveira

Caroci

et al. 2016

Rev. Latino-Am. Enfermagem

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Objectives: to compare the pelvic floor muscle strength in primiparous women after normal birth and cesarean section, related to the socio-demographic characteristics, nutritional status, dyspareunia, urinary incontinence, perineal exercise in pregnancy, perineal condition and weight of the newborn.Methods: this was a cross-sectional study conducted after 50 - 70 postpartum days, with 24 primiparous women who underwent cesarean delivery and 72 who had a normal birth. The 9301 PeritronTM was used for analysis of muscle strength. The mean muscle strength was compared between the groups by two-way analysis of variance. Results: the pelvic floor muscle strength was 24.0 cmH2O (±16.2) and 25.4 cmH2O (±14.7) in postpartum primiparous women after normal birth and cesarean section, respectively, with no significant difference. The muscular strength was greater in postpartum women with ≥ 12 years of study (42.0 ±26.3 versus 14.6 ±7.7 cmH2O; p= 0.036) and in those who performed perineal exercises (42.6±25.4 11.8±4.9 vs. cmH2O; p = 0.010), compared to caesarean. There was no difference in muscle strength according to delivery type regarding nutritional status, dyspareunia, urinary incontinence, perineal condition or newborn weight. Conclusion: pelvic floor muscle strength does not differ between primiparous women based on the type of delivery. Postpartum women with normal births, with higher education who performed perineal exercise during pregnancy showed greater muscle strength.

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Prevalence of urinary incontinence in postpartum women and physiotherapy interventions applied: An integrative review

Koomson,

Mgolozeli,

Mshunqane

2024

Intl J Gynecology & Obste

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ObjectiveThis integrative review identified studies that reported the prevalence of physiotherapeutic interventions for urinary incontinence among postpartum women.MethodsThis is an integrative literature review study. We used the integrative literature review framework proposed by Whittemore and Knafl to search for relevant literature.Search StrategyThe search strategy for electronic databases was developed from the research question and definitions of key concepts, assisted by the librarian. Databases that were searched include Google Scholar, Medline (PubMed), CINAHL, and the Joanna Briggs Institute databases. Both qualitative and quantitative studies that met the inclusion criteria were included. We used the CASP tool to assess the quality of selected papers.Data Collection and AnalysisThe included articles were thematically analyzed. Thirty‐six papers met the inclusion criteria for the review. Six themes emerged from the analysis: prevalence of postpartum UI; risk factors for postpartum UI; antenatal pelvic floor muscle training; conservative treatment and quality of life; experiences of postpartum women with UI; and possible coping strategies adopted by women. Most of the articles were quantitative studies (80.5%); 16.6% were qualitative and 2.7% adopted mixed methods.ConclusionsUrinary incontinence is common in postpartum women. Antenatal pelvic floor muscle training is protective against postpartum UI and should be the first‐line treatment option.

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Prevalence and predictors of urinary/anal incontinence after vaginal delivery: prospective study of Nigerian women

Cited by 33 publications

References 26 publications

Effectiveness of antenatal perineal massage in reducing perineal trauma and post‐partum morbidities: A randomized controlled trial

Effectiveness of antenatal perineal massage in reducing perineal trauma and post‐partum morbidities: A randomized controlled trial

Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study

Prevalence of urinary incontinence in postpartum women and physiotherapy interventions applied: An integrative review

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