Prospective study of prevalence of overactive bladder symptoms and child‐bearing in women of reproductive age

Palma, T.; Raimondi, M.; Souto, S.; Fozzatti, Celina; Palma, Paulo; Riccetto, Cássio

doi:10.1111/jog.12063

Cited by 11 publications

(10 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, OAB symptoms were more likely to be seen among multiparous women compared to primiparous women, who were again more likely to have the symptoms compared to nulliparous ones. Although these symptoms are more frequently seen in the VD group than in the CD group, it did not reach statistical significance [47].…”

Section: Relationship Between the Mode Of Delivery And Oabmentioning

confidence: 94%

Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor

Bozkurt

Yumru

Şahin

2014

Taiwanese Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Pelvic floor dysfunction (PFD), although seems to be simple, is a complex process that develops secondary to multifactorial factors. The incidence of PFD is increasing with increasing life expectancy. PFD is a term that refers to a broad range of clinical scenarios, including lower urinary tract excretory and defecation disorders, such as urinary and anal incontinence, overactive bladder, and pelvic organ prolapse, as well as sexual disorders. It is a financial burden on the health care system and disrupts women's quality of life. Strategies applied to decrease PFD are focused on the course of pregnancy, mode and management of delivery, and pelvic exercise methods. Many studies in the literature define traumatic birth, usage of forceps, length of the second stage of delivery, and sphincter damage as modifiable risk factors for PFD. Maternal age, fetal position, and fetal head circumference are nonmodifiable risk factors. Although numerous studies show that vaginal delivery affects pelvic floor structures and their functions in a negative way, there is not enough scientific evidence to recommend elective cesarean delivery in order to prevent development of PFD. PFD is a heterogeneous pathological condition, and the effects of pregnancy, vaginal delivery, cesarean delivery, and possible risk factors of PFD may be different from each other. Observational studies have identified certain obstetrical exposures as risk factors for pelvic floor disorders. These factors often coexist; therefore, the isolated effects of these variables on the pelvic floor are difficult to study. The routine use of episiotomy for many years in order to prevent PFD is not recommended anymore; episiotomy should be used in selected cases, and the mediolateral procedures should be used if needed.

show abstract

Section: Relationship Between the Mode Of Delivery And Oabmentioning

confidence: 94%

Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor

Bozkurt

Yumru

Şahin

2014

Taiwanese Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…Overactive bladder symptoms were more likely to be seen among multiparous women as compared to primiparous women. Symptoms of overactive bladder are more frequently seen in women having delivered vaginally than in the group of women having delivered by cesarean section, but the diff erence did not reach statistical significance 47 . Vacuum and forceps assisted delivery increases the risk of overactive bladder development 48 .…”

Section: Impact Of Pregnancy and Delivery On Urinary Incontinencementioning

confidence: 84%

“…Th e probability for the onset of overactive bladder syndrome does not diff er signifi cantly between women having delivered vaginally and by cesarean section 46 . Palma et al state that pregnancy per se rather than the mode of delivery is a risk factor for development of overactive bladder 47 . Overactive bladder symptoms were more likely to be seen among multiparous women as compared to primiparous women.…”

Section: Impact Of Pregnancy and Delivery On Urinary Incontinencementioning

confidence: 99%

Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature

Živković

Župić

et al. 2016

acc

View full text Add to dashboard Cite

SUMMARY -Episiotomy is obstetric procedure during which the incision extends the vestibule of the vagina during the second stage of labor. Episiotomy was extensively spread with gradual increase of rates in the fi rst half of the 20 th century and was performed mediolaterally in all nulliparous women with the idea to protect fetal head from trauma and pelvic fl oor from injuries. However, reports claiming that episiotomy had no such benefi ts were published. It was shown that routine mediolateral episiotomy did not protect against the appearance of urinary incontinence after vaginal delivery, while the risk of anal incontinence could be increased. Th e role of episiotomy in development of pelvic fl oor dysfunction remains quite unclear. Due to the mentioned reason, restricted episiotomy approach should be accepted. Th e origin of stress incontinence during pregnancy is controversial and not definitely scientifi cally proven. Pregnancy per se and older age at fi rst delivery may have impact on the onset of pelvic fl oor dysfunction. Urinary incontinence in pregnancy increases the risk of later urinary incontinence, both postpartum and later in life. Vaginal delivery is just one of the potential risk factors for development of urinary incontinence. Mechanical pressure by fetus on the pelvic fl oor structures, limited denervation of the pelvic fl oor and soft tissue damage during delivery are some of explanations for the onset of stress urinary incontinence. On the other hand, cesarean delivery might not be protective against emergence of urinary incontinence. Further research in this fi eld is needed.

show abstract

“…Nesta pesquisa encontrou-se que as primíparas de parto normal têm risco maior de desenvolver os SU em relação as de pós-parto cesárea. A relação dos SU com a via de parto já foi investigada anteriormente em nulíparas, primíparas, multíparas e revelou que as nulíparas apresentam menos sintomas do que as primíparas e as multíparas apresentam mais sintomas do que as nulíparas e primíparas 18 , sendo que após parto vaginal existe maior propensão a algum SU do que após o parto cesariano 19,20 .…”

Section: Discussionunclassified

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

Siqueira¹,

Souto²,

Rodrigues³

et al. 2019

RBCS

View full text Add to dashboard Cite

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.

show abstract

Prospective study of prevalence of overactive bladder symptoms and child‐bearing in women of reproductive age

Cited by 11 publications

References 20 publications

Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor

Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor

Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature

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

Contact Info

Product

Resources

About