Stress urinary incontinence six months after first vaginal delivery

Arrue, Miren; Ibañez, Larraitz; Paredes, Jone; Murgiondo, Arantzazu; Belar, Maria; Sarasqueta, Cristina; Diez-Itza, Irene

doi:10.1016/j.ejogrb.2010.02.039

Cited by 40 publications

(51 citation statements)

References 27 publications

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“…Most of the studies demonstrated an increase of UI among women who delivered by vaginal delivery [14,15,16]. Some studies mention that the type of delivery was not a significant risk factor for UI [17,21,22]. Although the relationship between UI and cesarean section delivery is controversial, some studies mention it is protective [8,10,23] and others demonstrate that there is an increase among women who have delivered by C/S as compared with nulliparous [14,15] which is similar to the findings of another study [14].…”

Section: Discussionsupporting

confidence: 79%

“…Other studies have reported stress UI as the most common [19,20]. We are not aware of any other studies that have investigated the prevalence of each type of UI in primiparous women although some studies have investigated the specific type of UI in primiparous women but not all types [17]. Interestingly, in our study, we did not find a significant association between mode of delivery and UI.…”

Section: Discussioncontrasting

confidence: 49%

“…There is a high prevalence of UI that is reported in this study as compared to other studies [11,17]. This might be due to the use of broader inclusion criteria including any form of involuntary urine leak and marked as urinary incontinence.…”

Section: Discussioncontrasting

confidence: 41%

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Post-partum urinary incontinence among Saudi women

Mutairi¹,

Farra²

2017

IJMDC

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Background: Urine incontinence is known to affect an individual's health related quality of life and is associated with medical and psychological morbidity. This condition limits the patient's daily activities, resulting in loss of self-esteem. The aim of this study was to determine the prevalence, risk factors, common type and the impact of urinary incontinence on health related quality of life among Primiparous Saudi women.

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Section: Discussionsupporting

confidence: 79%

Section: Discussioncontrasting

confidence: 49%

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Post-partum urinary incontinence among Saudi women

Mutairi¹,

Farra²

2017

IJMDC

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“…In the study of Arrue and colleagues (2010) there was a conclusion that urinary incontinence during pregnancy was the only risk factor independently associated with the presence of stress urinary incontinence six months after the first vaginal delivery [29].…”

Section: 3urinary Incontinencementioning

confidence: 99%

Current approach to episiotomy: Inevitable or unnecessary?

Jovanovic

Kocijancic

Terzić³

2011

Open Medicine

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AbstractAn episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant. About 10 to 95% of women who deliver will have episiotomy depending on which part of the world they are having delivery.Too early episiotomy causes extensive bleeding and too late episiotomy causes the excessive stretching of a pelvic floor and lacerations could not be prevented.According to widely accepted arguments, there are many benefits of episiotomy for the neonate: prevention of injuries, shoulder dystocia and mental retardation of the infant. Benefits for the mother are: reduction of severe lacerations, prevention of sexual dysfunction, prevention of urinary and fecal incontinence. But those things could also be complications of episiotomy, if it is being used nonrestrictively. Some other complications are also extensive bleeding, hematoma or infection.There are many different opinions in literature about using episiotomy restrictively or routinely, so it is the right doubt arisen: is it inevitable or unnecessary?There is a wide variation in episiotomy practice, and the decision of performing it or not depends of actual clinical situation.There is still a great need for continuous obstetrics education according to the evidence based guidelines for the patient’s safety.

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“…Um estudo realizado na Dinamarca com mulheres nulíparas e multíparas com idade entre 20 a 59 anos, corrobora com esse achado 23 , vale destacar que uma possível justificativa para divergência dos achados deve-se ao tamanho amostral e a diferença das populações estudadas. Arrue et al 24 concluíram que a IU durante o período gravídico aumenta em 1,9 vezes o risco de apresentar sintomas urinários de esforço no puerpério.…”

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Ocorrência De Sintomas Urinários No Pós Parto Vaginal Imediato Em Primíparas

et al. 2017

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| Introduction: Urinary incontinence wasrecognized as a worldwide silent epidemic and urinary symptoms during pregnancy are predictive of the occurrence of this condition in the immediate postpartum and long term. Objective: To verify the occurrence of urinary symptoms in the immediate postpartum period for primiparous women submitted to vaginal delivery. Methods: A cross sectional descriptive study conducted with primiparous women of age groups between 19 and 35 years, hospitalized in an obstetric nursing ward of a General Hospital, in Salvador, Bahia, Brazil. The data was collected through the application of structured forms prepared by the authors, and secondary data extracted from patient records, was also used the validated instrument ICIQ-SF. For data analysis the Epi Info® (v.3.5.2) was used, and to verify the existence of associations among the variables of the study the Fisher exact and the Chi-square tests, with the Yates correction and considering as statistically significant the p <0,05 associations. The project was approved by CEP-UNEB (044055/2016). Results: There were 22 women interviewed, average ages of 25.6 ± 5.3 years, 16 (72,7%) did not present IUU and 14 (66,7%) did not mention IUE. No relation was observed between urinary incontinence and the researched variables. Conclusion:The results presented suggest that there is a low or inexistent correlation of urinary symptoms in primiparous women submitted to vaginal delivery in the immediate postpartum period, nevertheless a follow-up is recommended for further investigation and monitoring of the urinary symptoms.Key-words: Urinary incontinence; Pregnant Women; Parturition RESUMO | Introdução: A Incontinência Urinária foi reconhecida como epidemia silenciosa mundial, no qual a anatomia feminina, paridade e a gestação são considerados fatores de risco e sintomas urinários durante a gestação é preditivo para ocorrência dessa condição no pós parto imediato e a longo prazo. Objetivo: Verificar a ocorrência de sintomas urinários, no pós-parto vaginal imediato em primíparas. Métodos: Trata-se de um estudo descritivo de corte transversal conduzido com primíparas na faixa etária entre 19 a 35 anos que estivessem em regime de internamento na enfermaria obstétrica de um Hospital Geral, em Salvador, Bahia, Brasil. Os dados foram coletados com aplicação de formulário estruturado elaborado pelas autoras, dados secundários foram extraídos por meio de prontuários foi também utilizado o instrumento validado ICIQ-SF. Empregou-se o Epi Info® (v.3.5.2) para análise dos dados e, para verificar a existência de associações entre as variáveis do estudo foram utilizados os Testes exato de Fisher e Qui-Quadrado com a correção de Yates e consideradas como estatisticamente significantes associações com p <0,05. O projeto foi aprovado pelo CEP-UNEB (044055/2016). Resultados: Foram entrevistadas 22 mulheres, das quais a média de idade da amostra correspondeu a 25,6 ± 5,3 anos, 16 (72,7%) não apresentaram IUU e 14 (66,7%) não referiram IUE. Observou-se que não houv...

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Stress urinary incontinence six months after first vaginal delivery

Cited by 40 publications

References 27 publications

Post-partum urinary incontinence among Saudi women

Post-partum urinary incontinence among Saudi women

Current approach to episiotomy: Inevitable or unnecessary?

Ocorrência De Sintomas Urinários No Pós Parto Vaginal Imediato Em Primíparas

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