Incontinência urinária autorreferida no pós-parto: características clínicas

Lopes, Daniela Biguetti Martins; Praça, Neide de Souza

doi:10.1590/s0080-62342012000300005

Cited by 7 publications

(5 citation statements)

References 16 publications

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“…Urinary incontinence is the involuntary loss of urine, with negative impacts on women in terms of their quality of life, and is considered a social and hygiene problem 4 . In a systematic review, the combined prevalence of any postpartum UI was 33% in all women; factors such as parity, delivery type, and exercise seem to influence the occurrence of this problem, however the studies are still controversial 2 .…”

Section: Introductionmentioning

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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Section: Introductionmentioning

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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“…A IUE é o tipo de IU mais frequente na população, principalmente em mulheres. Além disso, as mulheres primíparas têm maiores chances de desenvolvê-la 24 . Isso pôde ser observado nos achados obtidos nessa pesquisa, em que das mulheres que só tiveram uma gestação, 66% delas, desenvolveram este tipo de IU.…”

Section: Resultsunclassified

Perfil Dos Pacientes Com Incontinência Urinária Atendidos Em Um Projeto De Responsabilidade Social

et al. 2021

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Introdução: A incontinência urinária (IU) pode ser definida como qualquer perda involuntária de urina. Embora comum entre os senescentes, muitas vezes associada como parte natural do processo de envelhecimento, ela pode acometer homens e mulheres de qualquer faixa etária, e pelos mais variados motivos. Objetivo: Traçar o perfil sociodemográfico da população atendida na Unidade de Reabilitação das Disfunções do Assoalho Pélvico (UREDAPE), por queixa de IU, relacionando os principais fatores desencadeantes. Metodologia: Trata-se de uma pesquisa descritiva, transversal e retrospectiva, realizada a partir da análise de 23 prontuários dos pacientes com queixa de IU, atendidos na UREDAPE-CE, no período de janeiro de 2015 a junho de 2016. Resultados: Após a análise dos prontuários, foi possível identificar que o perfil da população atendida é caracterizado, em grande parte, por idosas, com idade entre 60 a 79 anos (65,2%), multíparas, que já passaram por alguma intervenção cirúrgica que envolvesse a musculatura do assoalho pélvico. Apesar disso, foi possível identificar também, o atendimento fisioterapêutico a pacientes adultos jovens e de meia idade, de ambos os gêneros, com fatores desencadeantes associados ou não. Considerações Finais: Diante disso, faz-se necessário o desenvolvimento de novos estudos, de amplo espectro, a fim de traçar um perfil mais detalhado dos pacientes acometidos pela IU e investigar melhor os principais fatores desencadeantes, para que seja possível o planejamento de estratégias efetivas de prevenção e tratamento desses pacientes.

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“…Most women in this study needed guidance about UI. This need shows the unpreparedness of professionals and even a deficit regarding the theme, showing that receiving guidance on changes in the pelvic floor during pregnancy and postpartum needs to be more worked on by health teams 8,21,22 .…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practice of Pregnant Women About Urinary Incontinence: Observational Study

Ribeiro

Firmiano

Vasconcelos

et al. 2023

ESTIMA, Braz. J. Enterostomal Ther.

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Objectives: To assess the knowledge, attitude and practice (KAP) of pregnant women about urinary incontinence (UI), identify the prevalence of UI, assess its impact on quality of life (QoL) and identify factors associated with inadequate KAP in relation to UI. Methodology: Observational study carried out from May to November 2019 in the city of Fortaleza, Ceará, Brazil. Two instruments were used for data collection: one for sociodemographic, obstetric and urinary loss assessment and another for KAP assessment on UI. Results: 237 pregnant women participated. The prevalence of UI was 49.3% and a low impact on QoL was observed. Most had knowledge (89.6%) and inadequate practice both to prevent (89.2%) and to treat (78.8%). Low percentages of correct answers were identified related to knowledge about risk factors (46.8%), prevention (43.8%) and treatment of UI (42.8%). Despite this, the attitude was considered adequate for most women (98.5%). Absence of guidance on preparation of the perineum for childbirth during prenatal care (p = 0.019), low education (p < 0.001), milder cases of UI (p = 0.027) and high-risk pregnancy (p = 0.004) were associated with inappropriate practice. Conclusions: knowledge about the causes, prevention and treatment of UI is insufficient and interferes with the management of this condition.

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Incontinência urinária autorreferida no pós-parto: características clínicas

Cited by 7 publications

References 16 publications

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

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

Perfil Dos Pacientes Com Incontinência Urinária Atendidos Em Um Projeto De Responsabilidade Social

Knowledge, Attitude, and Practice of Pregnant Women About Urinary Incontinence: Observational Study

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