Women’s pelvic floor muscle strength and urinary and anal incontinence after childbirth: a cross-sectional study

Zizzi, Priscila Tavares; Trevisan, Karina Fernandes; Leister, N. V.; Cruz, Camila da Silva; Riesco, Maria Luiza Gonzalez

doi:10.1590/s1980-220x2016209903214

Cited by 17 publications

(20 citation statements)

References 28 publications

(45 reference statements)

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“…Atualmente, tem surgido o interesse por opções de tratamentos menos invasivos, como a Terapia Comportamental (TC) em pessoas com diagnóstico de Incontinência Urinária de Esforço e Incontinência Urinária Mista, que incluem orientações sobre hábitos de vida; Development, v. 9, n. 11, e65291110201, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.10201 promoção do autocuidado; diário miccional; exercícios perineais e avaliação da resposta do paciente à terapia (Zizzi, Trevisan, Leister, Cruz, & Riesco, 2017).…”

Section: Resultsunclassified

Perfil de pacientes assistidos por telemonitoramento em uma clínica de enfermagem em estomaterapia

Souza

Carvalho

Santos

et al. 2020

RSD

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Objetivos: caracterizar o perfil sociodemográfico e de saúde de pacientes telemonitorados em uma clínica de Estomaterapia e descrever o desfecho das ações de telemonitoramento a estes pacientes.Método: estudo quantitativo, descritivo e documental, realizado em clínica de Estomaterapia do Rio de Janeiro, entre abril e outubro de 2018. A coleta foi em prontuários de pacientes telemonitorados, utilizando-se instrumento contendo variáveis sociodemográficas e clínicas. Trataram-se os dados por meio de estatística descritiva.Resultados: foram analisados 84 prontuários, a maioria do sexo masculino (58,3%), idade entre 52 e 73 anos. 2,4% registraram ensino superior, a maioria era aposentada (37%) e residentes do município fluminense (70%). Identificou-se que 53,6% dos pacientes tinham feridas, 23,8% eram incontinentes e 22,6% apresentavam estomas. Quanto ao desfecho do telemonitoramento, 28 (33,3%) pacientes tiveram reagendamento de consultas e 19 (22,6%) obtiveram alta.Conclusão: o conhecimento do perfil dos pacientes permite um atendimento mais assertivo e ajuda no planejamento assistencial.

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Section: Resultsunclassified

Perfil de pacientes assistidos por telemonitoramento em uma clínica de enfermagem em estomaterapia

Souza

Carvalho

Santos

et al. 2020

RSD

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“…Some authors consider that vaginal delivery is a risk factor for the development of UI in future pregnancies. 2,4,6 However, another study emphasized that tobacco use, in which pregnant women who smoked had a 4.5 times greater chance of presenting UI during pregnancy than those who did not smoke. One of the possible ways to explain the finding is through one of the consequences of smokingchronic coughing -which increases the overload on the pelvic floor muscles, already stressed by the pregnancy, thus favoring urinary losses.…”

Section: Discussionmentioning

confidence: 99%

“…1 Their losses were classified as follows: stress urinary incontinence (SUI:involuntary loss of urine after exertion, sneezing or coughing), urge urinary incontinence (UUI: involuntary loss of urine accompanied or preceded by urgency) or mixed urinary incontinence (MUI) : involuntary loss of urine associated with urgency and exertion, sneezing or cough). 1,2 The questions on the quantification of the frequency of SUI and UUI during gestation were standardized and validated according to Rohr et al 10 They were, respectively: "Did you involuntarily wet yourself when practicing an exerting activity, when coughing, sneezing, laughing or lifting a heavy object?" and/or "Did you have a strong urge to urinate and had no time to get to the bathroom?".…”

Section: Methodsmentioning

confidence: 99%

“…1 Through their symptoms, UI can be classified as: stress urinary incontinence (SUI),when it happens during an action requiring effort, exercise or during coughing or sneezing; urge urinary incontinence (UUI), when associated to a sudden need to urinate; and mixed urinary incontinence (MUI). 2 The prevalence of UI during pregnancy can reach up to 75%, but the estimate varies depending on the period investigated, the study design and even the culture of a population. UI can last in the postpartum period, in which its prevalence ranges from 6% to over 30%.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and factors associated with the occurrence of urinary incontinence during pregnancy

Santini

Santos

Vianna

et al. 2019

Rev. Bras. Saude Mater. Infant.

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Objectives: to determine the prevalence of urinary incontinence (UI) during pregnancy, to identify and quantify the factors associated with gestational UI. Methods: a cross-sectional study carried out with women admitted for deliveries in all maternity wards in the city of Botucatu (São Paulo). Data were collected through a structured questionnaire, based on the literature, containing questions about the occurrence of UI, its types, risk factors and moments when urinary losses occurred. Associations between UI and the predictive variables were analyzed with logistic regression models. Results: 950 women were interviewed, out of which 472 complained of urinary losses during pregnancy, resulting in a prevalence of 49.68% (CI95%= 46.51 - 52.86). The majority (61.8%) were classified as mixed UI. Among the covariates investigated, smoking (OR= 4.56), illicit drugs use (OR= 25.14), stimulant foods (OR= 1.84), constipation (OR=1.99), hypertensive disorders during gestation (OR= 3.23), gestational diabetes mellitus (OR= 2.89), parity (OR= 1.52) and previous caesarean sections (OR= 2.56) increased the chance of urinary losses during pregnancy. Conclusions: there was a high prevalence of UI during pregnancy. This condition was strongly associated with lifestyle habits and gestational morbidities. Finally, it is worth high-lighting the fact that delivery via caesarean section increased the chance of UI in subsequent pregnancies.

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“…2010, Gameiro et al 2011, Mendes et al 2016. No entanto, estudos com resultados contrários a esses são encontrados na literatura, apresentando significância entre a diminuição da FMAP e a maior idade materna (Oliveira, 2017, Zizzi et al, 2017 (Barbara et al, 2016).…”

Section: Avaliação Da Força Muscular Do Assoalho Pélvicounclassified

Avaliação dos resultados das condições perineais após o reparo de trauma perineal com cola cirúrgica ou fio de sutura até 8 meses de pós-parto

Brunelli¹

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Introduction: In literature, there are few studies about the use of surgical glue for perineal repair after delivery. Objectives: To compare the intensity of perineal pain, the occurrence of urinary incontinence (UI), the pelvic floor muscle strength (PFMS), the sexual function (SF) and the satisfaction of women after perineal repair with surgical glue or suture yarn in the first 8 months after delivery. Methodology: Longitudinal study linked to a randomized controlled trial (RCT). The population was consisted of women attending a RCT who had normal delivery, underwent repair of first and/or second-degree perineal lacerations or episiotomy with Glubran 2 ® surgical glue (Experimental Group-EG) or with Vicry l® suture yarn (Control Group-CG) in a maternity hospital located in Itapecerica da Serra, São Paulo, and returned for evaluation or accepted to be evaluated in their homes. The women were followed-up during the first 8 months after delivery in six stages, with the first 3 stages corresponding to the RCT database, stage 4 to a cross-sectional study and stages 5 and 6 data to the current study. Stage 1: soon after normal delivery; stage 2: between 12 and 24 hours; stage 3: between 36 and 48 hours; stage 4: between 10 and 20 days; stage 5: between 50 and 70 days; stage 6: between 6 and 8 months after delivery. This study was approved by the Research Ethics Committee of EEUSP, under registration number 2.44.813. Results: A total of 140 women were evaluated in the first three stages, 110 women between 10 and 20 days after delivery (stage 4), 122 women between 50 and 70 days (stage 5) and 54 women between 6 and 8 months after delivery (stage 6). When comparing the intensity of perineal pain over time in the two types of perineal repair, EG presented better results than CG (p=0.001). However, there was no significance when comparing UI in the first five stages (p=0.699) and the use of ICIQ-SF in the sixth stage (p=0.835). Regarding PFMS, there was a difference of 4.96 points between the means of EG (mean 32.39; SD 14.03) and CG (mean 27.43; SD 12.75), but with no significance (p=0.331). As for SF, it was noticed that the EG women presented higher mean scores in all domains, but there was no significance (p=0.504). EG also presented better means in relation to women's satisfaction with perineal repair, but also with no significance (p=0.068). Conclusion: The use of surgical glue showed significantly lower perineal pain intensity in the first 8 months after delivery and better means related to PFMS, SF and women's satisfaction with perineal repair. Surgical glue may be a viable option to decrease the negative outcomes of perineal repair after normal delivery, as well as to increase women's satisfaction.

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Women’s pelvic floor muscle strength and urinary and anal incontinence after childbirth: a cross-sectional study

Cited by 17 publications

References 28 publications

Perfil de pacientes assistidos por telemonitoramento em uma clínica de enfermagem em estomaterapia

Perfil de pacientes assistidos por telemonitoramento em uma clínica de enfermagem em estomaterapia

Prevalence and factors associated with the occurrence of urinary incontinence during pregnancy

Avaliação dos resultados das condições perineais após o reparo de trauma perineal com cola cirúrgica ou fio de sutura até 8 meses de pós-parto

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