Association of Mode of Delivery With Urinary Incontinence and Changes in Urinary Incontinence Over the First Year Postpartum

Chang, Shih‐Hang; Chen, Kuang-Ho; Lin, Ho‐Hsiung; Lin, Ming-I; Chang, Ting-Chen; Lin, Wei-An

doi:10.1097/aog.0000000000000141

Cited by 31 publications

(27 citation statements)

References 39 publications

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“…These data are at odds with the present findings, where PFD was not prevalent in the immediate postpartum period, and although there was a clear trend toward a greater impact of urinary incontinence on QoL in the vaginal delivery group, the effect was not significant. In addition, the impact of urinary incontinence on QoL worsened during the 3 months of the study, in contrast to the findings by Chang et al., who reported a lower prevalence of urinary incontinence at 3 months postpartum than in the immediate postpartum period among women who underwent cesarean delivery.…”

Section: Discussioncontrasting

confidence: 93%

See 1 more Smart Citation

Pelvic floor dysfunction in the immediate puerperium, and 1 and 3 months after vaginal or cesarean delivery

Colla

Paiva

Ferla

et al. 2018

Intl J Gynecology & Obste

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Section: Discussioncontrasting

confidence: 93%

“…Chang et al . found that the prevalence of urinary incontinence in the immediate postpartum period was higher among women who had a vaginal delivery, and the effect of urinary incontinence on QoL was more pronounced.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor dysfunction in the immediate puerperium, and 1 and 3 months after vaginal or cesarean delivery

Colla

Paiva

Ferla

et al. 2018

Intl J Gynecology & Obste

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“…Em relação ao tipo de parto, Oliveira et al (2013) (OR 2.59; p<0.001), Torrisi et al (2012) (OR 3,3;IC 95% 2,0-5,3;p<0,001), Ekström et al (2008) (RR 8,9;IC 95% 1,9-42 para IUE e RR 7,3; IC 95% 1,7-32 para IUU) e Chang et al (2014) …”

Section: Incontinência Urinária Após O Partounclassified

“…A influência do tipo de parto sobre a IU tem sido bastante estudada e geralmente é aceito que o parto vaginal ou instrumental e paridade estão associados a esta disfunção (Valeton, Amaral, 2011;Torrisi et al, 2012;Cerruto et al, 2013;Oliveira et al, 2013;Chang et al, 2014).…”

Section: Introductionunclassified

Força muscular perineal e incontinência urinária e anal em mulheres após o parto: estudo transversal

Zizzi¹

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DEDICATÓRIA Dedico esta dissertação à minha amada mãe, que nunca mediu esforços para proporcionar a mim e aos meus irmãos estrutura para alcançarmos nossos objetivos. Devo a você todas as minhas conquistas. AGRADECIMENTOS RESUMO Introdução:A gravidez e o parto são frequentemente associados à redução da força dos músculos do assoalho pélvico (FMAP) e à incontinência urinária (IU) e anal (IA), devido às alterações que ocasionam nos mecanismos de controle e suporte das estruturas do assoalho pélvico. Objetivos: O objetivo geral foi analisar a FMAP e a IU e IA no período pós-parto e os específicos foram verificar a associação da FMAP com a IU e a IA após o parto e identificar os fatores associados à FMAP, à IU e à IA após o parto e a interferência da IU na vida da puérpera. Método: Estudo transversal, com 128 mulheres nos primeiros 6 meses após o parto, conduzido em um serviço do setor suplementar de saúde, em Guarulhos, SP. Foram incluídas todas as mulheres integrantes da coorte "Cuidado perineal na gestação e após o parto: prevenção e morbidade relacionadas à força muscular perineal, função sexual e continência urinária", que compareceram ao menos a um retorno do pós-parto. O parto vaginal predispõe à redução da FMAP e a cesariana é fator protetor à sua redução. A IU durante a gestação é preditora da IU após o parto e em mulheres com gestação anterior e recém-nascido de maior peso a IU é mais frequente. A interferência da IU na vida da mulher foi moderada. Apenas a IA prévia teve associação com a IA após o parto. Não é possível concluir que há associação direta entre tempo de coabitação com o parceiro e FMAP e IU e atividade sexual após o parto. ABSTRACT Introduction: Pregnancy and childbirth are often associated with reduced pelvic floor muscles strength (PFMS), urinary (UI) and anal incontinence (AI) because of the changes in the mechanisms of control and support of the pelvic floor structures. Objectives: To analyse the PFMS, UI and AI during postpartum period. To verify the association of PFMS with UI and AI after birth. To identify factors associated with PFMS, UI and AI after birth and the interference of UI in the quality of life after birth. Methods: Cross-sectional study with 128 women in the first six months after birth, held in an insurance health care facility in Guarulhos, SP. All women participants of the cohort "Perineal care during pregnancy and after birth: prevention and morbidity related to PFMS, sexual function and UI" who attended at least one postpartum consultation were included. Data were collected through interviews, PFMS was measured by perineometry (Peritron™) and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was applied to women who reported UI. Descriptive, inferential and multivariate analyses were performed. The research was approved by the Research Ethics Committee of School of Nursing of University of Sao Paulo. Results: The main score of PFMS was 33.1 cmH 2 O (SD=16.0). There was no statistically significant difference between PFMS during pregna...

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“…Results suggest that about half of women may develop genito-pelvic pain during pregnancy, which will persist for about a third, and a subset will develop this pain after childbirth [31].…”

Section: Biomedical Psychological and Relationship Factorsmentioning

confidence: 99%

Sexual Activity during Pregnancy in Childbirth and after Childbirth

Zakšek¹

2015

Sexology in Midwifery

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Association of Mode of Delivery With Urinary Incontinence and Changes in Urinary Incontinence Over the First Year Postpartum

Cited by 31 publications

References 39 publications

Pelvic floor dysfunction in the immediate puerperium, and 1 and 3 months after vaginal or cesarean delivery

Pelvic floor dysfunction in the immediate puerperium, and 1 and 3 months after vaginal or cesarean delivery

Força muscular perineal e incontinência urinária e anal em mulheres após o parto: estudo transversal

Sexual Activity during Pregnancy in Childbirth and after Childbirth

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