New postnatal urinary incontinence: obstetric and other risk factors in primiparae

Glazener, Cathryn; Herbison, Peter; MacArthur, Christine; Lancashire, Robert J.; McGee, Magnus A.; Grant, Adrian; Wilson, Peter D.

doi:10.1111/j.1471-0528.2005.00840.x

Cited by 136 publications

(213 citation statements)

References 34 publications

(50 reference statements)

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“…However, symptom prevalence in our study is consistent with findings of other well-designed prospective studies, and suggests that data on health service use is likely to provide a reliable picture of women's contacts with health professionals. 2,6,[24][25][26] In addition, there was no evidence of over-representation in the sample of women with other urinary and bowel symptoms such as urinary tract infections, Crohn's disease, ulcerative colitis or irritable bowel syndrome. 22 …”

Section: Strengths and Limitationsmentioning

confidence: 97%

“…11,12 The Incontinence Severity Index has been validated using a 24-hour pad weighing test for stress urinary incontinence, 11,13 and provides prevalence estimates for stress, urge and mixed urinary incontinence comparable to other validated instruments, 14 and findings of other large international cohort studies. 2,6 Faecal incontinence was assessed using standardised questions adapted from Australian community prevalence studies. [15][16][17] In each questionnaire, women were asked to report on leakage of urine when they 'coughed, laughed, sneezed or did physical exercise', when 'on the way to the toilet', when they 'had to wait to use the toilet', and if they 'did not go to the toilet immediately'.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…[1][2][3][4][5][6] Several studies have shown that women are reluctant to seek help for incontinence. [7][8][9] In the Norwegian EPINCONT study, only 25% of community-dwelling women with urinary incontinence had consulted a doctor regarding their symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Consultation about urinary and faecal incontinence in the year after childbirth: a cohort study

Brown

Gartland

Perlen

et al. 2014

BJOG

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Objective To investigate the extent to which primary-care practitioners routinely inquire about postpartum urinary and faecal incontinence, and assess the proportion of women who disclose symptoms.Design Prospective pregnancy cohort study of nulliparous women.Setting Melbourne, Australia.Sample A total of 1507 nulliparous women recruited in early pregnancy.Method Women were recruited from six public maternity hospitals, with follow up at 3, 6, 9 and 12 months postpartum.Main outcome measures Standardised measures of urinary and bowel symptoms, and measures of health service use.Results In the first 12 months postpartum, the period prevalence of urinary incontinence was 47%, and of faecal incontinence was 17%. In all, 86% of women visited a primary health-care practitioner at least once to discuss their own health in the first year after childbirth. However, only around a quarter were asked about urinary incontinence, and fewer than one in five women were asked about faecal incontinence. Discussion of symptoms with health professionals was most likely to occur in the first 3 months postpartum, and happened only rarely during the remainder of the first postnatal year. Over 70% of women reporting severe urinary incontinence and/or faecal incontinence had not discussed symptoms with a health professional. ConclusionThe findings provide robust evidence that many women experiencing postpartum urinary and faecal incontinence -including women with moderate and severe symptoms-do not receive adequate primary-care follow up in the first 12 months postpartum. Systems of maternal health surveillance need to include routine inquiry about urinary and faecal incontinence to overcome women's reluctance to seek help.

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Section: Strengths and Limitationsmentioning

confidence: 97%

Section: Outcome Measuresmentioning

confidence: 99%

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Consultation about urinary and faecal incontinence in the year after childbirth: a cohort study

Brown

Gartland

Perlen

et al. 2014

BJOG

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“…Além da gestação e do parto, a correlação entre IU e outros fatores, como a idade materna, o peso do recém-nascido (RN), IU prévia e índice de massa corpórea (IMC), vem sendo estudada (Glazener et al, 2006;Brown et al, 2010;Baracho et al, 2012;Hijaz et al,2012;Torrisi et al, 2012).…”

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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“…13 One study stated that higher parity and vaginal delivery are associated risk factors of increased urinary incontinence. 14,15 More number of vaginal deliveries had a certain effect on urinary incontinence in a pregnant multigravida. In this study, on an average female with 3.00 kg weight of her child delivered through vagina suffered from urinary incontinence.…”

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confidence: 99%

Urinary Incontinence in Pregnant Multigravida from Second Trimester up to the Delivery

Sharif

Gondal²,

Kamboh³

et al. 2017

Annals KEMU

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Structural and physical changes take place in pregnancy such as altered function of urinary tract. The mechanism lying behind low urinary tract function can be described in terms of effects of hormones, compressive dysfunction of uterus and structural changes in pelvic support function. The prevalence of urinary incontinence in developed countries is 27.6% and in developing countries 28.7%. Urinary incontinence is a functional pelvic floor disorder which affects the wellbeing of all age's women. Urinary incontinence frequency is increased by pregnancy but the cause of this incontinence is still unknown. The prevalence of incontinence differs greatly. Objective:To know the frequency of urinary in- continence among pregnant multigravida from second trimester up to delivery. Methods: The study design used was a cross-sectional survey. The place of study was Lady Aitchson Hospital Lahore Pakistan and Lady Willington Hospital Lahore Pakistan. It was completed within six months after the approval of synopsis from September 2015 to February 2016. The sample of this study was 706. Mean age of the multigravida belonging to the lower socioeconomic status was 25-28 years of age. Women's continence and pelvic health center urinary incontinence questionnaire was used in this study. Results: Multigravida included in this study showed 51.1% of urinary incontinence and 48.8% with no urinary incontinence. The level of the beginning of urinary incontinence was more in second trimester. Conclusion: Urinary incontinence is more prevalent in multiparous especially in second trimester of pregnancy.

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New postnatal urinary incontinence: obstetric and other risk factors in primiparae

Cited by 136 publications

References 34 publications

Consultation about urinary and faecal incontinence in the year after childbirth: a cohort study

Consultation about urinary and faecal incontinence in the year after childbirth: a cohort study

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

Urinary Incontinence in Pregnant Multigravida from Second Trimester up to the Delivery

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