The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

Handa, Victoria L.; Zyczynski, Halina M.; Burgio, Kathryn L.; FitzGerald, Mary P.; Borello‐France, Diane; Janz, Nancy K.; Fine, Paul; Whitehead, William E.; Brown, Morton B.; Weber, Anne M.

doi:10.1016/j.ajog.2007.08.020

Cited by 88 publications

(61 citation statements)

References 25 publications

(39 reference statements)

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“…The reality is that UI has a serious psychological affect on women, and leads to social seclusion and economic burden (Herzog, Diokno, Brown, Fultz, & Goldstein, 1994;Segedi et al 2011). The QoL of participants who complained of UI post-CSD was negatively affected, which is similar to another study in this area (Handa et al 2007). This, coupled with other postoperative complications as well as a baby, can be extremely stressful for a woman postpartum, especially if she does not understand what is happening to her body.…”

Section: Discussionsupporting

confidence: 76%

“…This could be because HIVinfected women who are already socially excluded by social stigma (Gilbert & Walker, 2010) now have to cope with UI, which can be embarrassing. However, UI can be avoided or corrected, because effective treatments are available (Handa et al 2007;Mantle, Haslam & Barton 2004). Health care professionals caring for postpartum patients should therefore screen them in order to identify UI at follow-up visits (Handa et al 2007).…”

Section: Discussionmentioning

confidence: 99%

“…However, UI can be avoided or corrected, because effective treatments are available (Handa et al 2007;Mantle, Haslam & Barton 2004). Health care professionals caring for postpartum patients should therefore screen them in order to identify UI at follow-up visits (Handa et al 2007). …”

Section: Discussionmentioning

confidence: 99%

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The quality of life of HIV-infected and non-infected women post-caesarean section delivery

Reddy

Frantz

2017

Health SA Gesondheid

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This prospective, longitudinal and comparative study was conducted at four public hospitals in KwaZulu-Natal. The participants were followed for six-months post-delivery and the QoL was measured using the SF-36 and the pelvic floor impact questionnaire (PFIQ-7).The results showed that the QoL of women were negatively affected post-operatively with the HIV-infected group scoring lower over the six-months.Understanding postpartum QoL problems is essential in efforts to provide effective comprehensive care.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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The quality of life of HIV-infected and non-infected women post-caesarean section delivery

Reddy

Frantz

2017

Health SA Gesondheid

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“…Women with 2° perineal tears had an 80% increased incidence of dyspareunia at 3 months postpartum and women with 3° and 4° tears had a 270% increased incidence of dyspareunia. Pelvic organ prolapse, urinary incontinence, and anal incontinence correlate significantly with sexual dysfunction [25,26] and the importance of pelvic floor exercises during pregnancy and postpartum cannot be stressed enough as a way to decrease urinary and anal incontinence at 12 months [27].…”

Section: Woman's Response To Pregnancymentioning

confidence: 99%

A Clinical Perspective On Sexuality With Pregnancy and Postpartum

Redelman¹

2017

IJRFSH

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In taking a comprehensive psycho-sexual-relational history it is very common to hear that "sex was great until the birth of the first child". Therefore, it is very important to address sexual health in a way that prevents detrimental changes in women's and couples sexual lives. Proactive intervention through open discussion of normal sexuality and sexual concerns during this phase with provision of education and effective strategies is preferable to the unhappiness, pain and disruption that can result through denial of possible consequences. Not all women and couples experience negative sexual consequences as some women experience increased ease of orgasm, desire and general confidence with the birth of the child. However, almost all individuals benefit from affirmation that they are 'normal'. Good communication and co-operation around parenting can significantly increase the intimacy and valence of the relationship with flow on to sexuality and family wellbeing.Sexuality is often not discussed during pre-and postpartum care. Often, the assumption is that a couple has adequate knowledge about sex and that it is enjoyable or good enough because a pregnancy has been achieved, that they will raise any problems, that someone else will address the sexuality component etc. Pregnancy and sexuality are both considered 'natural'. Yes, the instinct and performance of intercourse are largely natural but the enjoyable artistry of lovemaking is a learnt behaviour. Not many cultures actively teach creative lovemaking or educate about how to manage sexuality when changes occur.Pregnancy and childbirth lead to many changes for the mother and father. Both individuals and the couple need to be considered and included in the management of their sex lives. Sexual problems during pregnancy and postpartum that are unresolved can trigger ongoing patterns of discord with detrimental consequences for the man, woman, couple, child and society. This is important because of the relationships between low sexual desire, low sexual activity frequency, relationship satisfaction, domestic violence and relationship and family stability. The postpartum period is often associated with a decline in couple's relationship satisfaction [1]. Relationship satisfaction drops for over 60% of couples in the first 3 years after a child is born [2,3]. Intimacy which is the depth of exchange, both verbal and non-verbal, which implies a deep form of acceptance of the other as well as commitment to the relationship [4] is extremely important as a buffer for changes in sexual function. Low relationship satisfaction is highly correlated with low total relationship intimacy and poor sexual relationship [5]. Transition to parenthood can be both extremely pleasurable and extremely stressful and holistic proactive care should be given. Prevalence of Female Sexual Dysfunction (FSD) PostpartumThe prevalence of FSD is generally reported as being between 10-40% [6,7]. With the first pregnancy 40-70% of couples experience a drop in marital quality with marital conflict in...

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“…Urinary incontinence (UI) is a significant health concern and has been shown to impair women's activities and also affects the physical and mental health [1]. Studies on UI have reported a prevalence of 32%-64% for all UI and 40-59% for stress urinary incontinence (SUI) including mixed incontinence [2].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2015

OGIJ

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IntroductionUrinary incontinence (UI) is a significant health concern and has been shown to impair women's activities and also affects the physical and mental health [1]. Studies on UI have reported a prevalence of 32%-64% for all UI and 40-59% for stress urinary incontinence (SUI) including mixed incontinence [2]. Affected women have poorer health seeking behavior for UI. Approximately 54.3% of all pregnant women have detrimental effects on quality of life [3]. Although, pregnancy is an independent risk factor for UI, irrespective of labor and delivery practices, however, despite the multiple references in literature, the pathophysiological effects of pregnancy and mode of delivery on the pelvic floor and lower urinary tract symptoms remain uncertain [4].Prenatal physiological changes such as increasing pressure of the advancing gravid uterus and growing fetal weight on pelvic floor muscle (PFM) throughout the pregnancy, along with the pregnancy-related changing levels of hormones such as progesterone, estrogen, and relaxin, may lead to reduced strength and supportive and sphincteric function of PFM [5][6][7][8]. PFM weakness causes bladder-neck and urethral mobility, leading to urethral sphincter incompetence. Hence, when intra-abdominal pressure is increased with coughing, sneezing, laughing, or moving, the pressure inside the bladder becomes greater than the urethral closure pressure and the urethral sphincter is not strong enough to maintain urethral closure. Urinary leakage will be the result. In particular, SUI is common during pregnancy and puerperium. After delivery, SUI symptoms resolve in the vast majority of cases [9]. The healing process may take some time after the delivery, but in a significant percentage of women, it can persist in subsequent stages of life [10]. In primipara women, SUI symptoms tend to resolve within 3 month after delivery [11].Multiple risk factors have been associated with UI. Significant risk factors for UI in pregnancy were maternal age ≥35 years, body mass index and parity [12]. Smoking, diabetes, chronic cough and high intake of caffeine are identifiable risk factors for UI [13][14][15]. Research ArticleObstet Gynecol Int J 2015, 3(4): 00087 AbstractIntroduction: Urinary incontinence (UI) is a common problem in antenatal and postpartum period. This study investigated the prevalence and risk factors of urinary incontinence in post partum women.

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The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

Cited by 88 publications

References 25 publications

The quality of life of HIV-infected and non-infected women post-caesarean section delivery

The quality of life of HIV-infected and non-infected women post-caesarean section delivery

A Clinical Perspective On Sexuality With Pregnancy and Postpartum

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