首次分娩后5年压力性尿失禁的风险。
The risk of stress incontinence 5 years after first delivery.
作者信息
Viktrup L, Lose G
机构信息
Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Ndr. Ringvej 2600, Copenhagen, Denmark.
出版信息
Am J Obstet Gynecol. 2001 Jul;185(1):82-7. doi: 10.1067/mob.2001.114501.
OBJECTIVES
We aimed to evaluate the impact of a first pregnancy and delivery on the prevalence of stress incontinence 5 years afterward.
STUDY DESIGN
This longitudinal cohort study included 278 women who were questioned after their first delivery and again 5 years later.
RESULTS
The prevalence of stress incontinence 5 years after a first delivery was 30%, and the 5-year incidence was 19%. The risk of stress incontinence 5 years after a first delivery was related to the onset and duration of symptoms after the first pregnancy and delivery in a "dose-response-like" manner. The use of vacuum extraction or episiotomy during the first delivery increased the risk.
CONCLUSIONS
First pregnancy and delivery may result in stress incontinence 5 years later. Women with incontinence 3 months after a first delivery have a particularly high risk of long-lasting symptoms. Obstetric risk factors are vacuum extraction and episiotomy.
目的
我们旨在评估首次怀孕和分娩对5年后压力性尿失禁患病率的影响。
研究设计
这项纵向队列研究纳入了278名女性，她们在首次分娩后接受了询问，并在5年后再次接受询问。
结果
首次分娩后5年压力性尿失禁的患病率为30%，5年发病率为19%。首次分娩后5年压力性尿失禁的风险与首次怀孕和分娩后症状的发作及持续时间呈“剂量反应样”关系。首次分娩时使用真空吸引术或会阴切开术会增加风险。
结论
首次怀孕和分娩可能导致5年后出现压力性尿失禁。首次分娩后3个月出现尿失禁的女性出现长期症状的风险特别高。产科危险因素是真空吸引术和会阴切开术。
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