D'Alfonso A, Iovenitti P, Carta G
Department of Gynecology, University of Medicine, L'Aquila, Italy.
Clin Exp Obstet Gynecol. 2006;33(1):23-5.
The changes that take place in the pelvic region during birth can give rise to alterations in the genitourinary system which are at the basis of pathologies such as stress urinary incontinence (SUI). The occurrence of this condition has been correlated to a variety of factors including neonatal birth weight and obesity. We studied 120 women, 60 nulliparae, 40 primiparae and 20 multiparae who were divided into three groups on the basis of urinary problems experienced. The first group consisted of women who had reported urinary incontinence during pregnancy (76%). This was found to be significantly correlated to the number of pregnancies and weight gained; 18% of this group reported IUS during the postpartum period. The second group consisted of women who did not experience any urinary incontinence during the pregnancy or postpartum while the third group consisted of women who, although not experiencing any urinary problems during pregnancy, reported urinary incontinence in the postpartum period. These data, although only part of an initial study, reveal a consistent frequency of urinary incontinence in pregnancy and postpartum, and highlight risk factors.
分娩过程中骨盆区域发生的变化会导致泌尿生殖系统的改变，而这些改变是压力性尿失禁（SUI）等疾病的基础。这种疾病的发生与多种因素相关，包括新生儿出生体重和肥胖。我们研究了120名女性，其中60名未生育过，40名初产妇和20名经产妇，根据她们经历的泌尿问题将其分为三组。第一组由在孕期报告有尿失禁的女性组成（76%）。这被发现与怀孕次数和体重增加显著相关；该组中有18%的女性在产后报告有急迫性尿失禁（IUS）。第二组由在孕期和产后均未经历任何尿失禁的女性组成，而第三组由虽然在孕期未经历任何泌尿问题，但在产后报告有尿失禁的女性组成。这些数据虽然只是初步研究的一部分，但揭示了孕期和产后尿失禁的一致频率，并突出了风险因素。
