Sangi-Haghpeykar Haleh, Mozayeni Pantea, Young Amy, Fine Paul M
Department Ob/Gyn, Baylor College of Medicine, 1709 Dryden Rd., Houston, TX 77030, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar;19(3):361-5. doi: 10.1007/s00192-007-0438-1. Epub 2007 Aug 15.
The purpose of the study was to provide estimates of stress urinary incontinence (SUI) and practice of pelvic floor muscle training (PFMT) postpartum as well as counseling during and after pregnancy among Hispanic women. Two hundred Hispanic women were surveyed 6 months postpartum. Twenty-three percent had SUI with onset primarily during pregnancy (70%). Only 20% had received information regarding SUI and PFMT during pregnancy or postpartum. Most women not counseled wished they were (81%). Less counseling occurred among Hispanic women with lower levels of education (odds ratio [OR]= .39; 95% confidence interval [CI]=0.19-0.82; p=0.02) and those whose primary language was Spanish (OR= .36; 95% CI=0.15-0.87; p=0.02), while higher rates occurred among women with a forceps delivery (OR=2.94; 95% CI=1.06-7.78; p=0.03). Fifty-seven percent of women counseled practiced the exercises. Primary reasons for noncompliance were belief that PFMT would not help (47%), and not understanding the instructions (39%). SUI and PFMT counseling is low among Hispanic women. Most women desire such information, and improvement in performance of PFMT among this group is possible.
该研究的目的是评估西班牙裔女性产后压力性尿失禁（SUI）的情况、盆底肌肉训练（PFMT）的实施情况以及孕期和产后的咨询情况。对200名西班牙裔女性进行了产后6个月的调查。23%的女性患有SUI，主要在孕期发病（70%）。只有20%的女性在孕期或产后接受过关于SUI和PFMT的信息。大多数未接受咨询的女性希望她们能得到咨询（81%）。受教育程度较低的西班牙裔女性（优势比[OR]=0.39；95%置信区间[CI]=0.19 - 0.82；p = 0.02）以及母语为西班牙语的女性（OR = 0.36；95% CI = 0.15 - 0.87；p = 0.02）接受咨询的比例较低，而产钳分娩的女性接受咨询的比例较高（OR = 2.94；95% CI = 1.06 - 7.78；p = 0.03）。接受咨询的女性中有57%进行了锻炼。不依从的主要原因是认为PFMT没有帮助（47%）以及不理解指导说明（39%）。西班牙裔女性中SUI和PFMT咨询的比例较低。大多数女性渴望得到此类信息，并且该群体中PFMT的实施情况有可能得到改善。
