Valeton Caroline Tarazi, do Amaral Vivian Ferreira
Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.
Int Urogynecol J. 2011 Jul;22(7):813-8. doi: 10.1007/s00192-011-1365-8. Epub 2011 Feb 24.
The objective of this study was to evaluate the prevalence of urinary incontinence (UI), the pelvic floor, and the quality of life during pregnancy and in the postpartum.
Three hundred and forty-three women in the third trimester of pregnancy were submitted to physiotherapeutic evaluation for UI and evaluation of pelvic floor muscle function and were asked to fill out the King's Health Questionnaire (KHQ). Of these, 236 returned for postpartum evaluation (65.31 ± 22.63 days).
The prevalence of UI was 30.61% during pregnancy and 6.78% postpartum (p < 0.001), with mean vaginal pressure of 3.60 ± 5.35 and 2.56 ± 3.24 mmHg, respectively (p = 0.008). UI was associated with multiparity (p = 0.028). No associations were found between intrapartum variables and UI.
UI and vaginal pressure decreased in the postpartum. UI was found to be associated with multiparity. Results of the KHQ indicated impaired quality of life in the symptoms and domains evaluated.
本研究的目的是评估孕期及产后尿失禁（UI）的患病率、盆底情况及生活质量。
343名孕晚期女性接受了尿失禁的物理治疗评估及盆底肌肉功能评估，并被要求填写国王健康问卷（KHQ）。其中，236名女性返回进行产后评估（产后65.31±22.63天）。
孕期尿失禁患病率为30.61%，产后为6.78%（p<0.001），平均阴道压力分别为3.60±5.35和2.56±3.24mmHg（p = 0.008）。尿失禁与多胎妊娠相关（p = 0.028）。未发现分娩期变量与尿失禁之间存在关联。
产后尿失禁及阴道压力降低。尿失禁与多胎妊娠相关。KHQ结果表明，在所评估的症状和领域中生活质量受损。
