Department of Obstetrics and Gynecology, Clinic of Fu Jen Catholic University, Taipei, Taiwan.
Int J Gynaecol Obstet. 2012 Jun;117(3):239-42. doi: 10.1016/j.ijgo.2012.01.008. Epub 2012 Mar 28.
To investigate the association between the prevalence of urinary incontinence and parity or mode of delivery among Taiwanese women aged 60 years or older.
Between July 1999 and December 2000, a nationwide epidemiologic study was conducted in Taiwan among 2410 women selected by a multistage random sampling method. Face-to-face interviews with 1517 women were conducted. The relationship between the prevalence of urinary incontinence and the number of vaginal deliveries or number of cesarean deliveries was assessed by frequency and Pearson χ(2) test using a significance level of less than 0.05. Logistic regression was used to investigate the significance of dichotomous dependent variables.
Decades ago, most Taiwanese women (1435 of 1511 respondents, 94.97%,) gave birth via vaginal delivery and the rate of cesarean delivery was low (20 of 1513 respondents, 1.32%). Parity (odds ratio [OR], 2.42; 95% confidence interval [CI], 0.87-6.71; P=0.091), vaginal delivery (OR, 0.76; 95% CI, 0.39-1.47; P=0.408), and cesarean delivery (OR, 1.47; 95% CI, 0.59-3.70; P=0.409) did not increase the risk of urinary incontinence.
There was no association between urinary incontinence and parity or mode of delivery among Taiwanese postmenopausal women decades after their first delivery.
调查台湾地区 60 岁及以上女性尿失禁的流行率与生育次数或分娩方式的关系。
1999 年 7 月至 2000 年 12 月，台湾采用多阶段随机抽样方法对 2410 名女性进行了一项全国性的流行病学研究。对 1517 名女性进行了面对面访谈。采用频数和 Pearson χ²检验评估尿失禁的流行率与阴道分娩次数或剖宫产次数的关系，采用双侧检验水准<0.05。采用逻辑回归分析二分类因变量的显著性。
几十年前，大多数台湾女性（1511 名应答者中的 1435 名，94.97%）经阴道分娩，剖宫产率较低（1513 名应答者中的 20 名，1.32%）。生育次数（比值比 [OR]，2.42；95%置信区间 [CI]，0.87-6.71；P=0.091）、阴道分娩（OR，0.76；95% CI，0.39-1.47；P=0.408）和剖宫产（OR，1.47；95% CI，0.59-3.70；P=0.409）均未增加尿失禁的风险。
在台湾地区绝经后女性首次分娩数十年后，尿失禁与生育次数或分娩方式之间无关联。
