Riesco Maria Luiza Gonzalez, Fernandes-Trevisan Karina, Leister Nathalie, Cruz Camila da Silva, Caroci Adriana de Souza, Zanetti Miriam Raquel Diniz
School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.
School of Arts, University of São Paulo, São Paulo, São Paulo, Brazil.
Rev Esc Enferm USP. 2014 Aug;48 Spec No:32-8. doi: 10.1590/S0080-623420140000600005. Epub 2014 Aug 1.
Objective To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry. The pregnant women who presented UI answered the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results It was found that maternal age (OR=1.06; CI95% 1.02-1.11) and prior UI (OR=15.12; 95%CI 8.19-27.92) are the variables that, in tandem, best explain the occurrence of UI at the beginning of pregnancy. The mean score on the ICIQ-SF was 8.2 (SD=3.9), considered a moderate impact on quality of life. Conclusion Older pregnant women with prior UI are more likely to have UI in the first trimester of pregnancy.
目的 分析妊娠早期女性的盆底肌肉力量（PFMS）、尿失禁情况及与尿失禁（UI）相关的生活质量。方法 采用横断面研究，样本为2012年至2013年在圣保罗州瓜鲁柳斯市一家补充医疗机构开始产前检查的500名女性。通过会阴压力测定法评估盆底肌肉力量。出现尿失禁的孕妇回答了国际尿失禁咨询问卷简表（ICIQ-SF）。结果 发现母亲年龄（OR=1.06；95%置信区间1.02-1.11）和既往尿失禁史（OR=15.12；95%置信区间8.19-27.92）是最能共同解释妊娠初期尿失禁发生情况的变量。ICIQ-SF的平均得分为8.2（标准差=3.9），被认为对生活质量有中度影响。结论 有既往尿失禁史的高龄孕妇在妊娠早期更易发生尿失禁。
