Bhat Chandana, Khan Mahjabeen, Ballala Kirthinath, Kamath Asha, Pandey Deeksha
KMC Manipal, Manipal University, Manipal, Karnataka 576104, India.
Scientifica (Cairo). 2016;2016:5705186. doi: 10.1155/2016/5705186. Epub 2016 Mar 28.
Pregnant primiparous women at term were enrolled in the study. ICIQ-FLUTS questionnaire was used to find out prevalence of LUTS. MOS was used to assess pelvic floor muscle strength. Women were followed up after 8-10 weeks of delivery to find out remission or persistence of these symptoms. We found that increased frequency of micturition was the most common (82%) LUTS seen in primiparous women at term. More than half (51%) of these women who complained of LUTS had a poor pelvic floor muscle tone (MOS grade 3). Out of those who had symptoms during pregnancy 11% remained symptomatic even after puerperium. Interestingly 61% of those with persistence of symptoms demonstrated a very poor pelvic floor muscle tone at term (MOS grade 2), while the remaining 39% also had a tone of only MOS grade 3. Thus women with LUTS during pregnancy should be screened for their pelvic floor muscle tone with simple MOS system which will help to predict the persistence of these symptoms later on. Women with a low score (three or less) should be triaged for regular pelvic floor muscle exercises.
足月妊娠初产妇被纳入该研究。使用国际尿失禁咨询委员会-女性下尿路症状问卷（ICIQ-FLUTS）来查明下尿路症状的患病率。使用牛津尿道症状评分（MOS）来评估盆底肌肉力量。在分娩8至10周后对这些女性进行随访，以查明这些症状是缓解还是持续存在。我们发现，尿频是足月妊娠初产妇中最常见的下尿路症状（82%）。在这些抱怨有下尿路症状的女性中，超过一半（51%）的人盆底肌肉张力较差（MOS 3级）。在孕期有症状的女性中，11%在产褥期后仍有症状。有趣的是，在那些症状持续存在的女性中，61%在足月时盆底肌肉张力非常差（MOS 2级），而其余39%的肌张力也仅为MOS 3级。因此，孕期有下尿路症状的女性应使用简单的MOS系统筛查其盆底肌肉张力，这将有助于预测这些症状随后是否会持续存在。得分较低（三分或更低）的女性应被分流进行常规盆底肌肉锻炼。
