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孕期尿失禁的患病率及相关危险因素

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors.

作者信息

Dinç Ayten

机构信息

School of Health, Department of Midwifery, Canakkale Onsekiz Mart University, Canakkale, Turkey.

出版信息

Low Urin Tract Symptoms. 2018 Sep;10(3):303-307. doi: 10.1111/luts.12182. Epub 2017 Jul 4.

DOI:10.1111/luts.12182
PMID:28675636
Abstract

OBJECTIVE

To investigate the prevalence of urinary incontinence during pregnancy and associated risk factors.

METHODS

The study is a cross-sectional and descriptive study. A questionnaire was conducted with a total of 750 pregnant women about their urinary incontinence complaints between April and December 2013.

RESULTS

The prevalence of urinary incontinence during pregnancy was 300 in 750 (40%). Stress urinary incontinence was the most common type of incontinence during pregnancy. 41.7% of nulliparous women, 38% of primipara women, and 20.3% of multipara women experienced urinary incontinence. Among women reporting UI, 29.3% experienced leakage a few times a day and the amount of leakage was generally (59.7%) moderate. Factors significantly associated with urinary incontinence included age group, gestational age, parity, previous urinary incontinence, constipation, mode of delivery at last childbirth, previous urinary tract infection, body mass index during pregnancy. But on multivariable analysis, the risk factors for urinary incontinence during pregnancy were previous urinary tract infection (OR = 3.8, 95%CI 1.5-9.3), constipation (OR 3.1, 95%CI 1.7-5.6) and gestational age (OR 0.5, 95%CI 0.3-0.9).

CONCLUSION

As a result of this study, urinary incontinence is a common condition during pregnancy. Results would help the design of more intensive training programs to prevent incontinence during pregnancy by increasing the awareness about urinary incontinence of healthcare staff engaging in the care of pregnant women.

摘要

目的

调查孕期尿失禁的患病率及相关危险因素。

方法

本研究为横断面描述性研究。2013年4月至12月期间,对750名孕妇进行了关于尿失禁主诉的问卷调查。

结果

750名孕妇中,孕期尿失禁患病率为300例(40%)。压力性尿失禁是孕期最常见的尿失禁类型。41.7%的未产妇、38%的初产妇和20.3%的经产妇经历过尿失禁。在报告有尿失禁的女性中,29.3%的人每天漏尿几次,漏尿量一般为中度(59.7%)。与尿失禁显著相关的因素包括年龄组、孕周、产次、既往尿失禁史、便秘、上次分娩的分娩方式、既往尿路感染、孕期体重指数。但多变量分析显示,孕期尿失禁的危险因素为既往尿路感染(OR = 3.8,95%CI 1.5 - 9.3)、便秘(OR 3.1,95%CI 1.7 - 5.6)和孕周(OR 0.5,95%CI 0.3 - 0.9)。

结论

本研究结果表明,尿失禁是孕期的常见情况。这些结果将有助于设计更强化的培训项目,通过提高参与孕妇护理的医护人员对尿失禁的认识来预防孕期尿失禁。

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