Physical Therapy Department, Universidade Federal de Pernambuco (UFPE), Pernambuco, Brazil.
Neurourol Urodyn. 2018 Apr;37(4):1329-1335. doi: 10.1002/nau.23441. Epub 2017 Nov 2.
Determine the severity of urinary incontinence (UI) and its effect on the quality of life (QoL) of pregnant adolescents, as well as explore the strategies used to manage UI and the reporting/investigation of this condition by healthcare professionals.
A case series was conducted in three Brazilian public hospitals that offer prenatal care. Inclusion criteria were: age between 10 and 19 years, gestational age of 27 weeks or more, and reported UI in the third trimester of pregnancy. All volunteers responded to the Incontinence Severity Index (to assess severity of UI) and the International Consultation on Incontinence Questionnaire for Urinary Incontinence-Short Form (to evaluate the effect of UI on QoL). A descriptive analysis of data were done.
A total of 329 incontinent pregnant adolescents with mean age of 17.09 years (95%CI 16.92-17.26), who reported voiding urgency (72.0%), increased daytime urinary frequency (75.1%), nocturia (96.7%), and mixed UI (44.1%) were included in the study. UI was considered moderate to severe (79.3%) and had a moderate effect on QoL (mean 9.84; 95%CI 9.40-10.28). The volunteers used UI management strategies (66.6%), with bladder emptying prior to activities (56.8%) and the use of sanitary pads (29.5%) most frequently reported. UI is not disclosed voluntarily (89.1%) or explored by healthcare professionals (91.2%).
UI can be moderate to severe and has a moderate effect on QoL in incontinent pregnant adolescents, who use strategies to manage this condition. Healthcare professionals do not identify this urinary symptom during prenatal care.
确定尿失禁（UI）的严重程度及其对孕妇生活质量（QoL）的影响，探讨管理 UI 的策略以及医疗保健专业人员对此类疾病的报告/调查。
在巴西三家提供产前护理的公立医院进行了病例系列研究。纳入标准为：年龄在 10 至 19 岁之间，妊娠 27 周或以上，且在妊娠晚期报告 UI。所有志愿者均回答了失禁严重程度指数（评估 UI 的严重程度）和国际尿失禁咨询问卷-尿失禁短表（评估 UI 对 QoL 的影响）。对数据进行描述性分析。
共纳入 329 名有 UI 的孕妇，平均年龄为 17.09 岁（95%CI 16.92-17.26），报告有急迫性尿失禁（72.0%）、日间尿失禁频率增加（75.1%）、夜尿症（96.7%）和混合性 UI（44.1%）。UI 被认为是中度至重度（79.3%），对 QoL 有中度影响（平均 9.84；95%CI 9.40-10.28）。志愿者使用 UI 管理策略（66.6%），活动前排空膀胱（56.8%）和使用卫生巾（29.5%）最为常见。UI 并未自愿披露（89.1%）或由医疗保健专业人员主动发现（91.2%）。
在有 UI 的孕妇中，UI 可能为中重度，对 QoL 有中度影响，这些孕妇会使用策略来管理该疾病。医疗保健专业人员在产前护理期间并未识别出这种尿失禁症状。
