Barbosa Leila, Kühni Danielle, Vasconcelos Daniele, Sales Erika, Lima Gislaine, Santos Marcela, Lemos Andrea
Physical Therapy Department, Universidade Federal de Pernambuco, Pernambuco, Brazil.
Physical Therapy Department, Centro Universitário Estácio do Recife, Pernambuco, Brazil.
J Pediatr Adolesc Gynecol. 2018 Aug;31(4):382-387. doi: 10.1016/j.jpag.2018.02.131. Epub 2018 Mar 16.
To evaluate the factors associated with urinary incontinence (UI) in pregnant adolescents. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A case-control study was conducted in 3 Brazilian public hospitals. Adolescents between the ages of 10 and 19 years with gestational age of 27 weeks or more were included. The sample size was calculated using the Open-epi (http://www.openepi.com/Menu/OE_Menu.htm) 3.01 program considering gestational obesity as an associated factor. The resulting sample consisted of 658 volunteers, 329 in the case group (with UI) and 329 in the control group (without UI). The subjects responded to the evaluation form containing information about the outcome of interest and possible associated factors. Stata 14.0 software (StataCorp) was used to perform multivariate logistic analysis.
The variables age between 10 and 14 years (odds ratio [OR], 2.55; 95% confidence interval [CI], 1.13-5.35; P = .023), previous UI (OR, 1.9; 95% CI, 1.36-2.75; P < .001), and constipation (OR, 1.7; 95% CI, 1.23-2.42; P = .002) were associated with UI in pregnant adolescents. Multigravida was not a factor associated (OR, 0.5; 95% CI, 0.31-0.66; P < .001) for UI in pregnant adolescents.
Attention must be given to primigravidae between the ages of 10 and 14 years who report previous UI and/or constipation to ensure referral to the appropriate health care professional for early prevention of UI.
评估与妊娠青少年尿失禁（UI）相关的因素。
设计、地点、参与者、干预措施及主要观察指标：在巴西3家公立医院进行了一项病例对照研究。纳入年龄在10至19岁、孕周27周或以上的青少年。使用Open-epi（http://www.openepi.com/Menu/OE_Menu.htm）3.01程序计算样本量，将妊娠期肥胖视为相关因素。最终样本包括658名志愿者，病例组（有UI）329名，对照组（无UI）329名。受试者对包含感兴趣结局及可能相关因素信息的评估表做出回应。使用Stata 14.0软件（StataCorp公司）进行多因素逻辑分析。
10至14岁年龄（比值比[OR]，2.55；95%置信区间[CI]，1.13 - 5.35；P = 0.023）、既往UI（OR，1.9；95% CI，1.36 - 2.75；P < 0.001）和便秘（OR，1.7；95% CI，1.23 - 2.42；P = 0.002）与妊娠青少年的UI相关。多产妇不是妊娠青少年UI的相关因素（OR，0.5；95% CI，0.31 - 0.66；P < 0.001）。
对于报告有既往UI和/或便秘的10至14岁初产妇，必须予以关注，以确保将其转诊至合适的医护专业人员处，以便早期预防UI。
