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阿联酋初产妇妊娠期间尿失禁的风险因素。

Risk factors for urinary incontinence during pregnancy among nulliparous women in the United Arab Emirates.

机构信息

Department of Obstetrics and Gyanecology, College of Medicine and Health Sciences United Arab Emirates University, Al-Ain, UAE.

The Research Office, College of Medicine, and Health Sciences United Arab Emirates University, Al-Ain, UAE.

出版信息

Medicine (Baltimore). 2023 Jan 27;102(4):e32738. doi: 10.1097/MD.0000000000032738.

Abstract

Urinary incontinence (UI), which affects the quality of life, is associated with different risk factors during pregnancy. We aimed to study the risk factors related to UI during pregnancy among nulliparous women in the UAE. This is a prospective descriptive survey, which included all nulliparous women after the first 24 weeks' gestation from 2012 to 2014 in a teaching hospital in the UAE. Participants were interviewed face-to-face, using a structured and pre-tested questionnaire and divided into 2 groups: those with UI and those without it. Factors which were statistically significant (P < .05) between the 2 groups were entered into an logistic regression backward logistic regression model to define the factors predicting UI. Five hundred one participants were interviewed. UI occurred in 106/501 (21.2%). The 2-sample comparison analysis showed that urinary tract infection (UTI) (47.2% vs 34.4%, P = .018) and its number of attacks (P = .007), chronic cough (28.3% vs 13.9%, P < .001) and chronic constipation (34.9% vs 19%, P < .001) were statistically significant between those who had UI and those who did not. The logistic regression backward logistic regression model showed that the risk factors which predicted UI were chronic constipation (P = .003), chronic cough (P = .008), and the number of UTI attacks (P = .036). UI affects one-fifth of nulliparous women in the UAE. Chronic cough, constipation, and repeated UTI infection, significantly increase the odds of UI during pregnancy. Addressing these risk factors may reduce the risk of UI.

摘要

尿失禁(UI)影响生活质量,与妊娠期间的不同危险因素有关。我们旨在研究阿联酋初产妇中与 UI 相关的危险因素。这是一项前瞻性描述性研究,纳入了 2012 年至 2014 年间在阿联酋一家教学医院妊娠 24 周后的所有初产妇。采用结构化和预测试问卷对参与者进行面对面访谈,并将其分为 2 组:有 UI 组和无 UI 组。两组之间具有统计学意义(P <.05)的因素被纳入逻辑回归后逻辑回归模型,以确定预测 UI 的因素。共对 501 名参与者进行了访谈。501 名参与者中有 106/501(21.2%)发生 UI。两样本比较分析显示,尿路感染(UTI)(47.2%比 34.4%,P =.018)及其发作次数(P =.007)、慢性咳嗽(28.3%比 13.9%,P <.001)和慢性便秘(34.9%比 19%,P <.001)在有 UI 和无 UI 者之间存在统计学差异。逻辑回归后逻辑回归模型显示,预测 UI 的危险因素是慢性便秘(P =.003)、慢性咳嗽(P =.008)和 UTI 发作次数(P =.036)。UI 影响阿联酋五分之一的初产妇。慢性咳嗽、便秘和反复 UTI 感染显著增加妊娠期间 UI 的几率。解决这些危险因素可能会降低 UI 的风险。

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