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希腊女性分娩次数与产后尿失禁和腰痛症状之间关系的研究

The Examination of the Relationship Between the Number of Births with the Symptoms of Urinary Incontinence and Low Back Pain Postpartum in Greek Women.

作者信息

Katsouli Eleni, Karathanasi Eleni-Alexandra, Ntalagianni Eleftheria, Terpos Themistoklis-Marios, Christakou Anna

机构信息

Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece.

Laboratoty of Biomechanics, Department Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece.

出版信息

Med Sci (Basel). 2025 Mar 1;13(1):22. doi: 10.3390/medsci13010022.

DOI:10.3390/medsci13010022
PMID:40137442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11944022/
Abstract

BACKGROUND

Urinary incontinence and low back pain are often present during pregnancy and after childbirth. The aim of this study was to examine the relationship between the number of children with the occurrence of urinary incontinence and low back pain after pregnancy in the Greek population.

MATERIALS AND METHODS

Seventy-one Greek women (M = 35.0 age, SD = ±4.3) with specific inclusion criteria completed just once the International Consultation on Incontinence Questionnaire and the Oswestry Disability Questionnaire after five years from childbirth.

RESULTS

A total of 28.2% of the participating women experienced urinary incontinence, and 38% experienced low back pain after pregnancy. No relationship has been found between urinary incontinence and the number of births (r = 0.062, = 0.609) and low back pain with the number of births (r = -0.076, = 0.529). Statistically significant correlations were found between urinary incontinence and low back pain (r = 0.33, < 0.01) and the urinary incontinence and the maternal age at first delivery (r = -0.264, = 0.026) in women who underwent a vaginal delivery in second birth had fewer urinary incontinence symptoms and increased low back pain.

CONCLUSIONS

Few correlations emerged in the present study. Future research is necessary to be conducted to examine the relationship between postpartum women's demographic data, urinary incontinence, and low back pain.

摘要

背景

尿失禁和下背痛在孕期及产后较为常见。本研究旨在探讨希腊人群中子女数量与产后尿失禁及下背痛发生之间的关系。

材料与方法

71名符合特定纳入标准的希腊女性(年龄M = 35.0岁,标准差SD = ±4.3)在产后五年仅完成一次国际尿失禁咨询问卷和奥斯威斯功能障碍问卷。

结果

共有28.2%的参与女性经历过尿失禁,38%的女性产后有下背痛。未发现尿失禁与生育次数之间存在关联(r = 0.062,P = 0.609),也未发现下背痛与生育次数之间存在关联(r = -0.076,P = 0.529)。在经历过阴道分娩的女性中,发现尿失禁与下背痛之间存在统计学显著相关性(r = 0.33,P < 0.01),且尿失禁与首次分娩时的产妇年龄之间存在相关性(r = -0.264,P = 0.026),第二次分娩采用阴道分娩的女性尿失禁症状较少,但下背痛有所增加。

结论

本研究中出现的相关性较少。有必要开展进一步研究以探讨产后女性人口统计学数据、尿失禁和下背痛之间的关系。

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本文引用的文献

1
Maternal Parity Effect on Spine Posture Changes and Back Pain During Pregnancy.母亲生育胎次对孕期脊柱姿势变化和背痛的影响。
Healthcare (Basel). 2024 Nov 5;12(22):2202. doi: 10.3390/healthcare12222202.
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Evaluation of Lower Urinary Tract Symptoms in Males and Urinary Incontinence in Females in Primary Health Care in Greece.希腊初级保健中男性下尿路症状和女性尿失禁的评估。
Medicina (Kaunas). 2024 Feb 25;60(3):389. doi: 10.3390/medicina60030389.
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The correlation between pregnancy-related low back pain and physical fitness evaluated by an index system of maternal physical fitness test.妊娠相关性下腰痛与母体体质测试指标系统评估的身体适应性的相关性。
PLoS One. 2023 Dec 21;18(12):e0294781. doi: 10.1371/journal.pone.0294781. eCollection 2023.
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Prevalence and factors of urinary incontinence among postpartum: systematic review and meta-analysis.产后尿失禁的患病率及相关因素:系统评价和荟萃分析。
BMC Pregnancy Childbirth. 2023 Oct 28;23(1):761. doi: 10.1186/s12884-023-06059-6.
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Pelvic floor dysfunction: prevalence and associated factors.盆腔底功能障碍:患病率及相关因素。
BMC Public Health. 2023 Oct 14;23(1):2005. doi: 10.1186/s12889-023-16901-3.
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Age at first birth and risk of urinary incontinence after delivery: a dose-response meta-analysis.初产年龄与分娩后尿失禁风险的关系:剂量反应荟萃分析。
Sci Rep. 2022 Oct 5;12(1):16588. doi: 10.1038/s41598-022-19809-x.
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Association Between Obstetric History and Urinary Incontinence in a Cohort of Resistance-Trained Women.一组经过抗阻训练的女性中,产科病史与尿失禁之间的关联。
Int J Womens Health. 2022 Sep 2;14:1211-1218. doi: 10.2147/IJWH.S367110. eCollection 2022.
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Relationship between low back pain and stress urinary incontinence at 3 months postpartum.产后 3 个月时腰痛与压力性尿失禁的关系。
Drug Discov Ther. 2022;16(1):23-29. doi: 10.5582/ddt.2022.01015.
10
Antenatal pelvic floor muscle training and urinary incontinence: a randomized controlled 7-year follow-up study.产前盆底肌训练与尿失禁:一项随机对照 7 年随访研究。
Int Urogynecol J. 2022 Jun;33(6):1557-1565. doi: 10.1007/s00192-021-05028-x. Epub 2021 Dec 22.