妊娠期及产后尿失禁和便秘的发生率：罗通达妇产医院当前研究结果调查
Incidence of urinary incontinence and constipation during pregnancy and postpartum: survey of current findings at the Rotunda Lying-In Hospital.
作者信息
Marshall K, Thompson K A, Walsh D M, Baxter G D
机构信息
Rotunda Lying In Hospital, Dublin, Republic of Ireland.
出版信息
Br J Obstet Gynaecol. 1998 Apr;105(4):400-2. doi: 10.1111/j.1471-0528.1998.tb10123.x.
OBJECTIVE
To assess the impact of pregnancy upon continence and constipation.
DESIGN
A questionnaire survey.
SETTING
Maternity wards in the Rotunda Lying In Hospital, Dublin, Republic of Ireland.
POPULATION
7771 women who were delivered of liveborn infants.
METHODS
Questionnaires were delivered and collected by physiotherapy staff as part of routine postnatal care.
RESULTS
Analysis of data using chi2 tests showed significant differences between three parity groups [primigravidae, multigravidae (2-4) and multigravidae (5+)] for symptoms of both urinary incontinence (chi2 = 119.54, df = 2, P = 0.000) and constipation (chi2 = 12.53, df = 3, P = 0.002); the incidence of both constipation and urinary incontinence increased with parity.
CONCLUSION
The results of this survey have emphasised the relation between parity and postpartum incontinence which stresses the importance of early diagnosis and intervention.
目的
评估妊娠对尿失禁和便秘的影响。
设计
问卷调查。
地点
爱尔兰共和国都柏林罗通达妇产医院的产科病房。
研究对象
7771名分娩活产婴儿的妇女。
方法
作为常规产后护理的一部分，问卷由理疗人员发放并收集。
结果
使用卡方检验对数据进行分析，结果显示，在尿失禁（卡方=119.54，自由度=2，P=0.000）和便秘（卡方=12.53，自由度=3，P=0.002）症状方面，三个产次组[初产妇、经产妇（2-4次）和经产妇（5次及以上）]之间存在显著差异；便秘和尿失禁的发生率均随产次增加。
结论
本次调查结果强调了产次与产后尿失禁之间的关系，突出了早期诊断和干预的重要性。
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