普遍存在的尿失禁与妊娠、阴道分娩及产科技术的相关性。
Prevalent urinary incontinence as a correlate of pregnancy, vaginal childbirth, and obstetric techniques.
作者信息
Foldspang A, Mommsen S, Djurhuus J C
机构信息
Department of Epidemiology and Social Medicine, Aarhus University, Denmark.
出版信息
Am J Public Health. 1999 Feb;89(2):209-12. doi: 10.2105/ajph.89.2.209.
OBJECTIVES
This study examined the association between pregnancy, vaginal childbirth and obstetric techniques, and the prevalence of urinary incontinence among adult women aged 20 to 59 years.
METHODS
A cross-sectional survey enrolled a random sample of 6240 women aged 20 to 59 years who were mailed a self-administered questionnaire focusing on urinary incontinence and other health variables. More than 75% of the women responded. The present analysis includes 4345 women who were not pregnant and did not experience a vaginal childbirth during 1994.
RESULTS
Multivariate prevalence odds ratios showed increases in relation to urinary incontinence during pregnancy, urinary incontinence immediately after a vaginal childbirth, and age of 30 years or more at the second vaginal childbirth. No multivariate associations were found for forceps delivery or vacuum extraction delivery, episiotomy, or perineal suturing.
CONCLUSION
Not only the process of childbirth itself but also processes during pregnancy seem to be strongly associated with prevalent urinary incontinence. Perineal suturing may be associated with prevalent urinary incontinence, whereas other obstetric techniques inspected do not seem to be so.
目的
本研究调查了妊娠、阴道分娩及产科技术与20至59岁成年女性尿失禁患病率之间的关联。
方法
一项横断面调查随机抽取了6240名20至59岁的女性，向她们邮寄了一份自我管理的问卷，重点关注尿失禁及其他健康变量。超过75%的女性做出了回应。本分析纳入了1994年期间未怀孕且未经历阴道分娩的4345名女性。
结果
多变量患病率比值比显示，妊娠期间尿失禁、阴道分娩后即刻尿失禁以及第二次阴道分娩时年龄在30岁及以上与尿失禁增加有关。未发现产钳助产或真空吸引助产、会阴切开术或会阴缝合术存在多变量关联。
结论
不仅分娩过程本身，而且妊娠期间的过程似乎都与普遍存在的尿失禁密切相关。会阴缝合术可能与普遍存在的尿失禁有关，而所检查的其他产科技术似乎并非如此。
Zotero 插件