Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Revista da Escola de Enfermagem da USP

Maria Luiza Gonzalez Riesco¹  Karina Fernandes-trevisan¹  Nathalie Leister¹  Camila Da Silva Cruz¹  Adriana De Souza Caroci¹  Miriam Raquel Diniz Zanetti¹ 

关键词: Pregnancy;    Muscle strength;    Perineum;    Urinary incontinence;    Midwifery;    Embarazo;    Fuerza muscular;    Perineo;    Incontinencia urinaria;    Enfermería obstétrica;    Gravidez;    Força muscular;    Períneo;    Incontinência urinária;    Enfermagem obstétrica;   

DOI  :  10.1590/S0080-623420140000600005

来源: SciELO

【 摘 要 】

Objective To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry. The pregnant women who presented UI answered the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results It was found that maternal age (OR=1.06; CI95% 1.02-1.11) and prior UI (OR=15.12; 95%CI 8.19-27.92) are the variables that, in tandem, best explain the occurrence of UI at the beginning of pregnancy. The mean score on the ICIQ-SF was 8.2 (SD=3.9), considered a moderate impact on quality of life. Conclusion Older pregnant women with prior UI are more likely to have UI in the first trimester of pregnancy.


【 授权许可】

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