Nullipar Gebelerde İnkontinans Prevalansı ve Risk Faktörlerinin Değerlendirilmesi

Abstract

Amaç: Üriner inkontinans (Üİ) kadınları fiziksel, sosyal ve  ekonomik yönden etkileyen; yaşam kalitelerini bozan yaygın bir sağlık sorunudur. Gebelik ve doğuma ek olarak anne yaşı, parite, önceki doğum öyküsü, beden kitle indeksi ve gebelik öncesi Üİ varlığı gebelikte Üİ için risk faktörleridir. Bu çalışmada nullipar gebelerde Üİ prevelansı ve  risk faktörleri araştırıldı.

Materyal-metot: 1 Mart–30 Aralık 2017 tarihleri arasında  Kadın Hastalıkları ve Doğum polikliniğimize başvuran 18-45 yaş arası nullipar gebeler çalışmaya dahil edildi. Olgulara Uluslararası İdrar Kaçırma Konsültasyon Sorgulaması-Kısa Form ICIQ-SF(International Consultation on Incontinence Questionnaire Short Form) yüz yüze görüşme ile doldurtuldu. Olguların demografik bilgileri ve ICIQ-SF puanları değerlendirildi.

Bulgular: Bu çalışmada nullipar gebelerde Üİ prevelansı % 15,9 olarak bulundu. >30 yaş olanlarda ICIQ-SF toplam puanları istatistiksel olarak anlamlı düzeyde yüksek bulundu (p<0,05). Çocukluk çağı enürezisi ve inkontinans öyküsü olanların olmayanlara göre ICIQ-SF toplam puanları istatistiksel olarak anlamlı düzeyde yüksek bulundu(p<0,05). Gebelik dönemi ile ICIQ-SF toplam puanları karşılaştırıldığında, gebelik dönemi 3.trimester olanların 1.trimester olanlara göre ICIQ-SF toplam puanları istatistiksel olarak anlamlı düzeyde bulundu(p<0,05).

Sonuç: Bu çalışmada nullipar gebelerde Üİ prevelansı % 15,9 olarak bulundu. Üriner inkontinans prevelansı gebelik haftası ile artmaktadır.  Çocukluk çağı enüresis ve üriner inkontinans öyküsü üriner inkontinans için risk faktörüdür. 

Keywords

• Üriner inkontinans,risk faktörü,gebelik,nullipar,ICIQ-SF

Evaluation of Incontinence Prevalence and Risk Factors in Nulliparous Pregnant Women

Abstract

Aim: Urinary incontinence (UI) affects women physically, socially and economically; is a common health problem that deteriorates quality of life. Apart from pregnancy and delivery itself, maternal age, parity, previous birth history, body mass index and presence of pre-pregnancy UI are risk factors for UI during pregnancy. In this study, the prevalence and risk factors of UI in nulliparous pregnant women were investigated.

Material-Method: Nulliparous pregnant women aged between 18-45 years who were admitted to the Gynecology and Obstetrics outpatient clinics of between March 1 and December 30, 2017 were included in the study. ICIQ-SF (International Consultation on Incontinence Questionnaire Short Form) was filled with face-to-face interview. Demographic data and ICIQ-SF scores were evaluated.

Results: In this study, the prevalence of UI in nulliparous pregnant women was found to be 15,9 %. ICIQ-SF total scores were significantly higher in patients >30 years (p <0,05). The ICIQ-SF total scores of the patients with a history of childhood enuresis and incontinence were significantly higher than those without a history of incontinence (p <0,05). When ICIQ-SF total scores were compared with the gestational period, ICIQ-SF total scores of the third trimester and the first trimester were found to be statistically significant (p <0,05).

Conclusion: In this study, the prevalence of UI in nulliparous pregnant women was found to be 15.9%. The prevalence of urinary incontinence increases with gestational week. Childhood enuresis and history of urinary incontinence are risk factors for urinary incontinence.

 

Keywords

• Urinary incontinence,risk factor,pregnancy,nullipar,ICIQ-SF

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