DOĞUMDAN SONRA GEÇEN SÜRENİN ÜRİNER İNKONTİNANS GÖRÜLME SIKLIĞI VE YAŞAM KALİTESİNE ETKİSİ

Year 2022, Volume: 10 Issue: 3, 816 - 832, 14.11.2022

Ceyda Esen , Ümran Oskay

https://doi.org/10.33715/inonusaglik.1057075

Cited By: 1

Abstract

Bu çalışmanın amacı son 5 yıl içinde doğum yapmış kadınlarda doğumdan sonra geçen sürenin üriner inkontinans görülme sıklığı ve yaşam kalitesine etkisini belirlemektir. Bu kesitsel çalışma son 5 yıl içinde doğum yapmış, gebe olmayan 358 kadın ile yürütülmüştür. Veriler “Tanılama Formu” ve “Üriner İnkontinanslı Hasta Yaşam Kalitesi Anketi (IQOL)” ile toplanmıştır. Popülasyonumuzda üriner inkontinans prevalansı %67.3’tür. Doğumdan sonra 1 yıldan az geçen kadınlarda %31.1, 1-3 yıl geçenlerde %47.8, 3 yıldan fazla süre geçenlerde %21.1 oranında Üİ görülmektedir. Gebelik sayısı, doğum sayısı, gebelikte idrar kaçırma ile üriner inkontinans arasında anlamlı bir ilişki bulunurken, doğum şekli ile üriner inkontinans arasında istatistiksel olarak anlamlı ilişki saptanmamıştır. Doğumdan sonra geçen süre ile Üİ arasında istatistiksel olarak anlamlı ilişki saptanmıştır. Üriner inkontinansı olan kadınların yaşam kaliteleri daha düşük bulunmuştur. Sonuç olarak çalışmamızda kadınların doğum sonrası dönemde ciddi oranda üriner inkontinans sorunu yaşadığı ve üriner inkontinans tipi farketmeksizin inkontinans şikâyeti olan kadınların yaşam kalitelerinin daha düşük olduğu saptanmıştır. Üriner inkontinans semptomlarının doğumun kaçınılmaz bir sonucu olmadığı kabul edilerek kadınların doğum sonrası üriner inkontinans varlığında sağlık hizmeti almaları sağlanmalıdır.

Keywords

doğum sonu dönem, üriner inkontinans, yaşam kalitesi

The Effect of Postpartum Period on the Urinary Incontinence Frequency and the Quality of Life

Abstract

This study aimed to determine the effect of the postpartum period on the urinary incontinence incidence and the quality of life in women giving birth in the last five years. This cross-sectional study was conducted with 358 non-pregnant women who had given birth in the last five years. The data were collected with the "Diagnostic Form" and the "Urinary Incontinence Quality of Life Scale (IQOL)". The prevalence of urinary incontinence in our population is 67.3%. Urinary incontinence was seen in 31.1% of women who had passed less than one year postpartum, 47.8% after 1-3 years, and 21.1% for more than three years. There was a statistically significant relationship between urinary incontinence and the number of pregnancies, the delivery number, and the urinary incontinence during pregnancy while a statistically significant relationship wasn't found between delivery type and urinary incontinence. A statistically significant relationship was found between the time passed postpartum and urinary incontinence. The life quality of women with urinary incontinence was lower. It was found that women had serious urinary incontinence problems in the postpartum period and women with incontinence complaints had lower life quality regardless of urinary incontinence type. By considering that urinary incontinence symptoms are not an inevitable consequence of delivery, women should be provided with healthcare services in the presence of postpartum urinary incontinence.

Keywords

postpartum period, urinary incontinence, quality of life

References

• Ahlund S., Rothstein E., Radestad I., Zwedberg S., Lindgren H.(2020). Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth. Int Urogynecol J 31, 1409-1416.
• Altınboğa O., Gültekin İ.B., Taner C.E. (2016). Son Üç Yıl İçinde Doğum Yapmış Kadınlarda Stres İnkontinans: Parite ve Doğum Şeklinin Etkisi. Bozok Tıp Derg 6(4):1-7.
• Başak T., Kök G., Güvenç G. (2013).Prevelance, Risk Factors and Quality Of Life İn Turkish Women With Urinary İncontinence:A Synthesis Of The Literature. International Nursing Review, 60, 448-460.
• Brown S.J., Donath S., MacArthur C., McDonald E.A., Krastev A.H. (2010) Nulliparous women before and during pregnancy: prevalence,incidence, and associated risk factors. Int Urogynecol J 21,193-202.
• Brown S.J., Gartland D., Perlen S., McDonald E., MacArthur C. (2015). Consultation about urinary and faecal incontinence in the year after childbirth: a cohort study. BJOG, 122(7), 954–62.
• Buurman M.B., Lagro-Janssen A.L. (2013). Women’s perception of postpartum pelvic floor dysfunction and their help-seeking behaviour: a qualitative interview study. Scand J Caring Sci, 27(2):406–413.
• Chuang C.M., Lin I.F., Horng H.C., Hsiao Y.H., Shyu I.L., Chou P. (2012). The impact of gestational diabetes mellitus on postpartum urinary incontinence: a longitudinal cohort study on singleton pregnancies. BJOG, 119:1334-1343.
• Dağdeviren H., Kaya C., Cengiz H., Erdoğan V.Ş., Helvacıoğlu Ç., Bilecan M.S. (2018). Urinary incontinence in pregnant women and its relation with quality of life. İstanbul Med J, 19: 43-46.
• Durnea C.M., Khashan A.S., Kenny L.C., Tabirca S.S., O’Reilly B.A. (2014) The role of prepregnancy pelvic floor dysfunction in postnatal pelvic morbidity in primiparous women. Int Urogynecol J, 25(10):1363-1374.
• Ege E., Akın B., Koçoğlu D., Arıöz A. (2007) Postpartum Bir Yıllık Dönemde Üriner İnkontinans Sorunu Yaşayan Kadınlarda Yaşam Kalitesi. Hemşirelikte Araştırma Geliştirme Dergisi, 2,46-56.
• Fritel X., Ringa V., Quiboeuf E., Fauconnier A.(2012) Female urinary incontinence, from pregnancy to menopause: a review of epidemiological and pathophysiological findings. Acta Obstet Gynecol Scand, 91:901-910.
• Gartland D., MacArthur C., Woolhouse H., McDonald E., Brown S.J. (2016) Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum: a prospective cohort. BJOG 123,1203-1211.
• Giugale L.E., Moalli P.A., Canavan T.P., Meyn L..A., Oliphant SS. (2021) Prevalence and Predictors of Urinary Incontinence at 1 Year Postpartum. Female Pelvic Med Reconstr Surg, 27,436-441.
• Haylen B.T., Ridder D., Freeman R.M., Swift S.E., Berghmans B., Lee J. (2010) An international Urogynecological association (IUGA)/ international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J, 21(1):5-26. Hermansen I.L., O’Connell B.O., Gaskin C.J. (2010). Women's explanations for urinary incontinence, their management strategies, and their quality of life during the postpartum period. J Wound Ostomy Continence Nurs, 37, 187-192.
• İnal G.C.(2019). Gebelikte Üriner İnkontinans ve Yaşam Kalitesini Etkileyen Faktörler (Yükseklisans Tezi). Malatya, İnönü Üniversitesi.
• Karakuş A., Yanıkkerem E. (2015). Postpartum Dönemde İnkontinans ve Yaşam Kalitesi: Son 10 Yıllık Çalışmalar. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 2(3),54-59.
• Kocaöz S., Talas M.S., Atabekoğlu C.S. (2010). Urinary incontinence in pregnant women and their quality of life. J Clin Nurs 19, 3314-3323.
• Leroy S.L., Lopes M.H. (2016). Urinary incontinence in the puerperium and its impact on the health-related quality of life. Rev Esc Enferm USP, 50(2):200-207.
• Liang Y, Chen Y, Yu X, Li X.(2021). Quality of life among women with postpartum urinary incontinence: A cross-sectional study. Gynecology and Obstetrics Clinical Medicine, 1, 164-168.
• Lin Y.H, Chang S.D, Hsieh W.C, Chang Y.L, Chueh H.Y, Chao A.S vd.(2018). Persistent stress urinary incontinence during pregnancy and one year after delivery; its prevalence, risk factors and impact on quality of life in Taiwanese women: An observational cohort study. Taiwan J Obstet Gynecol, 57; 340-345.
• Magnani P.S., Bettiol H., Silva O.A.M., Barbieri M.A., Cavalli R.C., Brito L.G.O. (2019). Urinary incontinence between 12 and 24 months postpartum: a cross-sectional study nested in a Brazilian cohort from two cities with different socioeconomic characteristics. Int Urogynecol J, 30:1003-1011.
• Mannion C.A., Vinturache A.E., McDonald S.W., Tough S.C. (2015). The influence of back pain and urinary incontinence on daily tasks of mothers at 12 months postpartum. PLoS One, 10(6):1-18.
• Moore S.I., James M.L., Brockwell E., Perkins J., Jones A.L., Donnelly G.M. (2021). Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women. Br J Sports Med, 55, 1286-1292.
• Moossdorff-Steinhauser H.F.A., Berghmans B.C.M., Spaanderman M.C.A., Bols E.M.J.(2021) Urinary incontinence 6 weeks to 1 year post-partum: prevalence, experience of bother, beliefs, and help-seeking behavior. Int Urogynecol J 32, 1817-1824.
• Nigam A., Ahmad A., Gaur D., Elahi A.A., Batra S. (2016). Prevalence and risk factors for urinary incontinence in pregnant women during late third trimester. Int J Reprod Contracept Obstet Gynecol, 5: 2187-2191.
• Novo R, Rios P.M., Pérez I.S., Butlera H., Malvarb A., Hervadab X.(2020). Prevalence and associated risk factors of urinary incontinence and dyspareunia during pregnancy and after delivery. Eur. J. Obstet. Gynecol. Reprod. Biol, 245:45-50.
• Özerdoğan N. (2003). Kadınlarda Üriner İnkontinans ve Yaşam Kalitesi. Hemşirelik Dergisi, 13(51), 87-92.
• Quiboeuf E., Saurel-Cubizolles M.J., Fritel X. (2016). Trends in urinary incontinence in women between 4 and 24 months postpartum in the EDEN cohort. BJOG, 123(7), 1222–1228.
• Press J.Z., Klein M.C., Kaczorowski J., Liston R.M., Von Dadelszen P.(2007). Does cesarean section reduce postpartum urinary incontinence? A systematic review. Birth, 34(3), 228–237.
• Sangsawang B., Sangsawang N.(2013). Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J, 24(6), 901-912.
• Tabachnick B.G., Fidell L.S. (2015). Çok Değişkenli İstatistiklerin Kullanımı (Çeviri M Baloğlu). Ankara, Nobel Yayınevi.
• Tahtinen R.M., Cartwright R., Tsui J.F., Aaltonen R.L., Aoki Y., Cardenas J.L. vd.(2016) Long-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysis. Eur Urol ,70, 148-158.
• Thom D.H., Rortveit G. (2010). Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand, 89(12), 1511-1522.
• Wagner T.H., Patrick D.L., Bavendam T.G., Martin M.L., Buesching D.E. (1996). Quality of life of persons with urinary incontinence: Development of a new measure. J. Urol, 47,67-72.
• Wei J.T., Dunn R., Nygaard I., Burgio K., Lukacz E.S., Markland A., vd. (2017). Development and validation of a quantitative measure of adaptive behaviors in women with pelvic floor disorders. Female Pelvic Med Reconstr Surg, 23(4), 232-237.