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Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri

Year 2022, , 13 - 16, 29.04.2022
https://doi.org/10.47572/muskutd.756904

Abstract

Gebelik, stres üriner inkontinans gelişimindeki en önemli risk faktörüdür. Stres üriner inkontinans, gebe kadınlarda en sık görülen üriner inkontinans tipidir ve yaşam kalitesi üzerine olumsuz etkileri bulunmaktadır. Bu çalışma, primigravid gebelerde, stres üriner inkontinansın prevalansve risk faktörlerini incelemek amacıyla planlanmıştır. Bu anket çalışması, Kasım 2019–Haziran 2020tarihleri arasında, Aksaray Üniversitesi Tıp Fakültesi Aksaray Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Polikliniği ve Üroloji Polikliniği’ne başvuran primigravid gebeler üzerinde yapıldı. Çalışmanın etik kurul onayı, Aksaray Üniversitesi Tıp Fakültesi Etik Kurulu’ndan alındı. Çalışmaya katılan tüm katılımcılardan yazılı onam alındı.Çalışmaya512primigravid gebe katılımcı dahil edildi. Katılımcıların demografik özellikleri, inkontinans varlığı ve şekli kaydedildi. Bu çalışmada, stres üriner inkontinans prevalansı %20.1 olarak bulundu. Stres üriner inkontinansı olan grupta, vücut kitle indeksi ve sigara içme öyküsü, stres üriner inkontinans olmayan gruba göre daha yüksekti. Gebelikte kilo alımı ile stres üriner inkontinans arasında ters bir ilişki vardı. Gebelik öncesi vücut kitle indeksi yüksekliği ve sigara içme, stres üriner inkontinans gelişiminde önemli ve modifiye edilebilir risk faktörlerindendir. Antenatal dönemde stres üriner inkontinans gelişimini önleyici stratejilerin uygulanması ve üriner inkontinans ve risk faktörlerinin azaltılması hakkında farkındalığın artırılması önemlidir.

Supporting Institution

YOK

Project Number

2019/01-39

References

  • 1. Haylen BT, de Ridder D, Freeman RM et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5–26.
  • 2. Van de Pol GG, Van Brummen HJ, Bruinse HW, Heintz AP, van der Vaart CH. Is there an association between depressive and urinary symptoms during and after pregnancy? Int Urogynecol JPelvic Floor Dysfunct. 2007;18:1409–15.
  • 3. Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC. Urinary incontinence in the 12-month postpartum period. Obstet Gynecol. 2003;102:1291–8.
  • 4. Liang CC, Wu MP, Lin SJ, Lin YJ, Chang SD, Wang HH. Clinical impact of and contributing factors to urinary incontinence in women 5 years after first delivery. Int Urogynecol J. 2013;24(1):99–104.
  • 5. Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care. J Adv Nurs. 2003; 43(6):555–68.
  • 6. Morkved S, Bo K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003;101(2):313–9.
  • 7. FitzGerald MP, Graziano S. Anatomic and functional changes of the lower urinary tract during pregnancy. Urol Clin N Am.2007;34(1):7–12.
  • 8. The Joanna Briggs Institute best practice information sheet: the effectiveness of pelvic floor muscle exercises on urinary incontinence in women following childbirth. Nurs Health Sci. 2011;13(3):378–81.
  • 9. Pregazzi R, Sartore A, Troiano L et al. Postpartum Urinary symptoms: prevalence and risk factors. Obstet Gynecol. 2002;103(2):179–82.
  • 10. Bump RC, Sugerman H, Fantl JA, McClish DM. Obesity and lower urinary tract function in women: effect of surgically induced weight loss. Am J Obstet Gynecol. 1992;166:392–9.
  • 11. MacLennan AH, Taylor AW, Wilson DH, Wilson D. The prevalence of pelvic floor disorder and their relationship to gender, age, parity and mode of delivery. Br J Obstet Gynecol. 2000;107:1460–70. 12. Dietz HP, Wilson PD. Childbirth and pelvic floor trauma. Best Pract Res Clin Obstet Gynaecol. 2005;19(6):913–24.
  • 13. Dietz HP, Schierlitz L. Pelvic floor trauma in childbirth-myth or reality? Aust N Z J Obstet Gynaecol. 2005;45(1):3–11.
  • 14. Keane DP, Sims TJ, Abrams P, Bailey AJ. Analysis of collagen status in premenopausal nulliparous women with genuine stress incontinence. Br J Obstet Gynaecol. 1997;104:994–8.
  • 15. Dietz HP, Eldridge A, Grace M, Clarke B. Does pregnancy affect pelvic organ mobility? Aust N Z J Obstet Gynaecol. 2004; 44:517–20.
  • 16. Falconer C, Ekman G, Malmstrom A, Ulmsten U. Decreased collagen synthesis in stress incontinence women. Obstet Gynecol. 1994;84:583–6.
  • 17. Sangsawang B, Sangsawang N. Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol. 2013;24:901–12.
  • 18. Al-Mehaisen LM, Al-Kuran O, Lataifeh IM, Betawie S, Sindiyani A, Al-ttal OF, et al. Prevalence and frequency of severity of urinary incontinence symptoms in late pregnancy: a prospective study in the north of Jordan. Arch Gynecol Obstet. 2009;279:499-503.
  • 19. Hojberg KE, Salvig JD, Winslow NA, Lose G, Secher NJ. Urinary incontinence: prevalence and risk factors at 16 weeks of gestation. Br J Obstet Gynecol. 1999;106:842–50.
  • 20. Arrue M, Ibañez L, Paredes J, et al. Stress urinary incontinence six months after first vaginal delivery. Eur J Obstet Gynecol Reprod Biol. 2010;150:210–4.
  • 21. Scarpa KP, Herrmann V, Palma PC, Riccetto CL, Morais SS. Prevalence and correlates of stress urinary incontinence during pregnancy: a survey at UNICAMP Medical School, São Paulo, Brazil. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:219–23.
  • 22. Chiarelli P, Campbell E. Incontinence during pregnancy. Prevalence and opportunities for continence promotion. Aust N Z J Obstet Gynaecol. 1997;37:66–73.
  • 23. Hilde G, Stær-Jensen J, Ellström Engh M, Brækken IH, Bø K. Continence and pelvic floor status in nulliparous women at midterm pregnancy. Int Urogynecol J. 2012;23:1257–63.
  • 24. Sangsawang B. Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: a review of the literature. Eur J Obstet Gynecol Reprod Biol. 2014;178;27–34.
  • 25. Viktrup L. The risk of urinary tract symptom five years after the first delivery. Neurourol Urodyn. 2002;21:2–29.
  • 26. Swift SE, Ostergard DR. Effects of progesterone on the urinary tract. Int Urogynecol J. 1993;4:232–6.
  • 27. Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT. Br J Obstet Gynaecol. 2003;110:247–54.
  • 28. Martínez Franco E, Parés D, Lorente Colomé N, et al. Urinary incontinence during pregnancy. Is there a difference between first and third trimester? Eur J Obstet Gynecol Reprod Biol. 2014;182:86-90.
  • 29. Ozerdogan N, Beji NK, Yalcın O. Urinary incontinence: its prevalance, risk factors and effects on the quality of life of women living in a region of Turkey. Gynecol Obstet Invest. 2004;58:145–50.
  • 30. Abdullah B, Ayub SH, Mohd Zahid AZ, Noorneza AR, Isa MR, Ng PY. Urinary incontinence in primigravida: the neglected pregnancy predicament. Eur J Obstet Gynecol Reprod Biol. 2016;198:110–5.
  • 31. Sharma JB, Aggarwal S, Singhal S, et al. Prevalence of urinary incontinence and other urological problems during pregnancy: a questionnaire based study. Arch Gynecol Obstet. 2009;279(6):845-51.
  • 32. Wesnes SL, Rortveit G, Bo K, et al. Urinary incontinence during pregnancy. Obstet Gynecol. 2007;109(4):922–8.
  • 33. Kocaöz S, Talas MS, Atabekoğlu CS. Urinary incontinence in pregnant women and their quality of life. J Clin Nurs. 2010;19(23-24):3314-23.

The Prevalence of Stress Urinary Incontinence and Risk Factors in Primigravida Pregnancies

Year 2022, , 13 - 16, 29.04.2022
https://doi.org/10.47572/muskutd.756904

Abstract

Pregnancy is the main risk factor for the development of stress urinary incontinence. Stress urinary incontinence is the most common type of urinary incontinence in pregnant women and is known has detrimental effects on the quality of life. This study was planned to examine the prevalence and risk factors of stress urinary incontinence in primigravida pregnancies. This was a survey study. The study was performed between November 2019 and June 2020 in the Obstetrics and Gynecology and Urology Outpatient Clinics of Aksaray University School of Medicine, Aksaray Training and Research Hospital, Turkey. All the participants have previously given their informed consent in written form. The study was approved by the Ethics Committee of the Aksaray University School of Medicine. There were512participants. Participants' demographic information and presence of incontinence, type of incontinence were recorded. The prevalence of stress urinary incontinence was 20.1%. Prepregnancy body mass index and history of smoking in the group with reporting stress urinary incontinence was higher than the group with no reporting stress urinary incontinence. There was an inverse relationship between weight gain in pregnancy and the risk of stress urinary incontinence. An increased body mass index and smoking are important and modifiable risk factors for the development of stress incontinence. It is important to implement of antenatal preventive strategies and to increase awareness in women about urinary incontinence and the reduction of risk factors.

Project Number

2019/01-39

References

  • 1. Haylen BT, de Ridder D, Freeman RM et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5–26.
  • 2. Van de Pol GG, Van Brummen HJ, Bruinse HW, Heintz AP, van der Vaart CH. Is there an association between depressive and urinary symptoms during and after pregnancy? Int Urogynecol JPelvic Floor Dysfunct. 2007;18:1409–15.
  • 3. Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC. Urinary incontinence in the 12-month postpartum period. Obstet Gynecol. 2003;102:1291–8.
  • 4. Liang CC, Wu MP, Lin SJ, Lin YJ, Chang SD, Wang HH. Clinical impact of and contributing factors to urinary incontinence in women 5 years after first delivery. Int Urogynecol J. 2013;24(1):99–104.
  • 5. Davis K, Kumar D. Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care. J Adv Nurs. 2003; 43(6):555–68.
  • 6. Morkved S, Bo K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003;101(2):313–9.
  • 7. FitzGerald MP, Graziano S. Anatomic and functional changes of the lower urinary tract during pregnancy. Urol Clin N Am.2007;34(1):7–12.
  • 8. The Joanna Briggs Institute best practice information sheet: the effectiveness of pelvic floor muscle exercises on urinary incontinence in women following childbirth. Nurs Health Sci. 2011;13(3):378–81.
  • 9. Pregazzi R, Sartore A, Troiano L et al. Postpartum Urinary symptoms: prevalence and risk factors. Obstet Gynecol. 2002;103(2):179–82.
  • 10. Bump RC, Sugerman H, Fantl JA, McClish DM. Obesity and lower urinary tract function in women: effect of surgically induced weight loss. Am J Obstet Gynecol. 1992;166:392–9.
  • 11. MacLennan AH, Taylor AW, Wilson DH, Wilson D. The prevalence of pelvic floor disorder and their relationship to gender, age, parity and mode of delivery. Br J Obstet Gynecol. 2000;107:1460–70. 12. Dietz HP, Wilson PD. Childbirth and pelvic floor trauma. Best Pract Res Clin Obstet Gynaecol. 2005;19(6):913–24.
  • 13. Dietz HP, Schierlitz L. Pelvic floor trauma in childbirth-myth or reality? Aust N Z J Obstet Gynaecol. 2005;45(1):3–11.
  • 14. Keane DP, Sims TJ, Abrams P, Bailey AJ. Analysis of collagen status in premenopausal nulliparous women with genuine stress incontinence. Br J Obstet Gynaecol. 1997;104:994–8.
  • 15. Dietz HP, Eldridge A, Grace M, Clarke B. Does pregnancy affect pelvic organ mobility? Aust N Z J Obstet Gynaecol. 2004; 44:517–20.
  • 16. Falconer C, Ekman G, Malmstrom A, Ulmsten U. Decreased collagen synthesis in stress incontinence women. Obstet Gynecol. 1994;84:583–6.
  • 17. Sangsawang B, Sangsawang N. Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol. 2013;24:901–12.
  • 18. Al-Mehaisen LM, Al-Kuran O, Lataifeh IM, Betawie S, Sindiyani A, Al-ttal OF, et al. Prevalence and frequency of severity of urinary incontinence symptoms in late pregnancy: a prospective study in the north of Jordan. Arch Gynecol Obstet. 2009;279:499-503.
  • 19. Hojberg KE, Salvig JD, Winslow NA, Lose G, Secher NJ. Urinary incontinence: prevalence and risk factors at 16 weeks of gestation. Br J Obstet Gynecol. 1999;106:842–50.
  • 20. Arrue M, Ibañez L, Paredes J, et al. Stress urinary incontinence six months after first vaginal delivery. Eur J Obstet Gynecol Reprod Biol. 2010;150:210–4.
  • 21. Scarpa KP, Herrmann V, Palma PC, Riccetto CL, Morais SS. Prevalence and correlates of stress urinary incontinence during pregnancy: a survey at UNICAMP Medical School, São Paulo, Brazil. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:219–23.
  • 22. Chiarelli P, Campbell E. Incontinence during pregnancy. Prevalence and opportunities for continence promotion. Aust N Z J Obstet Gynaecol. 1997;37:66–73.
  • 23. Hilde G, Stær-Jensen J, Ellström Engh M, Brækken IH, Bø K. Continence and pelvic floor status in nulliparous women at midterm pregnancy. Int Urogynecol J. 2012;23:1257–63.
  • 24. Sangsawang B. Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: a review of the literature. Eur J Obstet Gynecol Reprod Biol. 2014;178;27–34.
  • 25. Viktrup L. The risk of urinary tract symptom five years after the first delivery. Neurourol Urodyn. 2002;21:2–29.
  • 26. Swift SE, Ostergard DR. Effects of progesterone on the urinary tract. Int Urogynecol J. 1993;4:232–6.
  • 27. Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT. Br J Obstet Gynaecol. 2003;110:247–54.
  • 28. Martínez Franco E, Parés D, Lorente Colomé N, et al. Urinary incontinence during pregnancy. Is there a difference between first and third trimester? Eur J Obstet Gynecol Reprod Biol. 2014;182:86-90.
  • 29. Ozerdogan N, Beji NK, Yalcın O. Urinary incontinence: its prevalance, risk factors and effects on the quality of life of women living in a region of Turkey. Gynecol Obstet Invest. 2004;58:145–50.
  • 30. Abdullah B, Ayub SH, Mohd Zahid AZ, Noorneza AR, Isa MR, Ng PY. Urinary incontinence in primigravida: the neglected pregnancy predicament. Eur J Obstet Gynecol Reprod Biol. 2016;198:110–5.
  • 31. Sharma JB, Aggarwal S, Singhal S, et al. Prevalence of urinary incontinence and other urological problems during pregnancy: a questionnaire based study. Arch Gynecol Obstet. 2009;279(6):845-51.
  • 32. Wesnes SL, Rortveit G, Bo K, et al. Urinary incontinence during pregnancy. Obstet Gynecol. 2007;109(4):922–8.
  • 33. Kocaöz S, Talas MS, Atabekoğlu CS. Urinary incontinence in pregnant women and their quality of life. J Clin Nurs. 2010;19(23-24):3314-23.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Original Article
Authors

Aylin Sağlam 0000-0002-6820-5147

Mehmet Akif Diri This is me 0000-0002-0413-4802

Haydar Sipahioğlu 0000-0003-3350-6086

Project Number 2019/01-39
Publication Date April 29, 2022
Submission Date June 25, 2020
Published in Issue Year 2022

Cite

APA Sağlam, A., Diri, M. A., & Sipahioğlu, H. (2022). Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 9(1), 13-16. https://doi.org/10.47572/muskutd.756904
AMA Sağlam A, Diri MA, Sipahioğlu H. Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri. MMJ. April 2022;9(1):13-16. doi:10.47572/muskutd.756904
Chicago Sağlam, Aylin, Mehmet Akif Diri, and Haydar Sipahioğlu. “Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans Ve Risk Faktörleri”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9, no. 1 (April 2022): 13-16. https://doi.org/10.47572/muskutd.756904.
EndNote Sağlam A, Diri MA, Sipahioğlu H (April 1, 2022) Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9 1 13–16.
IEEE A. Sağlam, M. A. Diri, and H. Sipahioğlu, “Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri”, MMJ, vol. 9, no. 1, pp. 13–16, 2022, doi: 10.47572/muskutd.756904.
ISNAD Sağlam, Aylin et al. “Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans Ve Risk Faktörleri”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9/1 (April 2022), 13-16. https://doi.org/10.47572/muskutd.756904.
JAMA Sağlam A, Diri MA, Sipahioğlu H. Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri. MMJ. 2022;9:13–16.
MLA Sağlam, Aylin et al. “Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans Ve Risk Faktörleri”. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, vol. 9, no. 1, 2022, pp. 13-16, doi:10.47572/muskutd.756904.
Vancouver Sağlam A, Diri MA, Sipahioğlu H. Primiparavid Gebelerde Stres Üriner İnkontinansınPrevalans ve Risk Faktörleri. MMJ. 2022;9(1):13-6.