Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence

Year 2018, , 149 - 152, 15.08.2018

İbrahim Ozdurak Abdullah Goymen , Yavuz Simsek , Ekrem Ozakin Yaşam Kemal Akpak , Aytek Şık , Oktay Sarı

https://doi.org/10.18521/ktd.399972

Cited By: 1

Abstract

Objectives:
The aim of the current study was to investigate the role of childbirth
parameters on the development of stress urinary incontinence (SUI).

Methods:
One hundred-one healthy women (control group) and 98 patients with SUI (study
group) were included in this study between March 2008 and April 2009. Obstetric
history of participants was taken and labor parameters were compared between
the groups.

Results:
The prevalence of SUI reported in the study period was 17.2%. Gravidity and
parity was significantly higher in study group (P<0.001). Vaginal delivery,
Kristeller manauver, operative delivery by vacuum or forceps extraction and
delivery of macrosomic fetus was found to be significant risk factors for SUI
(P<0.05).

Conclusions:
Mode of delivery and obstetric history have significant impact on subsequent
SUI. Timely cesarean section in women with obstructed labor may prevent the
later occurrence of SUI.

Keywords

Stress Urinary Incontinence, Pelvic Floor, Labor, Obstetric

Doğum Sonrası Gelişen Stress Üriner İnkontinans Riski Üzerine Doğum Eyleminin Etkileri

Abstract

Amaç:
Bu çalışmanın amacı, stres üriner inkontinans (SÜİ) gelişiminde doğum
parametrelerinin rolünü araştırmaktır.

Metod:
Çalışmamıza polikliniğimize Mart 2008 ile Nisan 2009 tarihleri arsında
başvurmuş 101 sağlıklı kadın (kontrol grubu), 98 stres üriner inkontinası olan
kadın (çalışma grubu) dahil edilmiştir. Katılımcıların obstetrik hikayeleri
alındı ve grupların doğum parametreleri karşılaştırıldı.

Bulgular:
Çalışma süresince stres üriner inkontinans prevalansı %17.2 olarak
saptanmıştır. Gebelik ve doğum sayıları çalışma grubunda anlamlı olarak daha
yüksekti (p<0,001). Vaginal doğum, Kristeller manevrası, forseps ve vakum
kullanılan operatif doğumlar ve makrozomik fetus öyküsü stres üriner
inkontinans için anlamlı birer risk faktörü olarak saptanmıştır (p<0,05).

Sonuç:
Doğum şekli ve obstetrik hikaye stres üriner inkontinans üzerinde anlamlı etkiye
sahiptir. Planlı sezaryen doğum ise stres üriner inkontinans gelişimini
önleyebilir.

Keywords

Stres Üriner İnkontinans, Pelvik Taban, Doğum, Obstetrik

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