Prevalence of vaginal laxity in primiparous women six months after birth.

IF 1.4
Marina Resende Godoy, Gláucia Miranda Varella Pereira, Clara Vale Viegas, Marilene Vale de Castro Monteiro
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Abstract

Objective: To assess the prevalence of VL in primiparous women undergoing vaginal birth or caesarean section; and its association with obstetric, urinary, intestinal and sexual factors for its occurrence.

Methods: This is a cross-sectional study carried out between July 2021 and January 2023. Primiparous women who underwent vaginal birth or caesarean section without complaints of VL during pregnancy were included. Clinical and obstetric data were collected and participants completed questionnaires on the impact of urinary incontinence (ICIQ-SF), vaginal symptoms (ICIQ-VS) and sexual distress (FSDS-R) at recruitment and six-months postpartum. Univariate and multivariate logistic regression was performed, considering VL as the outcome and p=0.05.

Results: One hundred participants were included for data analysis. The prevalence of VL was 8%. In the univariate analysis, SUI, urgency urinary incontinence (UUI), coital incontinence, constipation and the ICIQ-VS and ICIQ-SF scores were associated with VL. The ICIQ-VS, FSDS-R and ICIQ-SF scores increased the risk of VL by one-fold. However, only UUI (OR 10.50(CI 95% 1.90-58.10), coital incontinence (OR 42.00(CI 95% 3.11-566.38), and ICIQ-VS (vaginal symptoms OR 1.32(CI 95% 1.05-1.66) and ICIQ-SF (OR 1.25(CI 95% 1.02-1.54), scores remained associated with VL in multivariate-analysis.

Conclusion: The prevalence of VL in primiparous women was lower than that reported in other studies and showed an association with the occurrence of vaginal symptoms, UUI and coital incontinence, six- months postpartum.

Abstract Image

初产妇出生后6个月阴道松弛的发生率。
目的:了解阴道分娩和剖宫产的初产妇阴道阴道出血的发生率;以及其发生与产科、泌尿、肠道和性因素的关系。方法:这是一项横断面研究,于2021年7月至2023年1月进行。包括在怀孕期间接受阴道分娩或剖腹产而无VL症状的初产妇。收集临床和产科数据,参与者在招募和产后6个月完成尿失禁(ICIQ-SF)、阴道症状(ICIQ-VS)和性困扰(FSDS-R)的影响问卷。采用单因素和多因素logistic回归,以VL为结局,p=0.05。结果:纳入100名参与者进行数据分析。VL患病率为8%。在单因素分析中,SUI、急迫性尿失禁(UUI)、性失禁、便秘以及ICIQ-VS和ICIQ-SF评分与VL相关。ICIQ-VS, FSDS-R和ICIQ-SF评分使VL的风险增加了1倍。然而,在多变量分析中,只有UUI (OR 10.50(CI 95% 1.90-58.10)、性失禁(OR 42.00(CI 95% 3.11-566.38)、ICIQ-VS(阴道症状OR 1.32(CI 95% 1.05-1.66)和ICIQ-SF (OR 1.25(CI 95% 1.02-1.54))得分仍然与VL相关。结论:VL在初产妇女中的患病率低于其他研究报告,并与产后6个月阴道症状、UUI和性失禁的发生有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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