Postpartum stress urinary incontinence: a clinical study of 6,302 cases in Jiangsu Province.

IF 1.2 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Xiao-Xia Chang, Ling Ling, Hong-Ju Gao, Yu-Mei Jiang, Mei-Qin Jiang, Yu-Rong Hua, Ai-Hua Huang, Jie Peng, Ya-Jun Lu, Rui-Jia Yang, Jie Wu
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Abstract

Objectives: To investigate the prevalence and influencing factors of stress urinary incontinence (SUI) within 6-8 weeks postpartum in Jiangsu Province.

Material and methods: We designed a multi-center cross-sectional study involving seven hospitals in Jiangsu province, and enrolled women who underwent postpartum examination at 6-8 weeks in these hospitals between July 2019 and June 2021. According to the presence or absence of SUI, the enrolled patients were divided into two groups: the SUI group and the non-SUI group, respectively. We assessed the general health status, noted the details of delivery, and checked the pelvic floor electromyographic parameters of the postpartum women in both groups.

Results: Among 6,302 cases of postpartum women in Jiangsu province, there were 1,579 cases of SUI, with a prevalence of 25.06%. The prevalence of SUI increased significantly with age, BMI, increasing parity, coexisting constipation, organ prolapse, and diastasis recti abdominis. Compared to the non-SUI group, the SUI group had a lower mean value of the pre-baseline rest phase, shorter rise and fall times of fast muscle contractions, and a lower mean value of the endurance contraction phase. Multiple regression analysis revealed associations with weight (especially overweight and obesity), coexisting organ prolapse, constipation, parity, gestational week of delivery, mode of delivery, and mean value of endurance contraction phase.

Conclusions: The prevalence of postpartum stress urinary incontinence in Jiangsu Province was 25.06%, and was linked to being overweight, parity > 2, coexisting organ prolapse, constipation, and a decrease in the mean value of the endurance contraction phase of the electromyograph. In this report, we offer a theoretical basis for the effective prevention of postpartum SUI clinically.

江苏省产后应激性尿失禁6302例临床分析
目的:了解江苏省产妇产后6 ~ 8周压力性尿失禁(SUI)的患病率及影响因素。材料与方法:我们设计了一项涉及江苏省7家医院的多中心横断面研究,纳入2019年7月至2021年6月期间在这些医院进行6-8周产后检查的妇女。根据有无SUI,将入组患者分为SUI组和非SUI组。我们评估了两组产妇的一般健康状况,记录了分娩细节,并检查了盆底肌电图参数。结果:江苏省6302例产后妇女中,SUI 1579例,患病率25.06%。SUI的患病率随着年龄、体重指数、胎次增加、并存便秘、器官脱垂和腹直肌转移而显著增加。与非SUI组相比,SUI组基线前休息期均值较低,快速肌肉收缩上升和下降时间较短,耐力收缩期均值较低。多元回归分析显示与体重(特别是超重和肥胖)、并存的器官脱垂、便秘、胎次、分娩周数、分娩方式和耐力收缩期平均值有关。结论:江苏省产后应激性尿失禁患病率为25.06%,与体重超重、胎次> 2、并存脏器脱垂、便秘、肌电耐力收缩期平均值降低有关。本报告为临床上有效预防产后SUI提供理论依据。
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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来源期刊
Ginekologia polska
Ginekologia polska OBSTETRICS & GYNECOLOGY-
CiteScore
2.00
自引率
15.40%
发文量
317
审稿时长
4-8 weeks
期刊介绍: Ginekologia Polska’ is a monthly medical journal published in Polish and English language. ‘Ginekologia Polska’ will accept submissions relating to any aspect of gynaecology, obstetrics and areas directly related. ‘Ginekologia Polska’ publishes original contributions, comparative works, case studies, letters to the editor and many other categories of articles.
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