- Book学术

发布求助

文献互助智能选刊最新文献

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2025-03-13 DOI:10.1007/s00192-025-06085-2

Sónia Cristóvão, Emelie Asplén, Josefin Borssén, Maria E H Larsson, Sabine Vesting

{"title":"Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study.","authors":"Sónia Cristóvão, Emelie Asplén, Josefin Borssén, Maria E H Larsson, Sabine Vesting","doi":"10.1007/s00192-025-06085-2","DOIUrl":null,"url":null,"abstract":"Introduction and hypothesis: Postpartum urinary incontinence (UI) is prevalent, and women with bothersome UI tend to seek more help. This study was aimed at evaluating the association between pelvic floor muscle (PFM) strength and bothersome UI in the 1st year postpartum.Methods: A prospective cohort study was conducted with 504 participants. UI was evaluated by the International Consultation on Incontinence Questionnaire Short Form (online) and PFM strength was assessed via vaginal palpation (Modified Oxford Scale, MOS), at 3, 6, 9, and 12 months postpartum. Logistic regression analysis was used to analyze the data.Results: At 3 months postpartum, 52% of women had a PFM strength of ≥ 3 MOS, increasing to 84% at 12 months. 42% of women reported UI at 3 months, which remained unchanged by 12 months. PFM strength ≥ 3 MOS was moderately associated with less UI at 3 months (OR = 0.63, 95% CI 0.42-0.94) and at timepoints 6, 9, and 12 months. Antepartum UI was strongly associated with postpartum UI at all time points: 3 months (OR = 10.23, 95% CI 4.90-21.37), 6 months (OR = 7.75, 95% CI 3.95-15.21), 9 months (OR = 9.95, 95% CI 4.61-21.47), and 12 months (OR = 4.55, 95% CI 2.29-9.04). Grade 2 perineal tears were moderately associated with UI at 9 months postpartum (OR = 1.82, 95% CI 1.11-3.0).Conclusions: A stronger pelvic floor was associated with less bothersome UI in the 1st year postpartum. UI during pregnancy was most strongly associated with bothersome UI after childbirth. Antenatal screening for UI and promoting PFM training may be warranted to support postpartum recovery and minimize UI.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-025-06085-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

导言和假设：产后尿失禁（UI）很普遍，有尿失禁困扰的妇女往往会寻求更多帮助。本研究旨在评估产后第一年盆底肌（PFM）力量与困扰性尿失禁之间的关系：这项前瞻性队列研究共有 504 名参与者。在产后 3、6、9 和 12 个月时，通过尿失禁国际咨询问卷简表（在线）对尿失禁进行评估，并通过阴道触诊（改良牛津量表，MOS）对盆底肌力量进行评估。采用逻辑回归分析法对数据进行分析：产后 3 个月时，52% 的产妇的 PFM 强度≥ 3 MOS，12 个月时这一比例增至 84%。42%的产妇在 3 个月时报告有尿失禁症状，到 12 个月时这一比例保持不变。PFM 强度≥ 3 MOS 与 3 个月时尿失禁较少（OR = 0.63，95% CI 0.42-0.94）以及 6、9 和 12 个月时点尿失禁较少呈中度相关。在所有时间点，产前尿失禁都与产后尿失禁密切相关：3个月（OR = 10.23，95% CI 4.90-21.37）、6个月（OR = 7.75，95% CI 3.95-15.21）、9个月（OR = 9.95，95% CI 4.61-21.47）和12个月（OR = 4.55，95% CI 2.29-9.04）。2级会阴撕裂与产后9个月的尿失禁有中度相关性（OR = 1.82，95% CI 1.11-3.0）：结论：盆底功能较强与产后一年内较少的尿频相关。孕期尿失禁与产后尿失禁困扰的关系最为密切。产前筛查尿频和促进盆底肌训练可能是支持产后恢复和减少尿频的必要条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study.

Introduction and hypothesis: Postpartum urinary incontinence (UI) is prevalent, and women with bothersome UI tend to seek more help. This study was aimed at evaluating the association between pelvic floor muscle (PFM) strength and bothersome UI in the 1st year postpartum.

Methods: A prospective cohort study was conducted with 504 participants. UI was evaluated by the International Consultation on Incontinence Questionnaire Short Form (online) and PFM strength was assessed via vaginal palpation (Modified Oxford Scale, MOS), at 3, 6, 9, and 12 months postpartum. Logistic regression analysis was used to analyze the data.

Results: At 3 months postpartum, 52% of women had a PFM strength of ≥ 3 MOS, increasing to 84% at 12 months. 42% of women reported UI at 3 months, which remained unchanged by 12 months. PFM strength ≥ 3 MOS was moderately associated with less UI at 3 months (OR = 0.63, 95% CI 0.42-0.94) and at timepoints 6, 9, and 12 months. Antepartum UI was strongly associated with postpartum UI at all time points: 3 months (OR = 10.23, 95% CI 4.90-21.37), 6 months (OR = 7.75, 95% CI 3.95-15.21), 9 months (OR = 9.95, 95% CI 4.61-21.47), and 12 months (OR = 4.55, 95% CI 2.29-9.04). Grade 2 perineal tears were moderately associated with UI at 9 months postpartum (OR = 1.82, 95% CI 1.11-3.0).

Conclusions: A stronger pelvic floor was associated with less bothersome UI in the 1st year postpartum. UI during pregnancy was most strongly associated with bothersome UI after childbirth. Antenatal screening for UI and promoting PFM training may be warranted to support postpartum recovery and minimize UI.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion