Severity of Urinary Incontinence Symptoms in postpartum women
IUGA Academy. Juliato C. Jun 30, 2018; 212905; 269 Topic: Dysfunctional Voiding
Prof. Dr. Cassia Juliato
Prof. Dr. Cassia Juliato

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Severity of urinary incontinence symptoms in postpartum women

Juliato, C1; Bortoletto, J1; Araujo, C1; Brito, L1

1: University of Campinas

Introduction: Pelvic floor dysfunctions affect women of all ages, with negative consequences on their life quality.

Delivery, regardless of the pathway, can be a traumatic factor for the pelvic floor compromising the woman's life quality.

Objective: To evaluate vaginal symptoms and complaints of urinary incontinence (UI) in women with 12 to 18 months postpartum.

Methods: Cross section study with 120 women who performed delivery at our service, sample size was calculated based on the difference between the prevalence of UI after vaginal delivery (VD) and cesarean section.

The women were selected through the registry in the hospital birth book and contacted via telephone, submitted a structured interview and validated questionnaires the ICIQ-VS (International Consultation on Incontinence Questionnaire – Vaginal Symptoms), and ICIQ-SF (International Consultation on Incontinence Questionnaire - Short Form).

Information on the birth weight, cephalic perimeter of the newborn, type of delivery, anesthesia, episiotomy and time of expulsive period were collected from medical records.

Data were described by mean, standard deviation, median and frequencies, variables analyzed by Student's t test or chi-square, prevalence ratio values ??and their respective 95% confidence intervals and log-binomial regression with criterion selection of stepwise variables to select the key factors associated.

The level of significance was 5%.

Results: The mean age of the patients included in the study was 28.1 (± 6.9) years, predominantly 20-29 years (51.7%), body mass index (BMI) 26.2 (± 5.3), white (47.5%) and no previous delivery (59 %).

Regarding the last delivery, the majorities were VD (54.2%), and of these 34.4% were submitted to episiotomy.

The mean weight of the newborn was 3217 (± 525) grams and cephalic perimeter 34.2 (± 1.9) cm.

Women in labor presented with a second mean expulsive period of 24.8 (± 23.7) minutes and of the total number of patients, 63 (52.5%) reported UI after delivery, of these 80.9% lost a small amount and 52.4% of loss was 1 time per week.

In the evaluation of UI complaints, the mean score of the questionnaire was 5.4 (± 6.2), median of 3 and interquartile range 25-75 from 0 to 10.5.

Of women with UI, 62.7% reported stress urinary incontinence (SUI).

Regarding vaginal symptoms, the scores of the questionnaire were 5.7 (± 5.24), median of 4 and IC25-75 2-8, sexual symptoms had a score of 13.2 (± 17.4), median 5 and IC25-75 0-23, the quality of life had a mean of 3.3 (± 3.8), with a median of 1 and IC25-75 0-6.5.

There was a significant correlation between the severity of the symptoms of UI and the current BMI (r = 0.22182, p = 0.0172), and between previous pregnancies and more severe urinary symptoms (r = 0.20282, p = 0.002) 0.13765, δ = 0.04).

Conclusion: Half of all women had mild UI in postpartum.

Women with UI in pregnancy were associated with worst scores in urinary and vaginal symptoms and greater impact on quality of life.

A high BMI was associated with more severe urinary symptoms and of comorbidities impacted the sexual life.


Work supported by industry: no.

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