Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S1516-31802013000100019 http://hdl.handle.net/11449/75364 |
Resumo: | CONTEXT AND OBJECTIVE: There is uncertainty in the literature regarding the theory that obstetric events and pelvic floor injuries give rise to lower risk of subsequent urinary incontinence among women delivering via cesarean section than among women delivering vaginally. The objective of this study was to assess the two-year postpartum prevalence of urinary incontinence and pelvic floor muscle dysfunction and the factors responsible for them. DESIGN AND SETTING: Cross-sectional study, conducted in a public university. METHODS: 220 women who had undergone elective cesarean section or vaginal childbirth two years earlier were selected. Their urinary incontinence symptoms were investigated, and their pelvic floor muscle dysfunction was assessed using digital palpation and a perineometer. RESULTS: The two-year urinary incontinence prevalences following vaginal childbirth and cesarean section were 17% and 18.9%, respectively. The only risk factor for pelvic floor muscle dysfunction was weight gain during pregnancy. Body mass index less than 25 kg/m2 and normal pelvic floor muscle function protected against urinary incontinence. Gestational urinary incontinence increased the risk of two-year postpartum urinary incontinence. CONCLUSION: Gestational urinary incontinence was a crucial precursor of postpartum urinary incontinence. Weight gain during pregnancy increased the subsequent risk of pelvic floor muscle dysfunction, and elective cesarean section did not prevent urinary incontinence. |
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spelling |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversalPrevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: Cross-sectional studyCesarean sectionPelvic floorPostpartum periodPregnancyUrinary incontinenceadultbody masscesarean sectioncross-sectional studyfemalegynecologic diseasehumanmajor clinical studypelvic floor muscle dysfunctionpostoperative periodprevalenceprimiparapuerperiumrisk factorurine incontinencevaginal deliveryweight gainCONTEXT AND OBJECTIVE: There is uncertainty in the literature regarding the theory that obstetric events and pelvic floor injuries give rise to lower risk of subsequent urinary incontinence among women delivering via cesarean section than among women delivering vaginally. The objective of this study was to assess the two-year postpartum prevalence of urinary incontinence and pelvic floor muscle dysfunction and the factors responsible for them. DESIGN AND SETTING: Cross-sectional study, conducted in a public university. METHODS: 220 women who had undergone elective cesarean section or vaginal childbirth two years earlier were selected. Their urinary incontinence symptoms were investigated, and their pelvic floor muscle dysfunction was assessed using digital palpation and a perineometer. RESULTS: The two-year urinary incontinence prevalences following vaginal childbirth and cesarean section were 17% and 18.9%, respectively. The only risk factor for pelvic floor muscle dysfunction was weight gain during pregnancy. Body mass index less than 25 kg/m2 and normal pelvic floor muscle function protected against urinary incontinence. Gestational urinary incontinence increased the risk of two-year postpartum urinary incontinence. CONCLUSION: Gestational urinary incontinence was a crucial precursor of postpartum urinary incontinence. Weight gain during pregnancy increased the subsequent risk of pelvic floor muscle dysfunction, and elective cesarean section did not prevent urinary incontinence.Department of Gynecology and Obstetrics Universidade Estadual Paulista (FMB-Unesp), Botucatu, São PauloDepartment of Gynecology and Obstetrics Universidade Estadual Paulista (FMB-Unesp), Botucatu, São PauloUniversidade Estadual Paulista (Unesp)Pascon Barbosa, Angélica Mércia [UNESP]Marini, Gabriela [UNESP]Piculo, Fernanda [UNESP]Rudge, Cibele Vieira Cunha [UNESP]Calderon, Iracema de Mattos Paranhos [UNESP]Rudge, Marilza Vieira Cunha [UNESP]2014-05-27T11:29:28Z2014-05-27T11:29:28Z2013-05-07info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article95-99application/pdfhttp://dx.doi.org/10.1590/S1516-31802013000100019Sao Paulo Medical Journal, v. 131, n. 2, p. 95-99, 2013.1516-3180http://hdl.handle.net/11449/7536410.1590/S1516-31802013000100019S1516-31802013000100019WOS:0003200287000052-s2.0-848769748112-s2.0-84876974811.pdf067938762260474367586803888350780000-0002-9227-832XScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporSão Paulo Medical Journal1.0630,334info:eu-repo/semantics/openAccess2023-10-22T06:12:54Zoai:repositorio.unesp.br:11449/75364Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-22T06:12:54Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: Cross-sectional study |
title |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal |
spellingShingle |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal Pascon Barbosa, Angélica Mércia [UNESP] Cesarean section Pelvic floor Postpartum period Pregnancy Urinary incontinence adult body mass cesarean section cross-sectional study female gynecologic disease human major clinical study pelvic floor muscle dysfunction postoperative period prevalence primipara puerperium risk factor urine incontinence vaginal delivery weight gain |
title_short |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal |
title_full |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal |
title_fullStr |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal |
title_full_unstemmed |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal |
title_sort |
Prevalência de incontinência urinária e disfunção muscular do assoalho pélvico em primíparas dois anos após parto cesárea: Estudo transversal |
author |
Pascon Barbosa, Angélica Mércia [UNESP] |
author_facet |
Pascon Barbosa, Angélica Mércia [UNESP] Marini, Gabriela [UNESP] Piculo, Fernanda [UNESP] Rudge, Cibele Vieira Cunha [UNESP] Calderon, Iracema de Mattos Paranhos [UNESP] Rudge, Marilza Vieira Cunha [UNESP] |
author_role |
author |
author2 |
Marini, Gabriela [UNESP] Piculo, Fernanda [UNESP] Rudge, Cibele Vieira Cunha [UNESP] Calderon, Iracema de Mattos Paranhos [UNESP] Rudge, Marilza Vieira Cunha [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Pascon Barbosa, Angélica Mércia [UNESP] Marini, Gabriela [UNESP] Piculo, Fernanda [UNESP] Rudge, Cibele Vieira Cunha [UNESP] Calderon, Iracema de Mattos Paranhos [UNESP] Rudge, Marilza Vieira Cunha [UNESP] |
dc.subject.por.fl_str_mv |
Cesarean section Pelvic floor Postpartum period Pregnancy Urinary incontinence adult body mass cesarean section cross-sectional study female gynecologic disease human major clinical study pelvic floor muscle dysfunction postoperative period prevalence primipara puerperium risk factor urine incontinence vaginal delivery weight gain |
topic |
Cesarean section Pelvic floor Postpartum period Pregnancy Urinary incontinence adult body mass cesarean section cross-sectional study female gynecologic disease human major clinical study pelvic floor muscle dysfunction postoperative period prevalence primipara puerperium risk factor urine incontinence vaginal delivery weight gain |
description |
CONTEXT AND OBJECTIVE: There is uncertainty in the literature regarding the theory that obstetric events and pelvic floor injuries give rise to lower risk of subsequent urinary incontinence among women delivering via cesarean section than among women delivering vaginally. The objective of this study was to assess the two-year postpartum prevalence of urinary incontinence and pelvic floor muscle dysfunction and the factors responsible for them. DESIGN AND SETTING: Cross-sectional study, conducted in a public university. METHODS: 220 women who had undergone elective cesarean section or vaginal childbirth two years earlier were selected. Their urinary incontinence symptoms were investigated, and their pelvic floor muscle dysfunction was assessed using digital palpation and a perineometer. RESULTS: The two-year urinary incontinence prevalences following vaginal childbirth and cesarean section were 17% and 18.9%, respectively. The only risk factor for pelvic floor muscle dysfunction was weight gain during pregnancy. Body mass index less than 25 kg/m2 and normal pelvic floor muscle function protected against urinary incontinence. Gestational urinary incontinence increased the risk of two-year postpartum urinary incontinence. CONCLUSION: Gestational urinary incontinence was a crucial precursor of postpartum urinary incontinence. Weight gain during pregnancy increased the subsequent risk of pelvic floor muscle dysfunction, and elective cesarean section did not prevent urinary incontinence. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-05-07 2014-05-27T11:29:28Z 2014-05-27T11:29:28Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1516-31802013000100019 Sao Paulo Medical Journal, v. 131, n. 2, p. 95-99, 2013. 1516-3180 http://hdl.handle.net/11449/75364 10.1590/S1516-31802013000100019 S1516-31802013000100019 WOS:000320028700005 2-s2.0-84876974811 2-s2.0-84876974811.pdf 0679387622604743 6758680388835078 0000-0002-9227-832X |
url |
http://dx.doi.org/10.1590/S1516-31802013000100019 http://hdl.handle.net/11449/75364 |
identifier_str_mv |
Sao Paulo Medical Journal, v. 131, n. 2, p. 95-99, 2013. 1516-3180 10.1590/S1516-31802013000100019 S1516-31802013000100019 WOS:000320028700005 2-s2.0-84876974811 2-s2.0-84876974811.pdf 0679387622604743 6758680388835078 0000-0002-9227-832X |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
São Paulo Medical Journal 1.063 0,334 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
95-99 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964662078373888 |