孕妇体重对新发应激性尿失禁的影响。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-10-01 Epub Date: 2009-06-05 DOI:10.1007/s00192-009-0923-9

Irene Diez-Itza, Larraitz Ibañez, Miren Arrue, Jone Paredes, Arantzazu Murgiondo, Cristina Sarasqueta

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引用次数: 34

摘要

前言和假设:本研究的目的是调查初产妇足月应激性尿失禁(SUI)的发生率和严重程度及其与产妇体重的关系。方法:这是一项观察性研究，对2007年在多诺斯蒂亚医院分娩的458名初产妇进行了研究。研究了泌尿系统症状(2002年ICS定义)，并进行了体格检查，包括身高、体重、骨盆底肌肉力量和胎儿表现。我们计算了失禁严重指数(ISI)，并回答了国际失禁咨询简短问卷。结果:139例(30.3%)初产妇患有SUI。ISI分布为轻度40.3%，中度54.7%，重度4.3%，极重度0.7%。体重>或=75公斤的足月孕妇出现SUI的风险增加了一倍以上。结论:妊娠期SUI发生率较高。足月产妇体重增加是尿失禁的独立危险因素。

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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Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women.

Introduction and hypothesis: The aim of the study was to investigate the incidence and severity of stress urinary incontinence (SUI) in primigravid women at term and its association with maternal body weight.

Methods: This was an observational study of 458 primigravid women who came to give birth at Donostia Hospital during 2007. Urinary symptoms were investigated (2002 ICS definitions), and a physical examination including height, weight, pelvic floor muscle strength, and fetal presentation was performed. We calculated the incontinence severity index (ISI) and the women answered the International Consultation on Incontinence short form questionnaire.

Results: SUI affected 139 (30.3%) primigravid women. The ISI distribution was 40.3% slight, 54.7% moderate, 4.3% severe, and 0.7% very severe. Pregnant women at term with body weight >or=75 kg appear to have more than doubled the risk of presenting SUI.

Conclusions: The incidence of SUI is high in pregnancy. Increased maternal body weight at term is an independent risk factor for incontinence.

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International urogynecology journal and pelvic floor dysfunction

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