Analysis on risk factors of stress urinary incontinence after vaginal delivery
10.3760/cma.j.issn.1673-4904.2013.09.003
- VernacularTitle:阴道顺产后压力性尿失禁发生的相关危险因素分析
- Author:
Chunrong LI
- Publication Type:Journal Article
- Keywords:
Natural childbirth;
Risk factors;
Urinary incontinence,stress;
Regression analysis
- From:
Chinese Journal of Postgraduates of Medicine
2013;(9):7-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of stress urinary incontinence (SUI) after vaginal delivery,and provide some clinical reference for its prophylaxis and treatment.Methods One hundred and nineteen patients had SUI after vaginal delivery (SUI group),and 217 patients had not SUI after vaginal delivery (control group).The relevant risk factors of SUI were analyzed by Logistic regression analysis.Results Single factor analysis results showed that age ≥ 30 years old,body mass index (BMI) ≥ 25 kg/m2,number of abortion ≥2 times,episiotomy,before or during pregnancy having urinary incontinence,postpartum increased abdominal pressure,history of constipation and neonatal weight in SUI group weresignificantly higher than those in control group [67.2％ (80/119) vs.39.6％ (86/217),65.5％ (78/119) vs.47.5％ (103/217),23.5％ (28/119) vs.13.4％ (29/217),31.1％ (37/119) vs.16.1％ (35/217),46.2％(55/119) vs.31.3％(68/217),28.6％(34/119) vs.15.2％(33/217),23.5％(28/119) vs.13.4％(29/217),(3.5 ± 0.4) kg vs.(3.2 ± 0.2) kg,P＜ 0.01 or ＜ 0.05].Multiplicity results showed that number of abortion ≥2 times,episiotomy,before or during pregnancy having urinary incontinence,postpartum increased abdominal pressure and high neonatal weight were independent risk factors of SUI (P ＜ 0.05).Conclusions Many abortion,episiotomy,before or during pregnancy having urinary incontinence,postpartum increased abdominal pressure and high neonatal weight are independent risk factors of SUI.Necessary intervention for the above risk factors has an important meaning,which may reduce the incidence of postpartum SUI.
