Prevalence Of Urinary Incontinence in Post Natal C- Section Women in Age Group (21- 45 Years) - A Cross-Sectional Observational Study
DOI:
https://doi.org/10.46858/VIMSJPT.6104Keywords:
Urinary Incontinence, Post Natal C- Section , PhysiotherapyAbstract
Background- According to the ICS (International Continence Society), urinary incontinence (UI) is characterized by any loss of involuntary urine associated or not with efforts . It is more frequent in women, due to anatomical reasons and hormonal changes, as well as births and pregnancies that can generate overload and favour structural damage to the pelvic floor tissues. The purpose of the study was to assess the postpartum prevalence of urinary incontinence following ceasarean section in women with age group 21-45yrs. Methodology and analysis - A cross-sectional study was conducted among 94 postnatal caesarean section women aged 21 – 45 years using convenient sampling. Women with any Recent abdominal surgery , any neurological pathology ,Obesity , prenatal women were excluded . Their urinary incontinence symptoms were investigated using QUID questionnaire. Result- The findings revealed that urinary incontinence was prevalent in post natal c-section women in age group 21-45years where stress incontinence was more prevalent than urge incontinence. Conclusion- The study concluded the prevalence of urinary incontinence by 31.91% in post c-section women age group of 21-45yrs. In which 27.65% women show positive result for stress incontinence and 4.25% for urge incontinence so elective ceasarean section did not prevent urinary incontinence.
References
De Souza Abreu-Freire N, Oliveira LF, Landim GC, Amaral LC, da Silva LI. Prevalence of Urinary Incontinence and Impact on Quality of Life: Observational Study in a Higher Education Institution. Archives of Physiotherapy and Rehabilitation. 2021;4(1):5-11.
arbosa AM, Marini G, Piculo F, Rudge CV, Calderon IM, Rudge MV. Prevalence of urinary incontinence and pelvic floor muscle dysfunction in primiparae two years after cesarean section: cross-sectional study. Sao Paulo Medical Journal. 2013;131:95-9.
Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pakistan journal of medical sciences. 2013 May;29(3):818.
Brown SJ, Gartland D, Donath S, MacArthur C. Effects of prolonged second stage, method of birth, timing of caesarean section and other obstetric risk factors on postnatal urinary incontinence: an Australian nulliparous cohort study. BJOG. 2011 Jul;118(8):991-1000. doi: 10.1111/j.1471-0528.2011.02928.x. Epub 2011 Apr 13. PMID: 21489125.
Norton P, Brubaker L. Urinary incontinence in women. The Lancet. 2006 Jan 7;367(9504):57-67.
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019 May 4;22(3):217-22.
Wyndaele M, Hashim H. Pathophysiology of urinary incontinence. Surgery (Oxford). 2017 Jun 1;35(6):287-92.
Fritel X, Ringa V, Quiboeuf E, Fauconnier A. Female urinary incontinence, from pregnancy to menopause: a review of epidemiological and pathophysiological findings. Acta obstetricia et gynecologica Scandinavica. 2012 Aug;91(8):901-10.
Groutz routz, Asnat, Eli Rimon, Simona Peled, Ronen Gold, David Pauzner, Joseph B. Lessing, and David Gordon. “Cesarean section: does it really prevent the development of postpartum stress urinary incontinence? A prospective study of 363 women one year after their first delivery.” Neurourology and Urodynamics: Official Journal of the International Continence Society 23, no. 1 (2004): 2-6.
AR, Kendall S, Bunn F. Women’s experiences, beliefs and knowledge of urinary symptoms in the postpartum period and the perceptions of health professionals: a grounded theory study. Primary health care research & development. 2017 Sep;18(5):448-62.
Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S; Norwegian EPINCONT Study. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med. 2003 Mar 6;348(10):900-7. doi: 10.1056/NEJMoa021788. PMID: 12621134.
Özdem?r ÖÇ, Bakar Y, Özeng?n N, Duran B. The effect of parity on pelvic floor muscle strength and quality of life in women with urinary incontinence: a cross sectional study. Journal of physical therapy science. 2015;27(7):2133-7.
Xuan R, Yang M, Gao Y, Ren S, Li J, Yang Z, Song Y, Huang XH, Teo EC, Zhu J, Gu Y. A Simulation Analysis of Maternal Pelvic Floor Muscle. International Journal of Environmental Research and Public Health. 2021 Oct 15;18(20):10821.
FitzGerald MP, Burgio KL, Borello-France DF, Menefee SA, Schaffer J, Kraus S, Mallett VT, Xu Y, Urinary Incontinence Treatment Network. Pelvic-floor strength in women with incontinence as assessed by the brink scale. Physical therapy. 2007 Oct 1;87(10):1316-24.
Messelink B, Benson T, Berghmans B, Bo K, Corcos J, Fowler C, Laycck J, Huat-Chye Lim P, van Lunsen R, Lycklama a Nijeholt G, Pemberton J, Wang A, Watier A, Van Kerrebrocck P. Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourol Urodyn 2005;24:374-380.
P. Brubaker L. Urinary incontinence in women. The Lancet. 2006 Jan 7;367(9504):57-67.
Thom DH, Rortveit G. Prevalence of postpartum urinary incontinence: a systematic review. Acta obstetricia et gynecologica Scandinavica. 2010 Dec;89(12):1511-22.
Bradley CS, Rahn DD, Nygaard IE, Barber MD, Nager CW, Kenton KS, Siddiqui NY, Abel RB, Spino C, Richter HE. The questionnaire for urinary incontinence diagnosis (QUID): validity and responsiveness to change in women undergoing non-surgical therapies for treatment of stress predominant urinary incontinence. Neurourol Urodyn. 2010 Jun;29(5):727-34. doi: 10.1002/nau.20818. PMID: 19787711; PMCID: PMC2891326.
Nguyen K, Hunter KF, Wagg A. Knowledge and understanding of urinary incontinence: survey of family practitioners in northern Alberta. Can Fam Physician. 2013 Jul;59(7):e330-7. Erratum in: Can Fam Physician. 2013 Sep;59(9):925. PMID: 23851561; PMCID: PMC3710064.
Wesnes SL, Hunskaar S, Bo K, Rortveit G. The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study. BJOG. 2009; 116: 700–7.
Morkved S, Bo K. Prevalence of urinary incontinence during pregnancy and postpartum. Int Urogynecol J Pelvic Floor Dysfunct. 1999; 10: 394–8.
Viktrup L, Lose G, Rolff M, Barfoed K. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol. 1992; 79: 945–9.
Eftekhar T, Hajibaratali B, Ramezanzadeh F, Shariat M. Postpartum evaluation of stress urinary incontinence among primiparas. Int J Gynaecol Obstet. 2006; 94: 114–18.
Abrams P, Andersson KE, Birder L, et al. Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourology and Urodynamics 29 (2010): 213-240.
Caetano AS, Tavares MCGCF, Lopes MHBM, et al. Influence of physical activity on the quality of life and self-image of incontinent women. Revista Brasileira de Medicina do Esporte 15 (2009): 93-97.
Correia S, Dinis P, Rolo F, et al. Prevalence, treatment and known risk factors of urinary incontinence and overactive bladder in the noninstitutionalized Portuguese population. International Urogynecology Journal Pelvic Floor Dysfunction 20 (2009): 1481-1489.
Fernandes S, Coutinho EC, Duarte JC, et al. Quality of life in women with urinary incontinence. Revista de Enfermagem Referência 5 (2015): 93-99
Weber AM, Abrams P, Brubaker L, et al. The standardization of terminology for researchers in female pelvic floor disorders. International Urogynecology Journal 12 (2001): 178-186.
Leroy LS, Lúcio A, Lopes MH. Risk factors for postpartum urinary incontinence. Revista da Escola de Enfermagem da USP 50 (2016): 200-207.
Fritel X, Tsegan YE, Pierre F, et al. “EDEN Mother-Child Cohort Study Group”: Association of postpartum depressive symptoms and urinary incontinence. A cohort study. European Journal Obstetrics Gynecology Reproductive Biology 198 (2016): 62-67.
Marques LP, Schneider IJC, Giehl MWC, et al. Demographic factors, health conditions and life habits associated with urinary incontinence in the elderly in Florianópolis, Santa Catarina. Revista Brasileira de Epidemiologia 18 (2015): 595-606.
Wesnes SL, Hunskaar S, Bo K, et al. The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study. British Journal of Obstetrics and Gynaecology 116 (2009): 700-707.
Rincon AA. Caracterización clínica de la incontinencia urinaria y factores associados em usuarias de la Unidad de la Mujer del Centro de Salud Familiar “Ultra estación” em la ciudad de Chillán, Chile. Revista Médica de Chile [Internet] 143 (2015): 203-212.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jodh Rucha, Kadel Asmita
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.