Moyolema CPF, Flores CLY

Language: Spanish
References: 20
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ABSTRACT

Background: postpartum urinary incontinence is an area of growing interest at the health level because pelvic floor dysfunction caused by pregnancy and obstetric procedures leads to this condition and impacts women’s quality of life.
Objective: to evaluate urinary incontinence in postpartum nulliparous and multiparous women.
Methodos: this is a quantitative, descriptive and cross-sectional study developed in the Health Center No. 2 of the city of Ambato in the province of Tungurahua, with a population of 120 nulliparous and multiparous women to whom the International Consultation on Incontinence Questionnaire-Urinary Short Form ICIQ-SF.
Results: 85 % of postpartum nulliparous and multiparous women presented incontinence and it was mainly due to stress (laughing 26,7 %, physical exercise 20,8 % and coughing or sneezing 14,2 %). The loss of urine was moderate (40 %) and the loss was several times a day (40 %), which significantly impacted the quality of life of those who suffer from it.
Conclusion: urinary incontinence is prevalent in postpartum nulliparous and multiparous women and was related to older age and multiparity because it was more frequent in those between 31 to 42 years old and in multiparity due to genitourinary physiological changes, gynecological conditions and procedures -obstetrics affect the functionality of the pelvic floor and lead to this condition.

REFERENCES

1. Vallejos G, Guzmán R, Valdevenito J, Fasce G, Castro D, Naser M, et al. Incontinencia Urinaria en el Adulto Mayor. Rev Chil Obstet Ginecol. 2019;84(2):158-165. http://dx.doi.org/10.4067/S0717-75262019000200158

2. Loaiza K, Parada K. Incontinencia urinaria. Revista Médica Sinergia. 2021;6(5):e667. https://doi.org/10.31434/rms.v6i5.667

3. Pazmiño L, Esparza D, Ayala L, Quinteros M. Prevalencia de la incontinencia urinaria en mujeres de 45-65 años del Hospital Padre Carollo. Revista Universitaria con proyección científica, académica y social. 2019;3(2):69-75. https://doi.org/10.31243/mdc.uta.v3i2.168.2019

4. González L, Erosa R, Janssen R, Laviada H, Méndez N. Incontinencia urinaria: factores de riesgo y frecuencia en mujeres mayores de 60 años, en el sureste de México. Revista mexicana de urología. 2019;79(3):1-14. https://doi.org/10.48193/revistamexicanadeurologa.v79i3.408

5. Martín C. Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid. Enfermería Global. 2020;(57):390-401. https://doi.org/10.6018/eglobal.19.1.368611

6. Gao J, Liu X, Zuo Y, Li X. Risk factors of postpartum stress urinary incontinence in primiparas What should we care. Medicine. 2021;100(20):e25796. https://doi.org/10.1097/MD.0000000000025796

7. Díaz F, Fuentes M, Rivadeneira A, Acuña L. Prevalencia de incontinencia urinaria en el posparto. Revista Cubana de Obstetricia y Ginecología. 2017;43(2):1-6.Salud, Ciencia y Tecnología. 2022; 2:90 6

8. Organización Panamericana de la Salud. Incontinencia es más frecuente en mujeres. [Online].; 2014 [citado 2022 Junio 9]. Disponible en: https://www3.paho.org/ecu/index.php?option=com_content&view=article&id=1248:julio-10-2014&Itemid=972.

9. Cruz C, Linares M, Cruz A, Calero M. Incontinencia Urinaria en mujeres de Jaén: Estudio de prevalencia. Index de Enfermería. 2017;26(1):25-28.

10. Tuda C, Carnero M. Prevalencia y factores asociados a incontinencia urinaria en el área de salud este de Valladolid. Enfermería Global. 2020;19(57):390-401. https://doi.org/10.6018/eglobal.19.1.368611

11. Campillos N, González R, Berlango J, Crespo R. Incontinencia urinaria: causas y cuidados de enfermería. Una revisión bibliográfica. Enfermería Nefrológica. 2021;24(1):25-37. https://dx.doi.org/10.37551/s2254-28842021003

12. Wang X, Jin Y, Feng S. Urinary incontinence in pregnant women and its impact on health-related quality of life. Health and Quality of Life Outcomes. 2022;20(13):1-8. https://doi.org/10.1186/s12955-022-01920-2

13. Preda A, Moreira S. Stress Urinary Incontinence and Female Sexual Dysfunction: The Role of Pelvic Floor Rehabilitation. Acta Med Port. 2019;32(11):721-726. https://doi.org/10.20344/amp.12012

14. Hege F, Wiezer M, Otto A, Wieffer M, Slotman M, Nijhuis-van M, et al. Pregnancy- and obstetric-related risk factors for urinary incontinence, fecal incontinence, or pelvic organ prolapse later in life: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021;100(3):373-382. https://doi.org/10.1111/aogs.14027

15. Chen L, Luo D, Chen X, Jin M, Yu X, Cai W. Development of Predictive Risk Models of Postpartum Stress Urinary Incontinence for Primiparous and Multiparous Women. Urol Int. 2020;104(9):824-832. https://doi.org/10.1159/000508416

16. Luo D, Chen L, Yu X, Ma L, Chen W, Zhou N. Differences in urinary incontinence symptoms and pelvic floor structure changes during pregnancy between nulliparous and multiparous women. PeerJ. 2017;31(5):e3615. https://doi.org/10.7717/peerj.3615

17. Oliveira J, Tonon S, Brandao S, Medeiros C, Natal R, Da Roza T. Urinary Incontinence in Physically Active Young Women: Prevalence and Related Factors. Int J Sports Med. 2017;38(12):937-941. https://doi.org/10.1055/s-0043-115736

18. Schreiber L, Lose M, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand. 2017;96(8):939-948. https://doi.org/10.1111/aogs.13149

19. Silva M, Gallardo M, López C, Santander C, Torres J. Efectos de la incontinencia urinaria en la calidad de vida de la mujer climatérica. Revista Cubana de Obstetricia y Ginecología. 2018; 44(1): 1-14.

20. López C, Gadea B, Barrera C, Hernando CAD, Pinilla L. Impacto en la calidad de vida en personas con incontinencia urinaria. Artículo monográfico. Revista Sanitaria de Investigación. 2021;2(10):183.