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首页> 外文期刊>International Journal of Health Sciences >Relationship between mode of delivery and development of urinary incontinence: A possible link is demonstrated
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Relationship between mode of delivery and development of urinary incontinence: A possible link is demonstrated

机译:分娩方式与尿失禁发展之间的关系:表明可能的联系

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Background: Urinary incontinence is a major problem faced by many mothers and has been traditionally linked to diverse ways of delivery. However, there is still a lack of clinical data, which can corroborate this notion. Thus, the present study was conducted to evaluate the correlation of urinary incontinence developed in women under different modes of delivery that have been used during childbirth. The study was conducted by considering three ways of delivery such as vaginal, cesarean section and the use of instruments during childbirth. The results were compared in each group in terms of number of women that developed or experienced urinary incontinence with those who have no problem at all or have minor problems.Methods: The study was conducted at Qassim University Clinic, and Maternity and Child Hospital Buraidah from Jan-May 2015 as a descriptive cross sectional study. The objective was to determine the core reasons as to why women tend to develop some urinary incontinence after delivery. First 111 women without urinary incontinence and 100 women with urinary incontinence were asked retrospectively about the number of vaginal deliveries they had underwent. Then another group (111 without urinary incontinence and 100 with urinary continence were asked about the number of instrumental deliveries they had undegone. The same was repeated (111 women without urinary incontinence and 100 with urinary incontinence) for women with cesarean section.Results: Having five or more vaginal births had a significantly (p0.001) high risk for development of urinary incontinence (n=74, 66.67%) as compared to no urinary incontinence (n=8, 8.0%). In the group who had no cesarean section, there was a significantly (p 0 .001) larger proportion of participants with urinary problems (n = 100, 90.09%) than those without urinary problems (n = 61, 61.0%). For participants who have had an instrumental delivery, there was a significantly (p =0 .014) larger proportion of participants with urinary problems (n = 22, 19.82%) than those without urinary problems (n = 8, 8.0%).? However, for participants that have not had an instrumental delivery, there was a significantly larger amount of participants without urinary problems than those with urinary problems (p 0 .001).Conclusion: Women with 5 or more vaginal deliveries as well as instrumental deliveries were more liable to develop urinary incontinence in this study. This may be because vaginal deliveries and instrumental deliveries lead to perineal damage. This is further supported by the results of this study showing that women who never had cesarean section were more likely to report urinary incontinence
机译:背景:尿失禁是许多母亲面临的主要问题,传统上已与多种分娩方式联系在一起。但是,仍然缺乏临床数据,可以证实这一观点。因此,本研究旨在评估分娩过程中使用的不同分娩方式下女性尿失禁的相关性。该研究是通过考虑三种分娩方式进行的,例如阴道,剖宫产和分娩时使用器械。比较每组的结果,包括发展为或经历了尿失禁的女性与完全没有问题或有轻微问题的女性的数量。方法:该研究是在Qassim大学诊所和Buraidah妇幼医院进行的。 2015年1月至5月为描述性横断面研究。目的是确定妇女为什么在分娩后容易出现尿失禁的核心原因。回顾性询问了最初的111名没有尿失禁的妇女和100名患有尿失禁的妇女的阴道分娩次数。然后询问另一组(111名没有尿失禁的尿失禁和100名有尿失禁的尿失禁),对她们剖宫产的妇女进行去甲酮的次数是重复的(111名没有尿失禁的妇女和100名有尿失禁的妇女)。与没有尿失禁(n = 8,8.0%)相比,五个或五个以上的阴道分娩有发生尿失禁的风险显着(p <0.001)(n = 74,66.67%)。与没有泌尿系统疾病的参与者(n = 61,61.0%)相比,有尿路问题的参与者(n = 100,90.09%)的比例显着(p <0.00.001)。 ,有尿路问题的参与者(n = 22,19.82%)比没有尿路问题的参与者(n = 8,8.0%)的比例显着(p = 0.014)。有工具的交付,结论:具有5个或更多阴道分娩以及器械分娩的女性在该研究中更容易出现尿失禁。这可能是因为阴道分娩和器械分娩导致会阴部损伤。这项研究的结果进一步证明了这一点,即从未进行过剖宫产的妇女更有可能报告尿失禁

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