Stress urinary incontinence in postpartum women and related factors at Hung Vuong Hospital
Tóm tắt
Introduction: Stress urinary incontinence has not received much attention in Vietnam yet. It is noted in the literature that urinary incontinence can be present during pregnancy and increases after delivery.
Objectives: To determine the proportion of women with urinary incontinence during exercise 4-12 weeks postpartum and influencing factors.
Methods: A Cross-sectional study on 283 cases of postpartum at 4-12 weeks at Hung Vuong hospital from January 2021 to June 2021.
Results: (1) The prevalence of postpartum UI and SUI among women 4-12 weeks postpartum was 12.7%, with 95% CI [9.2-16.3] and 15.9%, with 95% CI [12.0-20.1]. (2) Factors associated with postpartum SUI are: vaginal delivery with ORadj = 5.18, 95% CI [1.9-14.1], p=0.001. Multiple vaginal births with ORadj = 3.77, 95% CI [1.18-12.0], p=0.025. Urinary incontinence during pregnancy with ORadj = 3.37, 95% CI [1.5-7.3], p=0.002. Caesarean section with ORadj = 0.03, 95% CI [0.002-0.587], p=0.019.
Conclusion: The prevalence of postpartum SUI and UI among women 4-12 weeks postpartum was 15.9%, 12.7% in our research. Injuries to the pelvic floor that disrupt urinary control during pregnancy and postpartum need to be detected early. In addition, noninvasive interventional studies for this condition are needed.