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Prevalence of urinary incontinence during the late third trimester and three months postpartum period in King Chulalongkorn Memorial Hospital.

医学 麦克内马尔试验 怀孕 尿失禁 产科 产后 人口 克朗巴赫阿尔法 逻辑回归 体质指数 妇科 外科 内科学 环境卫生 统计 生物 心理测量学 临床心理学 遗传学 数学
作者
Somchai Tanawattanacharoen,Sawitree Thongtawee
出处
期刊:PubMed [National Institutes of Health]
卷期号:96 (2): 144-9 被引量:20
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To assess prevalence of Urinary Incontinence (UI) during the late third trimester and three months postpartum period in King Chulalongkorn Memorial Hospital.The present study population comprised > or = 36 weeks singleton pregnant women attending the ANC at King Chulalongkorn Memorial Hospital between 2009 and 2010. Questionnaire was developed from International Continence Society Questionnaire, which consisted of two parts, (1) socioeconomic demographic, characteristics related to UI, and (2) obstetric characteristic, UI experienced after delivery. Validity and reliability of the questionnaire were tested (Cronbach's alpha = 0.8). Chi-square, t-test, Pearson correlation McNemar test, and Binary logistic regression were used for comparison.The majority of the participants (93.8%) were aged between 20 and 39 years old. The prevalence of UI during late pregnancy and three months postpartum were 53.8% and 7.8%, respectively. This difference reached statistical significance (p < 0.001). There were 53.5% of stress UI, 20% of urge incontinence, and 7.8% of mixed type UI during late third trimester, whereas only stress UI was found in three months postpartum period. The only risk factor for late antenatal and early postpartum UI was high pre-pregnancy BMI (OR 2.3; 95% CI 1.38-3.85, p < 0.001 and OR 3.3; 95% CI 1.8-6.0, p < 0.001, respectively).The prevalence of UI was quite high during the late third trimester (53.8%) and decreased significantly three months postpartum (7.8%). Pre-pregnancy BMI is the only risk factor for developing UI in late antenatal and early postpartum period. This may help obstetricians for prediction and prevention of UI during pregnancy and postpartum in high-risk group.

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