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Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Riesco, M. L. G., Fernandes-Trevisan, K., Leister, N., Cruz, C. D., Caroci, A. D. and Zanetti, M. R. D. (2014). Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study. Revista da Escola de Enfermagem da USP, 48(spe), pp. 32-38. doi: 10.1590/s0080-623420140000600005

Abstract

<jats:p> Objective To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry. The pregnant women who presented UI answered the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results It was found that maternal age (OR=1.06; CI95% 1.02-1.11) and prior UI (OR=15.12; 95%CI 8.19-27.92) are the variables that, in tandem, best explain the occurrence of UI at the beginning of pregnancy. The mean score on the ICIQ-SF was 8.2 (SD=3.9), considered a moderate impact on quality of life. Conclusion Older pregnant women with prior UI are more likely to have UI in the first trimester of pregnancy.
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Publication Type: Article
Additional Information: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Publisher Keywords: Pregnancy; Muscle strength; Perineum; Urinary incontinence; Midwifery
Subjects: R Medicine > RG Gynecology and obstetrics
Departments: School of Health Sciences
URI: http://openaccess.city.ac.uk/id/eprint/21130
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