The effect of a comprehensive care and rehabilitation program on enhancing pelvic floor muscle functions and preventing postpartum stress urinary incontinence

Autor: Lei Peng, Xiaowen Qi, Juan Shan, Fanglei Xu, Cuihong Zhang
Rok vydání: 2019
Předmět:
Adult
comprehensive care and rehabilitation program
medicine.medical_specialty
Urinary Incontinence
Stress
medicine.medical_treatment
Observational Study
Urinary incontinence
Pelvic Floor Muscle
Body Mass Index
Random Allocation
03 medical and health sciences
healthy education
0302 clinical medicine
Pregnancy
medicine
Humans
030212 general & internal medicine
Health Education
reproductive and urinary physiology
Rehabilitation
puerperae
Cesarean Section
Vaginal delivery
business.industry
Obstetrics
Incidence
Incidence (epidemiology)
Postpartum Period
pelvic floor muscle training
Pelvic Floor
Puerperal Disorders
General Medicine
Delivery
Obstetric
medicine.disease
stress urinary incontinence
030220 oncology & carcinogenesis
Female
Comprehensive Health Care
medicine.symptom
business
Body mass index
Postpartum period
Maternal Age
Research Article
Zdroj: Medicine
ISSN: 1536-5964
0025-7974
DOI: 10.1097/md.0000000000016907
Popis: This study was to investigate the incidence and the risk factors of postpartum stress urinary incontinence (SUI), and the effect of comprehensive care and rehabilitation program (CCRP) on preventing postpartum SUI. In stage I, 479 puerperae were recruited within 1 week postpartum, then the postpartum SUI incidence at 8th week and its risk factors were investigated. In stage II, 240 vaginal delivery puerperae were enrolled within 1 week postpartum and randomly assigned to CCRP group or control group as 1:1 ratio. The postpartum SUI incidence and pelvic floor muscle function indexes were evaluated at 8th week. In stage I, the postpartum SUI incidence was 25.7%, and SUI puerperae presented with higher body mass index (BMI), vaginal delivery rate, newborn weight, and larger newborn head diameter compared with non-SUI puerperae. Besides, the vaginal delivery, the elevated age and BMI were independent risk factors for postpartum SUI. In stage II, the postpartum SUI incidence in CCRP group was decreased compared with control group, and the vaginal resting pressure, vaginal squeezing pressure, and vaginal contraction duration were increased in CCRP group compared to control group at 8th week postpartum. The incidence of postpartum SUI is 25.7%, and the vaginal delivery, increased age, and BMI are independent risk factors for postpartum SUI. More importantly, CCRP strengthens pelvic floor muscle functions and decreases postpartum SUI incidence in puerperae.
Databáze: OpenAIRE
Externí odkaz: