Manual Therapy, Posturology & Rehabilitation Journal
https://app.periodikos.com.br/journal/mtprehab/article/doi/10.17784/mtprehabjournal.2014.12.213
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Symptoms of the lower urinary tract in pregnant women in prenatal care

Morato, Maria Dione de Queiroz; Filoni, Eduardo; Fitz, Fatima Fani

Downloads: 0
Views: 827

Abstract

Introduction: During pregnancy, hormonal and mechanical factors responsible for the development and fetal growth causes changes in the genital and urinary tract of women. It is observed the appearance of urinary symptoms in pregnant women previously continents up to 74%. Evaluate urinary symptoms and knowledge of the region in this period are important because they impact negatively on the quality of pregnant women’s life. Objective: Evaluate the presence of urinary symptoms and knowledge of PFM in pregnant women. Method: This is a descriptive cross-sectional study that evaluated pregnant women in care at the Basic Health Unit of São Paulo/SP. The characterization of women was taken by the assessment form, to measure urinary symptoms was used the International Consultation on Incontinence Questionnaire - Short Form (ICIQ - SF). On the other hand, the knowledge of PFM was evaluated by a specific questionnaire. Results: We evaluated 37 pregnant women with a mean age of 26.3 (14 and 37) years, body mass index of 28.5 (20.8 and 45.8) kg/m2 and gestational age of 24.8 (5 e 40) weeks. We observed the presence of UI in 81.1% of pregnant women, with a mean severity of 9.9 points for the ICIQ - SF. And about 54% of them knew of the existence of PFM and only 20% could locate the muscles. Conclusion: We Observed a high prevalence of urinary symptoms in women with moderate severity. Half of the women reported knowing the PFM, but only one fifth of them were able to locate them.

Keywords

Pregnant Women. Pelvic floor. Urinary Incontinence.

References

1. Miquelutti MA, Bassani MA, Cecatti JG. Adaptações do organismo materno durante a gravidez. In: Marques AA, Silva MPP, Amaral MTP. Tratado de fisioterapia em saúde da mulher. São Paulo: Roca; 2011. p. 183-89.

2. Pereira SB, Riccetto C, Silva JM, Pereira LC. Aspectos urológicos da fisioterapia na gestação. In: Palma PCR. Urofisioterapia: aplicações clínicas das técnicas fisioterapêutica nas disfunções miccionais e do assoalho pélvico. Campinas: Personal Link; 2009. p. 325-36.

3. Iosif S, Henriksson L, Ulmsten U. Postpartum incontinence. Urol Int. 1981; 36(1):53-8. http://dx.doi.org/10.1159/000280393. PMid:7196104.

4. Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2000; 11(5):301-19. http://dx.doi.org/10.1007/s001920070021. PMid:11052566.

5. Hvidman L, Foldspang A, Mommsen S, NielsenJB. Postpartum urinary incontinence. Acta ObstetGynecol Scand. 2003 Jun;82(6):556-63. http://dx.doi.org/10.1034/j.1600-0412.2003.00132.x.PMid:12780427.

6. Raza-Khan F, Graziano S, Kenton K, Shott S, Brubaker L. Peripartum urinary incontinence in a racially diverse obstetrical population. Int Urogynecol J Pelvic Floor Dysfunct. 2006 Sep;17(5):525-30. http://dx.doi.org/10.1007/s00192-005-0061-y. PMid:16435097.

7. Fritel X, Schaal JP, Fauconnier A, Bertrand V, Levet C, Pigné A. Pelvic floor disorders 4 years after first delivery: a comparative study of restrictive versus systematic episiotomy. BJOG. 2008 Jan;115(2):247-52. http://dx.doi.org/10.1111/j.1471-0528.2007.01540.x. PMid:17970794.

8. MacLennan AH, Taylor AW, Wilson DH, Wilson D. The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG. 2000 Dec;107(12):1460-70. http://dx.doi.org/10.1111/j.1471-0528.2000.tb11669.x. PMid:11192101.

9. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003 Jan;61(1):37-49. http://dx.doi.org/10.1016/S0090-4295(02)02243-4. PMid:12559262.

10. Hannestad YS, Rortveit G, SANDVIK H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPICONT study. J Clin Epidemiol. 2000; 53(11):1150-7. http://dx.doi.org/10.1016/S0895-4356(00)00232-8. PMid:11106889.

11. Tamanini JTN, Dambros M, D’Ancona CA, Palma PC, Rodrigues Netto N Jr. Validação para o português do “International Consultation on Incontinence Questionnaire - Short Form” (ICIQ-SF). Rev Saude Publica. 2004 Jun;38(3):438-44. http://dx.doi.org/10.1590/S0034-89102004000300015. PMid:15243675.

12. Ashton-Miller JA, DeLancey JOL. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101(1):266-96. http://dx.doi.org/10.1196/annals.1389.034. PMid:17416924.

13. Hoyte L, Damaser MS. Magnetic resonance-based female pelvic anatomy as relevant for maternal childbirth injury simulations. Ann N Y Acad Sci. 2007 Apr;1101(1):361-76. http://dx.doi.org/10.1196/annals.1389.018. PMid:17363445.

14. Wall LL. The muscles of the pelvic floor. Clin Obstet Gynecol. 1993 Dec;36(4):910-25. http://dx.doi.org/10.1097/00003081-199312000-00016. PMid:8293592. 15. Lukacz ES, Lawrence JM, Contreras R, Nager CW, Luber KM. Parity, mode of delivery, and pelvic floor disorders. Obstet Gynecol. 2006 Jun;107(6):1253-60. http://dx.doi.org/10.1097/01.AOG.0000218096.54169.34. PMid:16738149.

16. van Brummen HJ, Bruinse HW, van der Bom JG, Heintz APM, van der Vaart CH. How do the prevalences of urogenital symptoms change during pregnancy? Neurourol Urodyn. 2006; 25(2):135-9. http://dx.doi.org/10.1002/nau.20149. PMid:16299813.

17. Sharma JB, Aggarwal S, Singhal S, Kumar S, Roy KK. Prevalence of urinary incontinence and other urological problems during pregnancy: a questionnaire based study. Arch Gynecol Obstet. 2009 Jun;279(6):845-51. http://dx.doi.org/10.1007/s00404-008-0831-0. PMid:19018548.

18. Bø K, Pauck Øglund G, Sletner L, Mørkrid K, Jenum AK. The prevalence of urinary incontinence in pregnancy among a multi-ethnic population resident in Norway. BJOG. 2012 Oct;119(11):1354-60. http://dx.doi.org/10.1111/j.1471-0528.2012.03435.x. PMid:22827706.

19. Scarpa KP, Herrmann V, Palma PCR, Ricetto CLZ, Morais S. Prevalência de sintomas urinários no terceiro trimestre da gestação. Rev Assoc Med Bras. 2006 May-Jun;52(3):153-6. http://dx.doi.org/10.1590/S0104-42302006000300015. PMid:16847521.

20. Martins G, Soler ZASG, Cordeiro JA, Amaro JL, Moore KN. Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women. Int Urogynecol J Pelvic Floor Dysfunct. 2010 Oct;21(10):1271-7. http://dx.doi.org/10.1007/s00192-010-1185-2. PMid:20502875.

21. Adaji SE, Shittu OS, Bature SB, Nasir S, Olatunji O. Suffering in silence: pregnant women’s experience of urinary incontinence in Zaria, Nigeria. Eur J Obstet Gynecol Reprod Biol. 2010 May;150(1):19-23. http://dx.doi.org/10.1016/j.ejogrb.2010.02.008. PMid:20189707.

22. Wesnes SL, Hunskaar S, Bo K, Rortveit G. The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study. BJOG. 2009 Apr;116(5):700-7. http://dx.doi.org/10.1111/j.1471-0528.2008.02107.x. PMid:19220234.

23. Ulmsten U, Ekman G, Giertz G, Malmström A. Different biochemical composition of connective tissue in continent and stress incontinent women. Acta Obstet Gynecol Scand. 1987; 66(5):455-7. http://dx.doi.org/10.3109/00016348709022054. PMid:3425248.

24. Toozs-Hobson P, Boos K, Cardozo L. Pregnancy, childbirth and pelvic floor damage. In: Appell, RA, Bourcier AP, La Torre F. Pelvic floor dysfunction: investigations & conservative treatment. Rome: Casa Editrice Scientifica Internazionale; 1999. p. 97-106.

25. Ware JE Jr, Sherbourne CD. The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83. http://dx.doi.org/10.1097/00005650-199206000-00002. PMid:1593914.

26. Kocak I, Okyay P, Dundar M, Erol H, Beser E. Female urinary incontinence in the west of Turkey: prevalence, risk factors and impact on quality of life. Eur Urol. 2005 Oct;48(4):634-41. http://dx.doi.org/10.1016/j.eururo.2005.04.017. PMid:15963633.

27. Kocaöz S, Talas MS, Atabekoğlu CS. Urinary incontinence in pregnant women and their quality of life. J Clin Nurs. 2010 Dec;19(23-24):3314-23. http://dx.doi.org/10.1111/j.1365-2702.2010.03421.x. PMid:20955482.

28. Chiarapa TR, Cacho DP, Alves AFD. Tratamento fisioterápico. In: Chiarapa TR, Cacho DP, Alves AFD. Incontinência urinária feminina. São Paulo: LMP; 2007. p. 123-81.

29. Bø K, Kvarstein B, Hagen RR, Larsen S. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence II. Validity of vaginal pressure measurements of pelvic floor muscle strength. The necessity of supplementary methods for control of correct contraction. Neurourol Urodyn. 1990; 9(5):479-87. http://dx.doi.org/10.1002/nau.1930090504.

30. Talasz H, Himmer-Perschak G, Marth E, Fischer-Colbrie J, Hoefner E, Lechleitner M. Evaluation of pelvic floor muscle function in a random group of adult women in Austria. Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jan;19(1):131-5. http://dx.doi.org/10.1007/s00192-007-0404-y. PMid:17876492.

588167db7f8c9d710a8b459f mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections