Nullipar Gebelerde İnkontinans Prevalansı ve Risk Faktörlerinin Değerlendirilmesi

Year 2019, Volume: 3 Issue: 3, 213 - 218, 31.12.2019

Hilal Uslu Yuvacı , Mehmet Musa Aslan , Nimet Yerli Arif Serhan Cevrioğlu

https://doi.org/10.34084/bshr.631162

Cited By: 1

Abstract

Amaç: Üriner inkontinans (Üİ) kadınları fiziksel, sosyal ve  ekonomik yönden etkileyen; yaşam kalitelerini
bozan yaygın bir sağlık sorunudur. Gebelik ve doğuma ek olarak anne yaşı,
parite, önceki doğum öyküsü, beden kitle indeksi ve gebelik öncesi Üİ varlığı
gebelikte Üİ için risk faktörleridir. Bu çalışmada nullipar gebelerde Üİ
prevelansı ve  risk faktörleri
araştırıldı.

Materyal-metot: 1 Mart–30 Aralık 2017 tarihleri
arasında  Kadın Hastalıkları ve Doğum polikliniğimize
başvuran 18-45 yaş arası nullipar gebeler çalışmaya dahil edildi. Olgulara
Uluslararası İdrar Kaçırma Konsültasyon Sorgulaması-Kısa Form ICIQ-SF(International
Consultation on Incontinence Questionnaire Short Form) yüz yüze görüşme ile
doldurtuldu. Olguların demografik bilgileri ve ICIQ-SF puanları
değerlendirildi.

Bulgular:
Bu çalışmada nullipar gebelerde Üİ prevelansı % 15,9 olarak
bulundu. >30 yaş olanlarda ICIQ-SF toplam
puanları istatistiksel olarak anlamlı düzeyde yüksek bulundu (p<0,05). Çocukluk çağı
enürezisi ve inkontinans öyküsü olanların olmayanlara göre ICIQ-SF toplam puanları
istatistiksel olarak anlamlı düzeyde yüksek bulundu(p<0,05). Gebelik dönemi ile ICIQ-SF toplam puanları karşılaştırıldığında, gebelik dönemi 3.trimester
olanların 1.trimester olanlara göre ICIQ-SF toplam
puanları istatistiksel olarak anlamlı düzeyde bulundu(p<0,05).

Sonuç:
Bu çalışmada nullipar gebelerde Üİ prevelansı % 15,9 olarak
bulundu. Üriner inkontinans prevelansı gebelik
haftası ile artmaktadır.  Çocukluk çağı
enüresis ve üriner inkontinans öyküsü üriner inkontinans için risk faktörüdür. 

Keywords

Üriner inkontinans, risk faktörü, gebelik, nullipar, ICIQ-SF

Evaluation of Incontinence Prevalence and Risk Factors in Nulliparous Pregnant Women

Abstract

Aim:
Urinary incontinence (UI) affects women physically, socially and economically;
is a common health problem that deteriorates quality of life. Apart from
pregnancy and delivery itself, maternal age, parity, previous birth history,
body mass index and presence of pre-pregnancy UI are risk factors for UI during
pregnancy. In this study, the prevalence and risk factors of UI in nulliparous
pregnant women were investigated.

Material-Method:
Nulliparous pregnant women aged between 18-45 years who were admitted to the
Gynecology and Obstetrics outpatient clinics of between March 1 and December
30, 2017 were included in the study. ICIQ-SF (International Consultation on
Incontinence Questionnaire Short Form) was filled with face-to-face interview.
Demographic data and ICIQ-SF scores were evaluated.

Results:
In this study, the prevalence of UI in nulliparous pregnant women was found to
be 15,9 %. ICIQ-SF total scores were significantly higher in patients >30
years (p <0,05). The ICIQ-SF total scores of the patients with a history of
childhood enuresis and incontinence were significantly higher than those
without a history of incontinence (p <0,05). When ICIQ-SF total scores were
compared with the gestational period, ICIQ-SF total scores of the third
trimester and the first trimester were found to be statistically significant (p
<0,05).

Conclusion:
In this study, the prevalence of UI in nulliparous pregnant women was found to
be 15.9%. The prevalence of urinary incontinence increases with gestational
week. Childhood enuresis and history of urinary incontinence are risk factors
for urinary incontinence.

 

Keywords

Urinary incontinence, risk factor, pregnancy, nullipar, ICIQ-SF

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