Female urinary incontinence during pregnancy and after delivery: Clinical impact and contributing factors

查看全文 作　　者：Paolo [1]Mannella;Giulia [1]Palla;Gonzalo Pérez-[2]Roncero;María T López-[2]Baena;Faustino R Pérez-[2,3]López

机构地区：[1]Division of Obstetrics and Gynecology, Center of Pelvic Disorders, University of Pisa, Hospital of Pisa, 56100 Pisa, Italy;[2]Red de Investigación de Ginecología, Obstetriciay Reproducción, Instituto Aragonés de Ciencias de la Salud, 50009 Zaragoza, Spain;[3]Department of Obstetrics and Gynecology, University of Zaragoza School of Medicine, 50009 Zaragoza, Spain

出　　处：《World Journal of Obstetrics and Gynecology》索引2013年第2卷第4期,共6页

摘　　要：Urinary incontinence(UI) is a common condition affecting adult women of all ages and it could have a negative infl uence on quality of life. The etiology of UI is multifactorial, but some of the most important risk factors are obesity and ageing, as well as adverse obstetric events. Pregnancy and delivery per se have been implicated in the etiology of UI. Although several studies have demonstrated a direct association between UI and vaginal delivery in short, medium and long-term, the role of childbirth on the risk of UI remains controversial. The mechanical strain during delivery may induce injuries to the muscle, connective and neural structures. Vaginal birth can be associated with relaxation or disruption of fascial and ligamentous supports of pelvic organs. Parity, instrumental delivery, prolonged labor and increased birth weights have always been considered risk factors for pelvic floor injury. Also genetic factors have been recently raised up but still there are not appropriate guidelines or measures to reduce signifi cantly the incidence of UI. The role of pelvic fl oor muscle training(PFMT) in the prevention and treatment of UI is still unclear. However, PFMT seems to be useful when supervised training is conducted and it could be incorporated as a routine part of women's exercise programmes during pregnancy and after childbirth. 关键词：尿失禁疾病治疗方法临床分析

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Female urinary incontinence during pregnancy and after delivery: Clinical impact and contributing factors

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