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[Urinary disorders during pregnancy and post-partum]
1Clinique obstétricale, Hôpital Edouard-Herriot, Lyon.
In a study of 265 patients questioned in immediate post-partum, the authors observed a urinary incontinence during pregnancy in 46.4% of the cases and a post-partum incontinence in 21.5% of the cases. These figures are comparable to those found in literature. In this study, in agreement with the authors, the post-partum incontinence does not increase significantly when forceps have been used. On the other hand, it is exceptional after caesarian section. The incontinence observed during pregnancy and/or post-partum most often regresses in 60 to 80% of the cases. However, one can ask the question on whether it is not reveal a light pelvic alteration which could cumulate at each delivery. The difficulty to retain winds is observed in 26.7% of the cases. It seems to be correlated in a significant way to the use of forceps. The local--regional anaesthesia does not modify significantly the occurrence of urinary or rectal disorders.
In a study of 265 patients questioned in immediate post-partum, the authors observed a urinary incontinence during pregnancy in 46.4% of the cases and a post-partum incontinence in 21.5% of the cases. These figures are comparable to those found in literature. In this study, in agreement with the authors, the post-partum incontinence does not increase significantly when forceps have been used. On the other hand, it is exceptional after caesarian section. The incontinence observed during pregnancy and/or post-partum most often regresses in 60 to 80% of the cases. However, one can ask the question on whether it is not reveal a light pelvic alteration which could cumulate at each delivery. The difficulty to retain winds is observed in 26.7% of the cases. It seems to be correlated in a significant way to the use of forceps. The local--regional anaesthesia does not modify significantly the occurrence of urinary or rectal disorders.