产后尿失禁的患病率和因素:系统综述和元分析
Sidi Dai1, Huating Chen1, Taizhen Luo2
1The Third Clinical College of Guangzhou Medical University, The Nursing College of Guangzhou Medical University, Guangzhou, China.
BMC pregnancy and childbirth
|October 29, 2023
概括
产后尿失禁影响了26%的女性. 关键的危险因素包括阴道分娩和高新生儿体重,而剖腹产提供了保护.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 产后尿失禁显著影响妇女的福祉.
- 识别促成因素对于开发有效的干预措施至关重要.
- 本综述旨在分析影响产后尿失禁的因素.
研究的目的:
- 仔细检查母亲产后尿失禁的影响.
- 为预防策略的临床进步提供经验参考.
- 阐明导致产后尿失禁的因素.
主要方法:
- 查找的文献数据库:Embase,PubMed,科学网,科克兰图书馆,CBM,VIP,CNKI和万芳数据.
- 所有研究设计都被考虑在2023年2月之前发表的文章.
- 包括的研究集中在经历规范性劳动和分娩的母亲身上,包括28303名女性.
主要成果:
- 在5,915个引用中,选出了32篇文章.
- 产后尿失禁的发生率为26% [95%CI: (21%30%) ].
- 确定了12个变量:剖腹产,阴道分娩,孕产妇年龄≥35,多方分娩,新生儿体重≥4公斤,围 dystonia,尿道病理史,怀孕前BMI≥24公斤/m2,围撕裂,仪器分娩,骨盆手术史,以及延长的第二阶段分娩.
结论:
- 史学因素,阴道分娩和4公斤以上的新生儿是产后尿失禁的重要危险因素.
- 剖腹产是预防产后尿失禁的保护因素.
- 对于已确定的风险因素的妇女,需要采取积极的干预措施.
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