与自我报告的骨盆底疾病家族史相关的因素
Hannah A Zabriskie1, Whitney K Hendrickson2, Ingrid E Nygaard2
1Department of Physical Therapy & Athletic Training, University of Utah, Salt Lake City, UT.
骨盆器官脱落 (POP) 或尿失禁 (UI) 的家族病史受到各种因素的影响. 积极的家族病史与中度/严重的UI症状有关,但在产后一年没有解剖性POP.
科学领域:
- 生殖健康 生殖健康
- 泌尿和妇科 泌尿和妇科
- 产科 产科 产科 产科 产科
背景情况:
- 对于预防工作来说,骨盆器官脱落 (POP) 或尿失禁 (UI) 的家族病史 (FH) 是很重要的.
- 对于FHPOP/UI的认识可能会受到除了家庭成员中实际存在POP/UI之外的其他因素的影响.
研究的目的:
- 确定与怀孕期间和分娩后的FHPOP/UI+ (FHPOP/UI+) 阳性自我报告家族史相关的人口统计学和临床因素.
- 评估FHPOP/UI+和解剖性POP或中度/重度UI在产后一年之间的关联.
主要方法:
- 一个前性队列研究的二次分析.
- 用于评估关联的多重物流回归模型.
- 数据是在妊娠第三季度,产后8周和产后1年收集的.
主要成果:
- FHPOP/UI+与高等教育相关,母亲的剖腹产,怀孕期间和产后1年中度/严重的UI.
- 在怀孕期间和产后8周期间与FHPOP/UI+相关的扩大生殖器间隙和孕前BMI.
- FHPOP/UI+与中度/严重的UI相关 (P<0.001),但在产后1年没有解剖性POP (P=0.12).
结论:
- 家庭史的POP/UI是多因素的.
- 需要进一步的研究来探索遗传,文化和环境的贡献.
- 将FHPOP/UI描述为一个风险因素需要了解这些贡献因素.
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