| OBJECTIVE:To investigate the impact of pregnancy,different delivery modes and the other factors of delivery on stress urinary incontinence.METHODS:180 pnmipara,who had chuild delivery in our hospitai and were followed up 42 days after delivery,were recruited and their symptoms of stress urinary incontinence during and after pregnancy were investigated.The information of delivery was also recorded.The questionnaire was designed according to International Continence Society.As many as 161 questionnaires were valid and their data were analyzed in order to evaluate the risk factors of stress urinary incontinence.RESULTS:①56 of 161(34.78%)women complained of urinary leakage at least once during pregnancy,and 37 of 161(22.98%)women complained of urinary leakage at least once after delivery.The three factors that associated with postpartum urinary incontinence were the weight of newborn,the rest time after delivery,and the mode of delivery,but not the occurrence of urinary incontinence during pregnancy and the age.②The incidence of postpartum urinary incontinence in spontaneous vaginal delivery,and cesarean section Was 50%(24/48)and 11.5%(13/113)respectively. The incidence of urinary incontinence in spontaneous vaginal delivery Was obviously higher than that of the cesarean section(P＜0.001).③The risk factors to postpartum urinary incontinence in vaginal delivery was the duration of the second period of delive.But the outher events,such as gestational weeks,age,fetal weight,pudendal tears,episiotomy,lactation and the occurrence of urinary incontinence during. pregnant,were not correlated.CONCLUSION:①Cesarean section is obviously protective to postpartum stress urinary incontinence than vaginal delivery.②Heavy fetal weight increases the risk of postpartum stress urinary incontinence.③The symptoms of the most women with postpartum stress urinary incontinence are mild.Pelvic floor exercise during pregnancy and after delivery is valid to prevent postpartum urinary incontinence. |
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