The Epidemiological Research Of Primipara With Urinary Incontinence During The Postpartum Period 1 And 5 Years In Shanxi Province

Objective:1、To investigate the prevalence rate of primipara with urinary incontinence during the postpartum period 1 and 5 years in shanxi province.2、To investigate the constituent ratio of primipara with different types of UI during the postpartum period 1 and 5 years in shanxi province.3、To investigate the differences about prevalence of UI between urban and village primipara during the postpartum period 1 and 5 years.4、To explore the impact of different delivery patterns for the prevalence of UI in shanxi province primipara during the postpartum period 1 and 5 years.5、To investigate the risk factors、 high-risk population of SUI in shanxi province primipara during the postpartum period 5 years. Method:From June 2007 to Nov.2007,Choose primipara from 5 different areas of shanxi province(Taiyuan 、 Jinzhong 、 Yangquan 、 Yuncheng 、 Jincheng),a primipara population-based cross-sectional study with method of step cluster sampling.All the subjects were telephone interviewed with questionnaire including general demographic data 、 the pregnancy childbirth related information and Bristol Female lower urinary tract symptoms Questionnaires(IQ-BFLUTS)for lower urinary tract symptoms.A actual sample of 954 was taken according to the Incidence of UI in national epidemiological result and sample error.930 primiparas were interviewed at 1 year postpartum,24 people was lost in follow-up(2.5%),697 primiparas were interviewed at 5 year postpartum,99 people was lost in follow-up(10.65%) and 134 second birth people was excluded.Data analyzing with spss17.0 software. Result:1、The prevalence rate of UI、SUI、UUI、MUI and other types of UI at 1 year postpartum in shanxi province primipara was 24.62%、13.55%、2.04%、8.82%、0.22% respectively. The prevalence rate of UI、SUI、UUI、MUI and other types of UI at 5 year postpartum in shanxi province primipara was 14.92%、9.04%、0.72%、5.02%、0.14% respectively. There were statistical difference at UI、SUI、UUI、MUI,the prevalence rate of 1 year postpartum was higher than 5 year postpartum.2、During the period of postpartum 1 year,the prevalence of UI、 SUI、UUI、MUI and other types of UI was 25.43%、16.03%、2.14%、7.26%、0%respectively in urban primipara and 23.81%、11.04%、1.95%、10.39%、0.43%respectively in village primipara. The prevalence rate of UI was no statistical difference between them(P>0.05),while the prevalence rate of SUI was higher in urban. During the period of postpartum 5 year,the prevalence of UI、 SUI、UUI、MUI and other types of UI was 15.38%、9.23%、0.51%、5.38%、0.26%respectively in urban primipara; 14.33%,8.79%、0.98%、4.56%(14/307)、0%respectively in village primipara. There was no statistical difference between them(P>0.05).3、During the period of postpartum 1 year.the prevalence of UI、SUI、UUI、MUI and other types of UI was 28.40%、15.76%、2.53%、10.12%、0%respectively in vaginal delivery primipara and 19.95%、10.82%、1.44%、7.21%、0.48%respectively in caesarean section primipara.The prevalence rate of UI was higher in vaginal delivery primipara(P<0.05).During the period of postpartum 5 year.the prevalence of UI、SUI、UUI、MUI and other types of UI was 20.00%、13.33%、0.56%、6.11%、0%respectively in vaginal delivery primipara and 9.50%、 4.45%、0.89%、3.86%、0.30%respectively in caesarean section primipara.The prevalence rate of UI was higher in vaginal delivery primipara(P<0.05).4、During the period of postpartum 1 year,the prevalence of SUI、UUI、MUI was 20.47%,2.80%,8.37% respectively in urban vaginal delivery primipara; the prevalence of SUI、 UUI、 MUI was 12.25%,1.58%,6.32% respectively in urban caesarean section primipara;the prevalence of SUI、UUI、MUI was 12.37%,2.34%,11.37%respectively in village vaginal delivery primipara; the prevalence of SUI、UUI、MUI and other types of UI was 8.59%,1.23%,8.59%,1.23% respectively in village caesarean section primipara.5、During the period of postpartum 5 year,the prevalence of SUI、UUI、MUI was 14.45%,0.58%,5.78%respectively in urban vaginal delivery primipara; the prevalence of SUI、UUI、MUI and other types of UI was 5.07%,0.46%,5.07%,0.46% respectively in urban caesarean section primipara;the prevalence of SUI 、 UUI 、 MUI was 12.83%,0.53%,5.88% respectively in village vaginal delivery primipara; the prevalence of SUI、 UUI、 MUI was 2.50%,1.67%,2.50% respectively in village caesarean section primipara.6、The constituent ratio of SUI、UUI、MUI and other types of UI was 55.02%、8.30%、35.81%、0.87%respectively in shanxi primipara during the postpartum period 1year.63.03%、8.40%、28.57%in urban and46.36%、8.18%、43.64%in village.55.48%、8.90%、35.62%with vaginal delivery and 54.22%、7.23%、36.14%with caesarean section.7、The constituent ratio of SUI、UUI、MUI and other types of UI was 60.58%、4.81%、33.65% 、 0.96%respectively in shanxi primipara during the postpartum period 5 year.60.00%、3.33%、35.00%in urban and 61.36%、6.82%、31.82%in village.66.67%、2.78%、30.56%with vaginal delivery and 46.88%、9.38%、40.63%with caesarean section.8、The prevalence rate of SUI at 5 year postpartum in primipara was no statistical difference between various conditions of delivery age,area,higher abdominal pressure disease,constipation,cough,breast feeding,antenatal Bm I,the weight of newborn,shrinking anus exercise,sexual satisfaction,postpartum activities( p > 0.05).while there was significant statistical difference between various of delivery pattern、UI during pregnancy and postpartum(p<0.05). Conclusion:1、Compare to 1year postpartum,the prevalence of UI、SUI、UUI、MUI at 5 year postpartum was decline among primipara.2、There was no statistical difference in UI prevalence between urban and village primipara. But SUI prevalence in urban was higher than village at postpartum 1 year. The reason maybe is women in urban were more care about their body, when they recover, prevalence of SUI was no statistical difference in different area at postpartum 5 year.3、The prevalence rate of UI and SUI at 1 and 5 year postpartum in primipara with vaginal delivery were higher than that of caesarean section.4、The major structural characteristic of UI at 1 and 5 year postpartum in primipara was SUI, then MUI、UUI,Its same in urban、village、vaginal delivery、caesarean section groups.5、The risk factors of prevalence of SUI at 5 year postpartum in primipara including vaginal delivery,UI during pregnancy,UI at postpartum;caesarean section was protective factor.