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Ruiz de Viñaspre Hernández R et al. Incontinencia urinaria en gestación: prevalencia y factores asociados. Metas de Enferm dic 2010/ene 2011; 13(10): 66-72
1Regina Ruiz de Viñaspre Hernández, 2Concepción Tomás Aznar
1Matrona del Servicio Riojano de Salud. Máster en Ciencias de la Enfermería.2Doctora. Profesora titular de Enfermería Comu
Regina Ruiz de Viñaspre Hernández. C/ Río Cidacos, 13, 4º C. 26006 Logroño.
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Methods: descriptive study, based on a personalized survey, performed on 103 pregnant women between the months of
january and march of 2009 in the San Pedro hospital of Logroño. The instrument used to measure the frequency and severity of urinary incontinence was the Incontinence Severity Index. The clinical classification of the type of incontinence was performed by administering the UI-4 questionnaire. Multivariate models of logistic regression were performed for prior and pregnancy UI.
Results: the prevalence of UI prior to pregnancy was 12,6% (95% CI: 6,2-19), and 48,5% during pregnancy (95% CI: 31,61-50,61). A statistically significant association was established between prior urinary incontinence and pregnancies, deliveries and depression. Urinary incontinence during pregnancy was associated with age, pregnancies, deliveries, use of forceps and number of cigarettes smoked. In the multivariate analysis, the pregnancies variable was associated with prior UI (OR 4,56; 95% CI: 1,09-19,08) and with UI during pregnancy (OR 3,56; 95% CI: 1,42-8,92).
Conclusions: nearly five of every ten pregnant women experience urinary incontinence during pregnancy. Four of every ten pregnant women will experience bladder leakages for the first time during pregnancy. Pregnant women with prior UI will experience more severe UI during pregnancy. Urinary incontinence before and after pregnancy is associated with prior pregnancies.
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