Subject(s)
Humans , Female , Pregnancy , Physical Therapy Modalities , Pelvic Floor Disorders , Pregnancy , Uterine ProlapseSubject(s)
Humans , Female , Pregnancy , Physical Therapy Modalities , Pelvic Floor Disorders , Pregnancy , Uterine ProlapseABSTRACT
INTRODUCTION AND HYPOTHESIS: The International Continence Society (ICS) adopted 1.3 g as the normative value for the 24-h pad test. We hypothesized that this cutoff value may not be valid for women who live in countries with high temperatures. METHODS: We documented the 24-h pad test values of continent women in Brazil and investigated the factors that can influence in vaginal humidity. RESULTS: The sample consisted of 257 participants. The temperatures ranged from 19°C to 27.8°C. The median increase in the weight of the pad was 1.9 g (1.4-3.0 g, 95th percentile 4.4 g). Pad test results differed significantly between pre- and postmenopausal women (p = 0.026). There was a significant difference in the pad weights of women who use hormone therapy (p = 0.003). CONCLUSIONS: The value of the 24-h pad test established by the ICS was not valid for the investigated sample. Environmental conditions, menopausal status, and use of hormone therapy can interfere with the values of the pad test.
Subject(s)
Diagnostic Techniques, Urological/instrumentation , Incontinence Pads , Urinary Incontinence/diagnosis , Urination/physiology , Vagina/metabolism , Adult , Aged , Aged, 80 and over , Brazil/epidemiology , Circadian Rhythm/physiology , Equipment Design , Female , Follow-Up Studies , Humans , Incidence , Middle Aged , Prospective Studies , Reproducibility of Results , Severity of Illness Index , Time Factors , Urinary Incontinence/epidemiology , Urinary Incontinence/physiopathology , Young AdultABSTRACT
INTRODUCTION AND HYPOTHESIS: This study aimed to investigate obstetrical, neonatal, and clinical predictors of stress urinary incontinence (SUI) focusing on pelvic floor muscle (PFM) strength after vaginal delivery. METHODS: A cross-sectional study was used, and potential predictors of SUI were collected 5-7 months postpartum on 192 primiparous women. Predictors that reached significance in the bivariate analysis were entered into the Classification and Regression Tree that identified interactions among them and cutoff points to orient clinical practice. RESULTS: PFM strength was the strongest predictor of SUI. A combination of PFM strength ≤ 35.5 cmH(2)O, prior SUI, newborn weight > 2.988 g, and new onset of SUI in pregnancy predicted SUI. The model's accuracy was high (84%; p = 0.00). CONCLUSIONS: From the four predictors identified, three are modifiable by physical therapy. This could be offered to women targeting at PFM strength >35.5 cmH(2)O at the postpartum as well as at the prevention of SUI before and during pregnancy.
Subject(s)
Muscle Strength/physiology , Pelvic Floor/physiopathology , Puerperal Disorders/physiopathology , Urinary Incontinence, Stress/physiopathology , Adult , Birth Weight , Chi-Square Distribution , Cross-Sectional Studies , Delivery, Obstetric , Female , Humans , Infant, Newborn , Parity , Physical Therapy Modalities , Predictive Value of Tests , Pregnancy , Puerperal Disorders/rehabilitation , ROC Curve , Statistics, Nonparametric , Urinary Incontinence, Stress/rehabilitationABSTRACT
Incontinência urinária (IU) é um problema de saúde comum entre mulheres idosas, podendo afetar estruturas e função do corpo, atividades e participação social. Tratamentos conservadores têm sido indicados como alternativa para melhorar os sintomas de IU.
Urinary incontinence (UI) is a commom health problem among elderly women that may affect body structure, functions, activities and social participation. Conservative treatments are advocated as an alternative to improve UI symptoms...
