Pelvic floor dysfunctions in primiparous women after birth

Authors

  • Sonia Maria Junqueira Vasconcellos de Oliveira Escola de Enfermagem da Universidade de São Paulo http://orcid.org/0000-0002-8007-2092
  • Adriana de Souza Caroci Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brasil.
  • Edilaine de Paula Batista Mendes Hospital Santa Bárbara, Santa Bárbara d’Oeste, São Paulo.
  • Sheyla Guimarães de Oliveira Programa Pós-Graduação em Enfermagem da Escola de Enfermagem da Universidade de São Paulo, SP, Brasil.
  • Francine Penha Silva Programa de Residência em Enfermagem Obstétrica da Escola de Enfermagem, Universidade de São Paulo, SP, Brasil.
DOI: https://doi.org/10.6018/eglobal.17.3.292821
Keywords: Urinary tract infection, Urinary incontinence, Anal incontinence, Dyspareunia, Primiparous, Postpartum period

Supporting Agencies

  • CNPQ-Conselho Nacional de Desenvolvimento Científico e Tecnológico (Processo n. 312237/2013-8)

Abstract

Objective: To assess the prevalence of the urinary tract infection (UTI), urinary incontinence (UI), anal incontinence (AI) and dyspareunia among primiparous women, as well as to identify the association between dyspareunia and UI and mode of birth.
Material and methods: Prospective observational study carried out with 96 post-partum women (72 normal births and 24 caesarean section), two and six months after birth. Data were collected via prenatal cards, medical registers and interviews with women between January and August, 2014, at the Centro do Parto Normal do Pronto Socorro e Maternidade Municipal Zoraide Eva das Dores, located in Itapecerica da Serra, São Paulo, and at Health Centers in the Itapecerica da Serra and the cities of Juquitiba, São Lourenço and Embú-Guaçú.
Results: During pregnancy, 52.1% of women reported UTI and 30.2%, UI. Two and six months after birth, there was a prevalence of 4.2% and 11.8% of UTI, 17.7% and 11.8% of UI, 8.4% of AI (6.3% of flatus incontinence and 2.1% of feces) and 2.0% (only flatus incontinence; there was no faecal incontinence); and 48.1% and 17.8% of dyspareunia, respectively. There was no statistical association between the mode of delivery and dyspareunia and UI (p=0.742 and p=0.738; respectively).
Conclusions: The most frequent pelvic floor dysfunctions (PFD) after birth were IU and dyspareunia. There was spontaneous reduction of the PFD in the sixth month after birth. The early identification of these diseases is extremely important to prevent, diagnose and treat any harm to women’s physical and emotional health.

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Author Biographies

Sonia Maria Junqueira Vasconcellos de Oliveira, Escola de Enfermagem da Universidade de São Paulo

Professora Associada. Departamento de Enfermagem Materno-Infantil e Psiquiátrica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.

Adriana de Souza Caroci, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brasil.

Professora Doutora. Curso de Obstetrícia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brasil.

Edilaine de Paula Batista Mendes, Hospital Santa Bárbara, Santa Bárbara d’Oeste, São Paulo.

Mestre em Ciências, Escola de Enfermagem, Universidade de São Paulo.

Enfermeira Obstétrica, Hospital Santa Bárbara, Santa Bárbara d’Oeste, São Paulo.

Sheyla Guimarães de Oliveira, Programa Pós-Graduação em Enfermagem da Escola de Enfermagem da Universidade de São Paulo, SP, Brasil.

Enfermeira Obstétrica. Mestranda do Programa Pós-Graduação em Enfermagem da Escola de Enfermagem da Universidade de São Paulo, SP, Brasil.

Francine Penha Silva, Programa de Residência em Enfermagem Obstétrica da Escola de Enfermagem, Universidade de São Paulo, SP, Brasil.

Enfermeira Obstétrica. Residente do Programa de Residência em Enfermagem Obstétrica da Escola de Enfermagem, Universidade de São Paulo, SP, Brasil.

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Published
29-06-2018
How to Cite
[1]
Junqueira Vasconcellos de Oliveira, S.M. et al. 2018. Pelvic floor dysfunctions in primiparous women after birth. Global Nursing. 17, 3 (Jun. 2018), 26–67. DOI:https://doi.org/10.6018/eglobal.17.3.292821.
Issue
Vol. 17 No. 3 (2018): #51-Julio
Section
ORIGINAL RESEARCH

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