Relationship between urinary incontinence, types of delivery and prolapse

Abstract

Introduction: Urinary incontinence (UI) can be defined as any unconscious loss of objectively verifiable urine that causes social or hygienic discomfort. As factors that may interfere with the onset are pregnancy and vaginal prolapses. Objective: The aim of the present study was to observe whether there is a relationship between UI, birth routes and numbers and prolapse (POP). Method: This is a retrospective study of 173 medical records randomly collected from the database of the Physiotherapy in Women's Health sector, 18 of these were excluded, totaling 155 records analyzed. The data collected were: demographic data (age, body mass, height and body mass index); evaluation of urinary symptoms (presence or not of urinary incontinence and type), delivery information (quantity, delivery route) and presence or not of prolapse (anterior, posterior or apical compartment). Statistical analysis was done by chi-square test (x2) and p<0.05. Results: The results showed that the higher the number of deliveries the more likely to have apical prolapse x2 = 38.758; p= 0.003. For the relationship between route of delivery and UTI, and the relationship between POP and route of delivery, showed significant difference for all relationships made (p<0.05). Another relationship that was different statistically was between the number of cesarean deliveries and posterior and apical POP. Conclusion: It can be concluded that UTI is related to POP and route of delivery, with apical and posterior POP being higher in cesarean sections.