Analysis of high-risk factors and management measures for postpartum SUI in multipara
Objective To analyze the high-risk factors and management measures for postpartum stress urinary incontinence(SUI)in multipara.Methods 101 cases of multipara were selected to count the occurrence of SUI in the 6-month postpartum period;their general information was also collected to compare the general information of multipara who had postpartum SUI with those who did not have postpartum SUI,and multivariate Logistic analysis was used to analyze the high-risk factors for the occurrence of postpartum SUI in multipara.Results Among 101 multipara,26 cases of postpartum SUI occurred,accounting for 25.74%(26/101).There was no statistically significant difference in the comparison of education level,occupation,smoking history,drinking history,and abortion history of multipara with postpartum SUI and those without postpartum SUI(P>0.05).Among the multipara with postpartum SUI,18 cases(69.23%)were aged>35 years,20 cases(76.92%)had a pre-pregnancy body mass index(BMI)≥24 kg/m2,15 cases(57.69%)had≥2 deliveries,17 cases(65.38%)had a prolonged(>2 h)second stage of labor,15 cases(57.69%)had vaginal deliveries,18 cases(69.23%)had gestational diabetes mellitus,19 cases(73.08%)had constipation,16 cases(61.54%)had neonatal weight≥4 kg.Among the multipara without postpartum SUI,23 cases(30.67%)were aged>35 years,30 cases(40.00%)had a pre-pregnancy BMI≥24 kg/m2,18 cases(24.00%)had≥2 deliveries,14 cases(18.67%)had a prolonged second stage of labor(>2 h),19 cases(25.33%)had a vaginal delivery,22 cases(29.33%)had gestational diabetes mellitus,27 cases(36.00%)had constipation,21 cases(28.00%)had neonatal weight≥4 kg.The percentages of multipara>35 years of age,pre-pregnancy BMI≥24 kg/m2,≥2 deliveries,prolonged second stage of labor(>2 h),vaginal delivery,gestational diabetes mellitus,constipation,and neonatal weight≥4 kg of multipara with postpartum SUI were higher than those without postpartum SUI(P<0.05).Logistic regression analysis showed that age>35 years[OR=5.087;95%CI=(1.935,13.375)],pre-pregnancy BMI≥24 kg/m2[OR=5.000;95%CI=(1.798,13.902)],≥2 deliveries[OR=4.318;95%CI=(1.685,11.069)],prolonged second stage of labor(>2 h)[OR=8.230;95%CI=(3.043,22.262)],vaginal delivery[OR=4.019;95%CI=(1.576,10.248)],gestational diabetes mellitus[OR=5.420;95%CI=(2.055,14.297)],having constipation[OR=4.825;95%CI=(1.799,12.941)],and neonatal weight≥4 kg[OR=4.114;95%CI=(1.612,10.503)]were independent risk factors for the development of postpartum SUI in multipara(P<0.05).Conclusion Age>35 years old,pre-pregnancy BMI≥24 kg/m2,≥2 deliveries,prolonged second stage of labor(>2 h),vaginal delivery,gestational diabetes mellitus,constipation,neonatal weight≥4 kg are independent risk factors for postpartum SUI in multipara.
万方数据
维普
