Screening of Immediate Post Partum Females for Urinary Incontinence
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 2
Abstract
Purpose and relevance: Urinary Incontinence (UI) is highly prevalent and under reported in females. Pregnancy and vaginal delivery has been found to be one of the risk factors for UI. Literature reports high chances of incontinence after 2 to 3 months of delivery. There is lack of study which finds prevalence of UI in immediate post partum (up to 6 weeks post partum) females. So this study aims to screen immediate post partum females for urinary incontinence. Participants: All immediate post partum females reporting to OPD and admitted in ward of Obstetrics and Gynecology Department of V.S. General Hospital, Ahmedabad from February 2016 to May 2016. Methodology: Participants were given a questionnaire developed in Hindi and Gujarati using standard measurement tools for severity and diagnosis of UI. It has 9 closed questions along with general demographic data. Analysis: Total 600 females were enrolled in the study, 82 excluded due to insufficient information. Total 518 females (Mean age: 24.80 years and BMI: 23.19 Kg/m2, mean post partum duration 5.17 days) data were analysed using descriptive statistics and Microsoft excel work sheet. Results: 3% subjects had urinary leakage problem out of them 53% had leakage while coughing, sneezing or bending and 46% had while going to bathroom. 85% leaks few drops and 8% leaks few tea spoons. Conclusion and clinical relevance: 3% subjects had urinary leakage problem, which is low as per the literature. It can be due to lack of interest of females in filling questionnaire due to more concentration in other post partum issues. The structural changes may also take some time to develop and so the actual urinary incontinence problem may not be seen immediately. Implication: Early screening can help in early diagnosis and prevention and helps in improving the quality of life of women.
Authors and Affiliations
Ami Vishal Mehta
Keywords
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