Primary Prevention of Urinary Incontinence: A Case Study of Prenatal and Intrapartum Interventions

被引:11
作者
Kissler, Katherine [1 ]
Yount, Susan M. [2 ,3 ,4 ]
Rendeiro, Melissa [5 ,6 ]
Zeidenstein, Laura [7 ,8 ]
机构
[1] Midwives Coll Utah, Salt Lake City, UT USA
[2] Frontier Nursing Univ, DNP Program, Hyden, KY USA
[3] Frontier Nursing Univ, Hyden, KY USA
[4] El Rio Birth & Womens Hlth Ctr, Tucson, AZ USA
[5] OB GYN & Infertil Grp PC, New Haven, CT USA
[6] Yale Univ, Sch Nursing, New Haven, CT 06520 USA
[7] Columbia Univ, Grad Midwifery Program, Sch Nursing, New York, NY 10027 USA
[8] Midwifery Manhattan, Manhattan, KS USA
关键词
female urogenital diseases and pregnancy complications; Kegel exercises; pelvic floor muscles; pelvic floor muscle training (PFMT); postpartum; pregnancy; second-stage labor; urinary incontinence; RISK-FACTORS; POSTNATAL URINARY; RANDOMIZED-TRIAL; DELIVERY; PREGNANCY; POSTPARTUM; OUTCOMES; WOMEN; MODE; CHILDBIRTH;
D O I
10.1111/jmwh.12420
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
A wealth of information is available regarding the diagnosis and treatment of urinary incontinence. However, there is a dearth of quality information and clinical practice guidelines regarding the primary prevention of urinary incontinence. Given the high prevalence of this concern and the often cited correlation between pregnancy, childbirth, and urinary incontinence, women's health care providers should be aware of risk factors and primary prevention strategies for stress urinary incontinence (SUI) in order to reduce associated physical and emotional suffering. This case report describes several common risk factors for SUI and missed opportunities for primary prevention of postpartum urinary incontinence. The most effective methods for preventing urinary incontinence include correct teaching of pelvic floor muscle training (PFMT; specifically Kegel exercises), moderate combined physical exercise regimens, counseling and support for weight loss, counseling against smoking, appropriate treatment for asthma and constipation, and appropriate labor management to prevent pelvic organ prolapse, urethral injury, and pelvic floor muscle damage.
引用
收藏
页码:507 / 511
页数:5
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