Analysis of Correlation Between the Severity of Urinary Incontinence and Sexual Function in Women with Pelvic Floor Dysfunction
Suellen Viana Lucena,
Daniele Matos de Moura Brasil,
Débora Fernandes Britto,
Tamires Ferreira do Carmo,
Glaucia Nunes Diniz de Oliveira Esmeraldo,
Simony Lira do Nascimento,
Ana Izabel Oliveira Nicolau,
Andreisa Paiva Monteiro Bilhar,
Aline Veras Morais Brilhante,
Leonardo Robson Pinheiro Sobreira Bezerra
Issue:
Volume 6, Issue 5, September 2018
Pages:
108-112
Received:
10 August 2018
Accepted:
1 September 2018
Published:
25 September 2018
Abstract: Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogynecology clinic with 110 women with stress or mixed UI. Exclusion criteria: overactive bladder syndrome, stage of pelvic organ prolapsed >3, neurological disease or dementia. The FSFI consists of 19 questions assessing female sexual function in the last 4 weeks in the areas of sexual desire, arousal, vaginal lubrication, orgasm, sexual satisfaction and pain. It was considered final score ≤ 26.5 indicative of sexual dysfunction. The UI was evaluated using the (ICIQ-SF) consists of 4 items such as frequency of UI, volume, impact of UI on daily life and urinary symptoms. Results: There was a statistically significant relationship between the final ICIQ-SF result (mean = 13) and the final FSFI score (mean = 23.4), (p = 0.004). The higher the ICIQ-SF final score, the lower the final FSFI score. The FSFI domains most affected by UI severity as evidenced by ICIQ-SF were: sexual desire (p =0.000), sexual arousal (p =0.036) and satisfaction (p =0.010). Conclusions: There was a strong correlation between the severity of stress and mixed UI and sexual function in the studied population. The UI negatively interferes with the woman's desire, arousal, and sexual satisfaction.
Abstract: Aim The study aimed to analyze the correlation between the intensity of urinary incontinence (UI) in women by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and sexual function by the Female Sexual Function Index (FSFI). Methods: Cross-sectional, correlational and quantitative study. It was developed in the urogyn...
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The Clinical Analysis of Vaginal Delivery After Cesarean Section, and Favorable factors for Vaginal Delivery
Yanhua Liu,
Guangpu Liu,
Zheng Wang,
Huixin Zhang
Issue:
Volume 6, Issue 5, September 2018
Pages:
113-119
Received:
9 August 2018
Accepted:
4 September 2018
Published:
29 September 2018
Abstract: The different modes of delivery and outcomes of mother and child in pregnant women who had prior cesarean section, and analysed favorable factors of vaginal delivery. Summarized characteristics related to vaginal delivery after cesarean section, in order to guide the clinic, decrease the rate of cesarean section, and promote natural childbirth. We designed an prospective study of pregnant women had single prior cesarean section (segmental transverse uterine scar), singleton, cephalic presentation, and full-term pregnancy, the total number was 379. Observed the mode of delivery and analysed the beneficial factors of vaginal delivery. Baseline maternal data and perinatal outcomes were recorded for a descriptive, and multivariate analysis. A p value＜0.05 was considered significant. In this study, 87 cases pregnant women had trial of labor, 64 cases were vaginal delivery finally, the success rate was 73.56% (64/87). The maternal age, BMI index in pre-pregnancy and pregnancy, and blood loss were all smaller in women who had vaginal delivery than re-cesarean section (p＜0.05). The gestational weeks, cervical maturity, and interval time from the prior cesarean section were larger in women had vaginal delivery (p＜0.05). Multivariate analysis showed maternal age, BMI index in pre-pregnancy, cervical maturity and psychology were related to vaginal delivery. VBAC is feasible and safe. Most women had previous cesarean section refuse to trial of labor, often to choose re-cesarean section. So control the first indication of cesarean section is rather important in China. Attention women’s weight before pregnant and psychology in pregnancy are significant. A management system of vaginal birth after cesarean were established, which to guide pregnant women more better and strengthen the education. In the meantime, have a good relationship and the trust between doctors and patients, pay attention to humanistic care, create a safe and comfortable environment to delivery should not be ignored.
Abstract: The different modes of delivery and outcomes of mother and child in pregnant women who had prior cesarean section, and analysed favorable factors of vaginal delivery. Summarized characteristics related to vaginal delivery after cesarean section, in order to guide the clinic, decrease the rate of cesarean section, and promote natural childbirth. We ...
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