The study objectives were to (1) identify risk factors related to stress urinary incontinence (SUI) and postnatal depression (PD) after birth, and (2) investigate both possible directions of association between SUI and PD in population-based sample of Czech mothers. 3,701 nulliparous and multiparous women completed the self-reported questionnaires at 6 weeks and 6 months after birth and were included into the analyses of this prospective cohort study. Unadjusted and adjusted logistic regressions examined relationship between SUI a PD accounting for range of other risk factors. During the first 6 months after birth, 650 mothers (17.6%) developed SUI and 641 (17.3%) displayed signs of PD. The mode of delivery, parity and higher BMI were associated with SUI. The rate of PD symptoms was higher in mothers with positive history of prenatal depression, and in divorced or widowed mothers. Both conditions were associated with worse self-reported health, back pain and stop-smoker status. Initially, SUI at 6 weeks was slightly, but significantly associated with onset of PD at 6 months (OR 1.51, 95% CI 1.02-2.23) while PD at 6 weeks was not significantly related to new cases of SUI at 6 months (OR 1.48, 95% CI 0.91-2.39). After full adjustment these OR reduced to 1.41 and 1.38 (both non-significant), respectively. SUI and PD are common conditions in women postpartum that share some risk factors. Our study suggests that both directions of their relationship are possible although a larger study is needed to confirm our findings.
- MeSH
- Back Pain epidemiology MeSH
- Ex-Smokers psychology statistics & numerical data MeSH
- Adult MeSH
- Quality of Life * MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Depression, Postpartum complications epidemiology psychology MeSH
- Prospective Studies MeSH
- Risk Factors MeSH
- Socioeconomic Factors MeSH
- Urinary Incontinence, Stress epidemiology etiology psychology MeSH
- Pregnancy MeSH
- Widowhood psychology statistics & numerical data MeSH
- Maternal Age MeSH
- Health Status MeSH
- Self Report statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Observational Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
Článek se zabývá diagnostikou a možnostmi konzervativní léčby dysfunkcí pánevního dna a popisuje praktický přístup k pacientům s inkontinencí stolice, těžkou chronickou obstipací či syndromem puborektální kličky, možnosti diagnostiky, konzervativní léčby a přínos mezioborové spolupráce v léčbě těchto pacientů.
The article deals with the diagnostics and conservative treatment methods and diagnostic methods in pelvic floor dysfunction; it describes the practical approach to patients with stool incontinence, severe chronic constipation or syndrome of puborectal sling, the possibilities of diagnostics, conservative treatment and the contribution of interdisciplinary cooperation in treatment of those patients.
FBSS syndrom lze pozorovat u některých pacientů, kteří podstoupili operační výkon v oblasti bederní páteře. Tito pacienti trpí silnými chronickými bolestmi, které výrazně snižují kvalitu jejich života a celkovou akceschopnost. Autoři následujícího příspěvku se soustředí na současné možnosti kombinace invazivní terapie a rehabilitace u pacientů s FBSS.
FBSS syndrome can be seen in some patients after lower back surgery. These patients suffer from severe chronic pain which markedly worsens the life quality and overall functioning. The authors address current treatment methods combining invasive therapy and rehabilition of patients with FBSS.
Článek se zabývá diagnostikou a možnostmi konzervativní léčby dysfunkcí pánevního dna a popisuje praktický přístup k pacientům s inkontinencí stolice, těžkou chronickou obstipací či syndromem puborektální kličky, možnosti diagnostiky, konzervativní léčby a přínos mezioborové spolupráce v léčbě těchto pacientů.
The article addresses the diagnostics and conservative treatment methods in pelvic floor dysfunctions. It also describes the practical approach to patients with stool incontinence, severe chronic constipation, or the syndrome of puborectal loop. The diagnostics, conservative treatment and the importance of interdisciplinary approach is included.
- Keywords
- myofeedback, inkontinence stolice, inkontinence,
- MeSH
- Adult MeSH
- Fecal Incontinence nursing rehabilitation therapy MeSH
- Urinary Incontinence nursing rehabilitation therapy MeSH
- Humans MeSH
- Pelvic Floor physiology physiopathology pathology MeSH
- Physical Therapy Modalities classification utilization MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
