Pregnant women 40% 'Custody' Experience natural delivery and cesarean section at the same time, increasing the risk of development by 23 times
Dec 02, 2024
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A team led by Professor Han Jeong-yeol of obstetrics and gynecology at Inje University Ilsan Paik Hospital surveyed 824 pregnant women at three hospitals from April to December 2023 and found that 40.2% (331 people) had incontinence.
As for the type of urinary incontinence, 77.1% of the patients had stress incontinence that urinated without realizing it during physical activities such as exercise and coughing. This was followed by combined incontinence (16.9%) and urgent incontinence (6%).
The incidence of urinary incontinence also increased according to the previous pregnancy delivery method and frequency. Women who experienced both vaginal delivery (natural delivery) and cesarean section had the highest incidence of incontinence at 85.7%. Among suffocated women, the incidence of urinary incontinence was 62.7%, C-section women 39.7%, and undifferentiated pregnant women 32.2%.
As a result of analyzing the number of births and the incidence of urinary incontinence, 53.6% of women who delivered more than two times had incontinence, and 52.1% of women with first pregnancy and 33.2% of women without birth had incontinence.
The risk of incontinence was significantly different depending on the delivery method. Women who experienced cesarean section and vaginal delivery at the same time had a 23 times higher risk of incontinence. Choking women were 5 times more likely and cesarean women were 2 times more likely.
Depending on the period of pregnancy, 19.3% of the first trimester (within 14 weeks of pregnancy), 32.9% of the second trimester (within 14 weeks of pregnancy), and 54.2% of the third trimester (after 28 weeks of pregnancy).
Han Jeong-yeol, a professor of obstetrics and gynecology at Inje University Ilsan Paik Hospital, explained, `This is the first study in Korea to identify the prevalence and risk factors of incontinence in pregnant women.' `If vaginal delivery is performed along with hormonal changes during pregnancy, pelvic muscles and pelvic nerves are damaged, weakening the sphincter and bladder control function, which can increase the risk of incontinence.'
In addition, Professor Han Jeong-yeol "Initial incontinence can lead to postpartum depression by causing negative effects such as physical activity, social relationships, and emotional stability."If urinary incontinence occurs even during pregnancy, active treatment and management are important early," he advised."
The results of the study were published in the recent issue of the International Journal of Obstetrics and Gynology Science.
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bellho@sportschosun.com
