Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study

Abstract Objectives: to evaluate the association of episiotomy with pelvic floor function and the occurrence of urinary and fecal incontinence in primiparous adolescents. Methods: a cross-sectional study was conducted with primiparous adolescents aged ten to 19 years, seven and 48 months before da...

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Main Authors: Dominique Babini, Maria Luci Quirino, Alexandre Delgado, Andrea Lemos
Format: Article
Language:English
Published: Instituto Materno Infantil de Pernambuco 2024-12-01
Series:Revista Brasileira de Saúde Materno Infantil
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292024000100447&lng=en&tlng=en
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author Dominique Babini
Maria Luci Quirino
Alexandre Delgado
Andrea Lemos
author_facet Dominique Babini
Maria Luci Quirino
Alexandre Delgado
Andrea Lemos
author_sort Dominique Babini
collection DOAJ
description Abstract Objectives: to evaluate the association of episiotomy with pelvic floor function and the occurrence of urinary and fecal incontinence in primiparous adolescents. Methods: a cross-sectional study was conducted with primiparous adolescents aged ten to 19 years, seven and 48 months before data collection. Participants completed a form containing their personal data and the International Consultation on Urinary Incontinence (UI) Short Form, Incontinence Severity Index and the Jorge & Wexner Incontinence Scale. Results: the mean values were statistically significant for the variables analyzed. Lower mean values were obtained for strength, endurance and number of sustained and rapid contractions in the group exposed to episiotomy, compared to the control group. Episiotomy increased the odds of: UI (OR= 15.2; CI95%= 8.1-28.4), UI-related changes in quality of life (OR= 15.9; CI95%= 8.5-30.0), fecal incontinence (OR= 18.5; CI95%= 6.4-5.7) and constipation (OR= 10.8; CI95%= 4.8-24.2) in primiparous adolescents, compared to the control group. Conclusions: episiotomy can negatively influence pelvic floor function and urinary and fecal retention. Professionals working in maternal health care should be aware of and reflect on obstetric practices during childbirth in adolescents.
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spelling doaj-art-9585ea704da4461887dc88bb51fc11492025-08-20T02:49:36ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-93042024-12-012410.1590/1806-9304202400000030-enPelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional studyDominique Babinihttps://orcid.org/0000-0003-0997-0663Maria Luci Quirinohttps://orcid.org/0009-0004-9458-1455Alexandre Delgadohttps://orcid.org/0000-0002-2311-8744Andrea Lemoshttps://orcid.org/0000-0003-0631-0512Abstract Objectives: to evaluate the association of episiotomy with pelvic floor function and the occurrence of urinary and fecal incontinence in primiparous adolescents. Methods: a cross-sectional study was conducted with primiparous adolescents aged ten to 19 years, seven and 48 months before data collection. Participants completed a form containing their personal data and the International Consultation on Urinary Incontinence (UI) Short Form, Incontinence Severity Index and the Jorge & Wexner Incontinence Scale. Results: the mean values were statistically significant for the variables analyzed. Lower mean values were obtained for strength, endurance and number of sustained and rapid contractions in the group exposed to episiotomy, compared to the control group. Episiotomy increased the odds of: UI (OR= 15.2; CI95%= 8.1-28.4), UI-related changes in quality of life (OR= 15.9; CI95%= 8.5-30.0), fecal incontinence (OR= 18.5; CI95%= 6.4-5.7) and constipation (OR= 10.8; CI95%= 4.8-24.2) in primiparous adolescents, compared to the control group. Conclusions: episiotomy can negatively influence pelvic floor function and urinary and fecal retention. Professionals working in maternal health care should be aware of and reflect on obstetric practices during childbirth in adolescents.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292024000100447&lng=en&tlng=enAdolescentParityEpisiotomyFecal incontinenceUrinary incontinence
spellingShingle Dominique Babini
Maria Luci Quirino
Alexandre Delgado
Andrea Lemos
Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study
Revista Brasileira de Saúde Materno Infantil
Adolescent
Parity
Episiotomy
Fecal incontinence
Urinary incontinence
title Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study
title_full Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study
title_fullStr Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study
title_full_unstemmed Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study
title_short Pelvic floor function, urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy: a cross-sectional study
title_sort pelvic floor function urinary and fecal incontinence within primiparous adolescents according to the presence of episiotomy a cross sectional study
topic Adolescent
Parity
Episiotomy
Fecal incontinence
Urinary incontinence
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292024000100447&lng=en&tlng=en
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