[Prevalence of urinary incontinence and pelviperineal rehabilitation during the postpartum in a cohort of primipara and secondipara patients].
OBJECTIVE
Urinary incontinence is a classical sign of childbirth-related perineal trauma, the prevalence of which is estimated, depending on age, at between 10% and 50%. Pelviperineal rehabilitation offers an excellent opportunity to prevent pelviperineal disorders. The aim of the present study was to evaluate the prevalence of urinary incontinence and pelviperineal disorders in the local context, and also that of pelviperineal rehabilitation.


METHODS
Of the 1793 women who gave birth in Udine in 2006, 900 primipara and secondipara Caucasians with single term pregnancies dated ultrasonically to be within 20 weeks of gestation, were selected. A total of 602 of them were contacted by telephone and two questionnaires were administered.


RESULTS
The prevalence of pelviperineal rehabilitation in our population was 4.49%, while that of pelviperineal disorders was much higher, at around 40.20%. The prevalence of urinary incontinence was due in 27.57% of cases to stress and in 14.45% to urgency, with an overlap in 9.8% of cases and a story of prior incontinence in 9.97%. The prevalence of urinary urgency in women subjected to rehabilitation is significantly lower than in those not treated (P=0.004). Dyspareunia represents 16.11% of cases, coital incontinence 0.33%. One case of gas incontinence emerged but there was no case of faecal incontinence.


CONCLUSIONS
Pelviperineal rehabilitation in the observed population has a very low prevalence, especially if compared with the high prevalence of disturbances related to dysfunctions of the pelvic floor during postpartum.
Driul
L
L
Clinica di Ginecologia ed Ostetricia, Università degli Studi di Udine, 33100 Udine, Italia. lorenzadriul@hotmail.com
Del Neri
C
C
Bertozzi
S
S
Londero
A P
AP
Petrovec
M M
MM
Di Benedetto
P
P
Marchesoni
D
D
D000328:Adult; D015331:Cohort Studies; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D010298:Parity; D017773:Pelvic Floor; D010502:Perineum / Q000293:injuries; D049590:Postpartum Period; D011247:Pregnancy; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000534:rehabilitation*; D044465:White People / Q000706:statistics & numerical data