Irritative Bladder Symptoms After Vaginal Delivery Or C-section [sintomas Urinários Irritativos Após Parto Vaginal Ou Cesárea]

Objective. This study intended to investigate the frequency of irritative bladder symptoms three years after delivery in women previously interviewed in the third trimester of pregnancy and its correlation to mode of delivery, parity, maternal age, birth weight, episiotomy and forceps. MethOds. From 340 women previously evaluated at the third trimester of pregnancy, 120 were interviewed three years after delivery, between June and October 2006. Correlation of postpartum irritative bladder symptoms and mode of delivery (exclusively vaginal or c-section), parity, maternal age, birth weight, episiotomy and forceps was analyzed. Associations between irritative bladder symptoms and obstetric parameters were assessed by the Fisher's exact test and Chi-square (p 35), birth weight (≥ 4000g), episiotomy and forceps. cOnclusiOn. After childbirth, dysfunction of the lower urinary tract, characterized by irritative bladder symptoms, was not associated with mode of delivery, parity, maternal age, birth weight, episiotomy and forceps.554416420Fritel, X., Fauconnier, A., Levet, C., Bénifla, J.L., Stress urinary incontinence 4 years after the first delivery: A retrospective cohort survey (2004) Acta Obstet Gynecol Scand, 83, pp. 941-5Altman, D., Ekström, A., Gustafsson, C., López, A., Falconer, C., Zellerström, J., Risk of urinary incontinence after childbirth: A 10-years prospective cohort study (2006) Obstet Gynecol, 108, pp. 873-8Oliveira, E., Takano, C.C., Sartori, J.P., Araújo, M.P., Pimentel, S.H.C., Sartori, M.G.F., Trato urinário, assoalho pélvico e ciclo gravídico-puerperal (2007) Femina, 35, pp. 89-94Casey, B.M., Schaffer, J.I., Bloom, S.L., Heartwell, S.F., McIntire, D.D., Leveno, K.J., Obstetric antecedents for postpartum pelvic floor dysfunction (2005) Am J Obstet Gynecol, 192, pp. 1655-62Fenner, D.E., Genberg, B., Brahma, P., Marek, L., Delancey, J.O.L., Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States (2003) Am J Obstet Gynecol, 189, pp. 1543-50Rogers, R.G., Leeman, L.M., Migliaccio, L., Albers, L.L., Does the severity of spontaneous genital tract trauma affect postpartum pelvic floor function? (2008) Int Urogynecol J, 19, pp. 429-35Chaliha, C., Kalia, V., Stanton, S.L., Monga, A., Sultan, A.H., Antenatal prediction of postpartum urinary and fecal incontinence (1999) Obstet Gynecol, 94, pp. 689-94van Brummen, H.J., Bruinse, H.W., van de Pol, G., Heintz, A.P.M., van der Vaart, C.H., The effect of vaginal and cesarean delivery on lower urinary tract symptoms: What makes the difference? (2007) Int Urogynecol J, 18, pp. 133-9Schytt, E., Lindmark, G., Waldenström, U., Symptoms of stress incontinence 1 year after childbirth: Prevalence and predictors in a national Swedish sample (2004) Acta Obstet Gynecol. Scand, 83, pp. 928-36Scarpa, K.P., Herrmann, V., Palma, P.C., Riccetto, C.L., Morais, S.S., Prevalência de sintomas urinários no terceiro trimestre da gestação (2006) Rev Assoc Med Bras, 52, pp. 153-6Rortveit, G., Daltveit, A.K., Hannestad, Y.S., Hunskaar, S., Vaginal delivery parameters and urinary incontinence: The Norwegian EPINCONT study (2003) Am J Obstet Gynecol, 189, pp. 1268-74Hanna, E., Whyte, H., Hanna, W.J., Hewson, S., Amankwah, K., Cheng, M., Maternal outcomes at 2 years after planned cesarean section versus planned vaginal birth for breech presentation at term: The international randomized Term Breech Trial (2004) Am J Obstet Gynecol, 191, pp. 917-27Barros, F.C., Vaughan, J.P., Victoria, C.G., Huttly, S.R.A., Epidemic of cesarean sections in Brazil (1991) Lancet, 338, p. 167Ministério da Saúde (2004) J Febrasgo, 11, pp. 4-6. , BrasilPotter, J.E., Hopkins, K., Faúndes, A., Perpétuo, I., Women's autonomy and scheduled cesarean sections in Brazil: A cautionary tale (2008) Birth., 35, pp. 33-40Faúndes, A., Guarisi, T., Pinto-Neto, A.M., The risk of urinary incontinence of parous women who delivered only by cesarean section (2001) Int J Gynecol Obstet, 72, pp. 41-6Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., The standartization of terminology of lower urinary tract function: Report from the standartization sub committee of the international continence society (2002) Neurourol Urodyn, 21, pp. 1676-8Snedecor, W.G., Cochram, W.G., (1989) Statistical methods, , 8th ed. Iowa StateHunskaar, S., Lose, G., Sykes, D., Voss, S., The prevalence of urinary incontinence in women in four European countries (2004) BJU Int, 93, pp. 324-30Chaliha, C., Khullar, V., Stanton, S.L., Monga, A., Sultan, A.H., Urinary symptoms in pregnancy: Are they useful for diagnosis? (2002) Br J Obstet Gynecol, 109, pp. 1181-3Rosenzweig, B.A., Pushkin, S., Blumenfeld, D., Bhatia, N.N., Prevalence of abnormal urodynamic test results in continent women with severe genitourinary prolapse (1992) Obstet Gynecol, 79, pp. 539-42Guarisi, T., Pinto-Neto, A.M., Herrmann, V., Faúndes, A., Urodynamics in climacteric women with urinary incontinence: Correlation with route of delivery (2002) Int Urogynecol J, 13, pp. 366-71Scarpa, K.P., Herrmann, V., Palma, P.C., Riccetto, C.L., Morais, S.S., Sintomas do trato urinário inferior três anos após o parto: Estudo prospectivo (2008) Rev Bras. Ginecol. Obstet., 30, pp. 355-9van Brummen, H.J., Bruinse, H.W., van de Pol, G., Heintz, A.P.M., van der Vaart, C.H., What is the effect of overactive bladder symptoms on woman's quality of life during and after first pregnancy? (2006) BJU Int, 97, pp. 296-300Chaliha, K., Bland, J.M., Monga, A., Stanton, S.L., Sultan, A.H., Pregnancy and delivery: A urodynamic viewpoint (2000) Br J Obstet Gynaecol, 107, pp. 1354-9Clemons, J.L., Towers, G.D., McClure, G.B., O'Boyle, A.L., Decreased anal sphincter lacerations associated with restrictive episiotomy use (2005) Am J Obstet Gynecol, 192, pp. 1620-3Wein, A.J., Diagnosis and treatment of overactive bladder (2003) Urology, 62 (5 B), pp. 20-7van Brummen, H.J., Bruinse, H.W., van de Pol, G., Heintz, A.P.M., van der Vaart, C.H., Bothersome lower urinary tract symptoms 1 year after first delivery: Prevalence and effect of childbirth (2006) BJU Int, 98, pp. 89-9