scholarly journals Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women

2021 ◽  
pp. bjsports-2021-104168
Author(s):  
Isabel S Moore ◽  
Megan L James ◽  
Emma Brockwell ◽  
Joanna Perkins ◽  
Alex L Jones ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Caesarean Delivery ◽  
Healthcare Providers ◽  
Postpartum Women ◽  
Online Questionnaire ◽  
Contributory Factors ◽  
Fear Of Movement ◽  
Related Stress

ObjectivesTo examine contributory factors behind postpartum return-to-running and return to pre-pregnancy running level, in addition to risk factors for postpartum running-related stress urinary incontinence (SUI).Methods881 postpartum women completed an online questionnaire. Clinically and empirically derived questions were created relating to running experiences and multidisciplinary, biopsychosocial contributory factors. Logistic regression was used to determine predictors for return-to-running, returning to pre-pregnancy level of running and running-related SUI.ResultsMedian time to first postpartum run was 12 weeks. Running during pregnancy (OR: 2.81 (1.90 to 4.15)), a high weekly running volume (OR: 1.79 (1.22 to 2.63)), lower fear of movement (OR: 0.53 (0.43 to 0.64)) and not suffering vaginal heaviness (OR: 0.52 (0.35–0.76)) increased the odds of return-to-running. Factors that increased the odds of returning to pre-pregnancy running level were a low weekly running volume (OR: 0.38 (0.26 to 0.56)), having more than one child (OR: 2.09 (1.43 to 3.05)), lower fear of movement (OR: 0.78 (0.65 to 0.94)), being younger (OR: 0.79 (0.65 to 0.96)) and shorter time to running after childbirth (OR: 0.74 (0.60 to 0.90)). Risk factors for running-related SUI were having returned to running (OR: 2.70 (1.51 to 4.76)) and suffering running-related SUI pre-pregnancy (OR: 4.01 (2.05 to 7.82)) and during pregnancy (OR: 4.49 (2.86 to 7.06)); having a caesarean delivery decreased the odds (OR: 0.39 (0.23 to 0.65)).ConclusionRunning during pregnancy may assist women safely return-to-running postpartum. Fear of movement, the sensation of vaginal heaviness and running-related SUI before or during pregnancy should be addressed early by healthcare providers.

Risk factors for stress urinary incontinence recurrence after single-incision sling

2018 ◽  
Vol 37 (5) ◽  
pp. 1711-1716 ◽  
Author(s):  
Stefania Palmieri ◽  
Matteo Frigerio ◽  
Federico Spelzini ◽  
Stefano Manodoro ◽  
Rodolfo Milani
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Single Incision ◽  
Single Incision Sling

scholarly journals Risk factors related to acupuncture response in postmenopausal women with stress urinary incontinence

Medicine ◽  
2019 ◽  
Vol 98 (16) ◽  
pp. e15220 ◽  
Author(s):  
Ruimin Jiao ◽  
Yan Liu ◽  
Baoyan Liu ◽  
Zhishun Liu
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Postmenopausal Women

scholarly journals Stress Incontinence during Different High-Impact Exercises in Women: A Pilot Survey

2020 ◽  
Vol 17 (22) ◽  
pp. 8372
Author(s):  
Iman Akef Khowailed ◽  
Joelle Pinjuv-Turney ◽  
Cathy Lu ◽  
Haneul Lee
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Boot Camp ◽  
High Impact ◽  
Abdominal Pressure ◽  
Online Questionnaire ◽  
Pilot Survey ◽  
Urinary Leakage ◽  
Nulliparous Women ◽  
Significant Difference

The aim of this survey was to investigate the prevalence of stress urinary incontinence (SUI) among women (primigravida, multigravida, and nulligravida) in high-impact exercise groups—CrossFit, kickboxing, and boot camp. Incontinence Survey was modified to an anonymous online questionnaire. A total of 17 participants, 64.2% reported at least some urinary leakage during exercise. About 85.7% of participants in each of the 3 high-intensity exercise groups exercised >3 h/week. There was no significant difference in the likelihood of urinary leakage between participants who have had at least 1 pregnancy and those who had never been pregnant. CrossFit group were significantly more likely to report urinary leakage than those in the kickboxing and boot camp groups combined (p = 0.023). The participants did not exhibit typical risk factors, as they were premenopausal, active, and had an average body mass index within the normal range. This pilot survey indicates that all women those who do high-impact exercises are susceptible to stress urinary incontinence (SUI), and that CrossFit poses a greater risk for SUI in terms of more jumping resulting in increased intra-abdominal pressure and ground reaction forces compared to others. Our pilot study indicates that a higher risk of SUI during high impact exercises may exist associated with previous pregnancy but also in nulliparous women.

scholarly journals Do future healthcare professionals have adequate knowledge about risk factors for stress urinary incontinence in women?

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joanna Witkoś ◽  
Magdalena Hartman-Petrycka
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
General Medicine ◽  
Medical Personnel ◽  
Personal Hygiene ◽  
Theoretical Knowledge ◽  
Adequate Knowledge ◽  
Medical Faculties ◽  
Physiotherapy Students

Abstract Background Stress urinary incontinence worsens living conditions as far as the occupational, social, mental, physical and sexual aspects of a woman’s life. Despite its real impact on the everyday lives of millions of women around the world, this problem is still disregarded and treated only as a discomfort associated with personal hygiene. Could this be due to negligence on the part of medical personnel in this matter and perhaps this lack of knowledge and proper information intended for women with stress urinary incontinence? Implementing educational activities to increase knowledge about urinary incontinence will translate into better educated women and earlier implementation of urinary incontinence treatment in the future. To properly educate women at risk of urinary incontinence, one needs to be familiar with the condition, in particular the risk factors for its development. The purpose of the study was to evaluate the degree of knowledge of students graduating from medical faculties have regarding risk factors for stress urinary incontinence in women and assess where the students’ knowledge of this problem came from. Methods The research involved 1581 final year students of medical faculties: nursing and midwifery (258), medicine (432), physiotherapy (402) and other medical (489). The author’s survey was used for the research. The chi2 test was used for analysis. Results Students in faculties of nursing and midwifery, general medicine, physiotherapy, and other medical faculties could correctly list stress urinary incontinence risk factors in 88.8%, 81.7%, 74.4% and 51.9% of their answers respectively (p < 0.01). The most frequently mentioned source of knowledge about stress urinary incontinence was higher level education in 82.6%, 89.8%, 90.0% and 34.4% of the respective groups’ replies (p < 0.001). Conclusions Nursing and midwifery students had the greatest theoretical knowledge of stress urinary incontinence, and lesser knowledge was found among general medicine students, while physiotherapy students and students of other medical faculties had the least theoretical knowledge about risk factors for urinary incontinence. It is advisable that more emphasis be placed on educating students about stress urinary incontinence due to their insufficient knowledge, in particular for future doctors and physiotherapists who will have direct contact with patients.

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