Study Objective

To determine the overall frequency of urinary incontinence in pregnant adolescents, focusing particularly on the presence of symptoms of stress urinary incontinence (SUI) and coital incontinence (CI), and to describe the biological, sociodemographic, clinical, urinary, reproductive, sexual, and lifestyle factors associated with incontinence.

Design

A cross-sectional, descriptive study.

Setting

The outpatient clinic for high-risk pregnancies at the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) in Recife, Pernambuco, in the Northeast of Brazil.

Participants

A convenience sample of 103 pregnant adolescents who attended for prenatal consultations during the study period.

Interventions

Data were collected on the participants’ characteristics and information based on the Incontinence Severity Index (ISI) questionnaire.

Main Outcome Measures

Frequency of urinary incontinence and possible correlations between the women's characteristics and SUI and CI symptoms.

Results

Mean age (±standard deviation) was 16.76 ± 1.8 years. Urinary incontinence was present in 60.1% of the patients. Of these, 37.8% had SUI and 33.9% CI. In addition, 30.8% of the patients with CI also had SUI. There were statistically significant associations between CI and the occurrence of SUI prior to pregnancy (100%; PR: 1.77; 95% CI: 1.48-2.13; P = .011), between SUI and chronic coughing (60%; PR = 1.95; 95% CI: 1.23-3.09; P = .009), and between CI and height (41.9%; PR = 1.00; 95% CI: 0.27-1.00; P = .036).

Conclusion

Urinary incontinence is a dysfunction that may affect pregnant adolescents, with symptoms possibly beginning as early as the first trimester of pregnancy.

中文翻译：

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孕妇青少年尿失禁的频率和因素：跨部门研究

研究目的

要确定怀孕少女的尿失禁的总体频率，尤其要关注压力性尿失禁（SUI）和性交失禁（CI）的症状，并描述其生物学，社会人口统计学，临床，泌尿，生殖，性和性与失禁相关的生活方式因素。

设计

横断面描述性研究。

环境

位于巴西东北部伯南布哥州累西腓的医学综合研究所费尔南多·菲盖拉教授（IMIP）的高危妊娠门诊。

参加者

在研究期间，有103名怀孕的青少年参加了产前咨询，这是一项便利样本。

干预措施

根据失禁严重程度指数（ISI）问卷收集有关参与者特征和信息的数据。

主要观察指标

尿失禁的频率以及女性特征与SUI和CI症状之间可能的相关性。

结果

平均年龄（±标准差）为16.76±1.8岁。60.1％的患者存在尿失禁。其中37.8％的用户界面和33.9％的CI。此外，有30.8％的CI患者也有SUI。 在SUI和慢性咳嗽之间（60％; PR = 1.95; 100％; PR：1.77; 95％CI：1.48-2.13; P = .011），CI与SUI和慢性咳嗽之间存在统计学上的显着相关性。 95％CI：1.23-3.09；P = .009  ），且介于CI和高度之间（41.9％； PR = 1.00； 95％CI： 0.27-1.00 ；P = .036）。

结论

尿失禁是一种功能障碍，可能会影响怀孕的青少年，其症状可能早在怀孕的前三个月就开始出现。