Faktor-Faktor Risiko Stres Inkontinensia Urin setelah Persalinan Pervaginam dan Perabdominam

Abstract

Risk Factors for Stress Urinary Incontinence Following Vaginal and Caesarean Delivery Faktor-Faktor Risiko Stres Inkontinensia Urin setelah Persalinan Pervaginam dan Perabdominam Nur Waqiah, David Lotisna, Nusratuddin Abdullah Department of Obstetrics and Gynecology Faculty of Medicine Universitas Hasanuddin Dr. Wahidin Sudirohusodo General Hospital Makassar Abstract Abstrak Objective : To determine the factors that affect the incidence of postpartum stress urinary incontinence. Tujuan : Untuk mengetahui faktor-faktor yang mempengaruhi terjadinya stress inkontinensia urin post partum. Methods : Women experienced with stress urinary incontinence 3 months after birth vaginally or section caesarean were enrolled in the present cross-sectional study. The strength of the pelvic fl oor muscle measured with perineometer. All of the women were assessed for SUI using Sandvix Severity Index (SSI) dan The three incontinence question (3IQ) questionnaire. Metode : Perempuan yang mengalami stres inkontinensia urin 3 bulan postpartum normal atau seksio dilibatkan dalam penelitian potong lintang ini. Kekuatan otot dasar panggul diukur dengan perineometer. Penilaian SUI dilakukan dengan menggunakan kuesioner Sandvix Severity Index (SSI) dan three incontinence question (3IQ). Results : Eighty-four women with stress urinary incontinence (SUI) after vaginal delivery or caesarean section enrolled in the study. There was a signifi cant difference between mode of delivery and SUI following delivery (p<0.05). Perineal tear (grade 1-2), BMI, newborn weight and circumference signifi cantly affect the SUI after vaginal or caesarean section. Perineal tear increase SUI after delivery 7-fold compared to other factors (OR=7.367; 95% CI=1.815-29.904). Hasil : Delapan puluh empat perempuan dengan SIU postpartum per vaginam atau operasi sesar dilibatkan dalam penelitian ini. Terdapat perbedaan signifi kan antara cara persalinan dan SIU setelah postpartum (p<0,05). Ruptur perineum (grade 1-2), IMT, berat bayi lahir dan lingkar kepala secara signifi kan mempengaruhi SIU postpartum. Ruptur perineum meningkatkan SUI postpartum 7 kali lipat dibandingkan dengan faktor-faktor lainnya (OR = 7,367; 95% CI = 1,815-29,904). Conclusions : SUI after delivery affected by mode of delivery, pelvic muscle fl oor weakness, perineal tear, BMI, newborn weight and head circumference. Kesimpulan : SIU postpartum dipengaruhi oleh cara persalinan, kelemahan dasar otot panggul, robekan perineum, IMT, berat bayi lahir dan lingkar kepala. Keywords : mode of delivery, stress urinary incontinence Kata kunci : metode persalinan, stres inkontinensia urin