Access restricted to higher education institution's students and staff
master's thesis
Smetnje mokrenja kao posljedica trudnoće i načina poroda

Ines Drašković (2016)
Metadata
TitleSmetnje mokrenja kao posljedica trudnoće i načina poroda
AuthorInes Drašković
Mentor(s)Tea Štimac (thesis advisor)
Abstract
Uvod: Urinarna inkontinencija u žena često je nedijagnosticirana i neliječena unatoč tome što značajno smanjuje kvalitetu života. U mladih žena se najčešće javlja stres urinarna inkontinencija čiji je simptom nevoljno istjecanje mokraće u stanjima povećanog intraabdominalnog tlaka. Ispitanici i postupci: U istraživanje je uključeno ukupno 34 žena, u dobi od 27 do 43 godine od kojih je 17 bar jednom rodilo vaginalno na stolčiću (pristupile rutinskom ginekološkom pregledu; u pacijentica sa smetnjama mokrenja provedena je i cistometrija) te 17 žena koje su rodile vaginalno na porodnom stolu (kontrolna grupa bez simptoma urinarne inkontinencije). U tih pacijentica provedena je analiza ITT, trajanja drugog porodnog doba, prirasta tjelesne mase u trudnoći, pariteta, težine novorođenčeta, opsega glavice novorođenčeta te analiza stimulacije oksitocinom. Rezultati: Od 17 pacijentica koje su rodile vaginalno na stolčiću, njih 10 ima simptome urinarne inkontinencije, u dvije smo dokazali simptome prekomjerno aktivnog mokraćnog mjehura a u ostalih 8 smo dokazali simptome stres urinarne inkontinencije. Zaključak: S obzirom na relativno mali uzorak žena korišten za analizu podataka ne može se zaključiti koji je od promatranih parametara povezan s nastankom urinarne inkontinencije. No, može se hipotezirati kako porod na stolčiću zbog produženog pristiska na mišićno dno zdjelice utječe na veću pojavnost urinarne inkontinencije. Naime, u skupini pacijentica sa simptomima urinarne inkontinencije koje su vaginalno rodile na stolčiću, srednje vrijeme drugog porodnog doba je duže (6 sati i 45 minuta) od srednjeg vremena drugog porodnog doba kontrolne skupine (5 sati i 7 minuta).
Keywordsurinary incontinence type of delivery
Committee MembersAlemka Brnčić-Fischer (committee chairperson)
Aleks Finderle (committee member)
Josip Španjol (committee member)
GranterSveučilište u Rijeci
Medicinski fakultet
PlaceRijeka
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeMedicine
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2016-07-15
Parallel abstract (English)
Introduction: Urinary incontinence (UI) in women is often undiagnosed and untreated although significanlty reduces quality of life. The most common type in young women is stress urinary incontinence characterized by unintentional loss of urine in conditions of increased abdominal pressure. Material and methods: This study inculuded total of 34 women, aged 27 - 43 years, of which 17 gave vaginal birth on a delivery chair at least once (they joined routine gynecological examination; in patients with simptoms of UI cystometry was conducted) and 17 who gave vaginal birth on delivery table (control groups without symptoms). This study analized BMI, duration of second stage of delivery, weight gain in pregnancy, parity, head circumference of newborn, and use of oxytocin. Results: Of 17 patients that gave vaginal birth on the delivery chair 10 have symptoms of UI, of which 8 have symptoms of stress UI and 2 have symptoms of overreactive bladder. Conclusion: Considering relatively small group of women used for data analysis it's not possible to conclude which of the parameters is connected with UI. However, it can be assumed that the delivery on chair because of the prolonged pressure on the pelvic floor is connected to higher incidence of UI. Average time of second stage of delivery in patients with symptoms who gave birth on delivery chair is longer (6 h and 45 min) than the mentioned average time in patients in control group (5 h and 7 min).
Parallel keywords (Croatian)urinarna inkontinencija tip poroda
Resource typetext
Access conditionAccess restricted to higher education institution's students and staff
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:184:988820
CommitterBosa Licul