Original Article Published on 04 Dec, 2014

Postnatal Urinary Incontinence: Prevalence and Factors Associated with It in a Malaysian Population

Postnatal Urinary Incontinence
Vol. 9 No. 1 : 2014 (22-32)

DARIAH MY DARIAH MY
LILY X LILY X
Belan I Belan I
PATERSON J PATERSON J
Ho SE Ho SE
CHRISTOPHER CK HO CHRISTOPHER CK HO

Abstract
The aim of this study was to investigate the prevalence of postnatal urinary incontinence (PNUI), the risk factors associated with it and postnatal women’s (PN) level of engagement in practicing traditional Malay confinement care (TMCC) in Kelantan, Malaysia. A cross-sectional survey was conducted among 362 postnatal women aged between 18 – 45 years and who were between three to five months post-delivery. Participants were selected through convenience sampling at six Maternal and Child Health Clinics located in comparatively similar districts. Descriptive and inferential analyses including, factor analysis, Pearson chi-square, Mann-Whitney U test and logistic regressions analysis were used for data analysis. Overall, PNUI was reported by 80 women (22.1%). Vaginal delivery was associated with PNUI. All PN women within the study context practiced TMCC. The findings revealed that women who had PNUI were more likely to engage in a higher level of the ‘Body care’ component of TMCC. UI is prevalent among PN women in Kelantan, Malaysia. Further research into the impact of the ‘body care’ component of TMCC on PNUI is required.
Keywords : Postnatal women, prevalence, risk factors, traditional postpartum care, urinary incontinencein,
Abstrak
Tujuan kajian ini adalah untuk menyiasat kelaziman hilang kawalan kencing selepas bersalin (PNUI), faktor-faktor risiko yang berkaitan dengannya dan penglibatan dalam mengamalkan penjagaan selepas bersalin mengikut tradisi Melayu (TMCC) di Kelantan, Malaysia. Satu kajian keratan rentas telah dijalankan di kalangan 362 wanita selepas bersalin yang berumur antara 18-45 tahun dan antara tiga hingga lima bulan selepas bersalin. Para peserta telah dipilih melalui persampelan mudah di enam Klinik Kesihatan Ibu dan Anak yang terletak di daerah yang agak sama. Analisis deskriptif dan inferensi termasuk, analisis faktor, Pearson khi-kuasa dua, ujian Mann-Whitney U dan analisis terurus logistik telah digunakan untuk menganalisis data. Secara keseluruhan, PNUI dilaporkan oleh 80 wanita (22.1%). Cara bersalin melalui faraj dikaitkan dengan PNUI. Semua wanita selepas bersalin dalam konteks kajian didapati mengamalkan TMCC. Kajian ini juga menunjukkan bahawa wanita yang mempunyai PNUI lebih cenderung untuk melibatkan diri dalam komponen ‘Penjagaan Badan’ TMCC. Hilang kawalan kencing adalah lazim di kalangan wanita selepas bersalin di Kelantan, Malaysia. Penyelidikan selanjutnya terhadap kesan komponen ‘penjagaan badan’ TMCC pada PNUI perlu dilakukan.
Kata Kunci : faktor-faktor risiko, hilang kawalan kencing, kelaziman, penjagaan selepas bersalin tradisional, wanita selepas bersalin,

Correspondance Address
Dariah Mohd Yusoff, School of Health Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. Tel: +609-7677807 Fax: +609-7677515 Email: dariah@usm.my


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