Resumo
Objetivo: avaliar as evidências disponíveis na literatura sobre intervenções para prevenir incontinência urinária em gestantes durante o acompanhamento pré-natal. Método: revisão integrativa da literatura (RI). A busca foi realizada em outubro de 2014 nas bases de dados LILACS, MEDLINE, CINAHL e Cochrane. Onze artigos compuseram a amostra da RI. Resultados: todos os artigos foram publicados no idioma inglês; sete deles identificados na base de dados PubMed, e quatro na Cochrane. A maior parte dos trabalhos avaliados utilizaram intervenções cognitivas e comportamentais, sendo o treino da musculatura do assoalho pélvico o principal tratamento para prevenir e tratar a incontinência urinária durante a gestação. Conclusão: os resultados obtidos podem cooperar para o aperfeiçoamento da assistência da mulher no ciclo gravídico-puerperal.Referências
Marecki M, Seo J. Perinatal Urinary and Fecal Incontinence. J Perinat Neonat Nurs. 2010; 24(4):330–40.
Wesnes S, Rortveit G, Kari B, Hunskaar S. Urinary incontinence during pregnancy. Obstet Gynecol. 2007; 109(4):922–28.
Sangsawang B, Serisathien Y. Effect of pelvic floor muscle exercise programme on stress urinary incontinence among pregnant women. J Adv Nurs. 2012; 68(9):1997–2007.
Chiarelli P, Cockburn J. Promoting urinary continence in women after delivery: randomised controlled trial. BMJ 2012; 324:124.
Morkved S, BO K. Prevalence of urinary incontinence during pregnancy and postpartum. International Urogynecol J. 2014; 10:394-98.
Mendes KDS, Silveira RCCP, Galvão CM. Integrative literature review: a research method to incorporate evidence in health care and nursing. Texto & Contexto Enferm. 2008; 17:758-64.
Ursi ES. Prevenção de lesão de pele no perioperatório: revisão integrativa da literatura [Dissertação de Mestrado]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto; 2005.
Vasconcelos CTM, Damasceno MMC, Lima FET, Pinheiro AKB. Integrative review of the nursing interventions used for the early detection of cervical uterine cancer. Rev. Latino-Am. Enfermagem 2011; 19:8. [Included in the review]
Whitford HM, Alder B, Jones M. A cross-sectional study of knowledge and practice of pelvic floor exercises during pregnancy and associated symptoms of stress urinary incontinence in North-East Scotland. Midwifery 2007, Jun; 23(2):204-17. [Included in the review]
Stafne SN, Salvesen KA, Romundstad PR, Torjusen IH, Mørkved S. Does regular exercise including pelvic floor muscle training prevent urinary and anal incontinence during pregnancy? A randomized controlled trial. BJOG 2012, Sep; 119(10):1270-80. [Included in the review]
Bo K, Haakstad LAH. Is pelvic floor muscle training effective when taught in a general fitness class in pregnancy? A randomised controlled trial. Physiotherapy 2011, Sep; 97(3):190-5. [Included in the review]
Miquelutti MA, Cecatti JG, Makuch MY. Evaluation of a birth preparation program on lumbopelvic pain, urinary incontinence, anxiety and exercise: a randomized controlled trial. BMC Pregnancy and Childbirth 2013; 13:154. [Included in the review]
Eliasson K, Nordlander I, Larson B, Hammarstro M, Mattsson E. Influence of physical activity on urinary leakage in primiparous women. Scand J Med Sci Sports 2005, Apr; 15(2):87-94. [Included in the review]
Sangsawang B, Serisathien Y. Effect of pelvic floor muscle exercise programme on stress urinary incontinence among pregnant women. J Adv Nurs. 2012, Sep; 68(9):1997-2007. [Included in the review]
Morkved S, Bo K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol. 2003, Feb; 101(2):313-9. [Included in the review]
Butterfield YC, O’Connell B, Phillips D. Peripartum urinary incontinence: A study of midwives’ knowledge and practices. Women and Birth 2007; 20(2): 65-9. [Included in the review]
Reilly ETC, Freeman RM, Waterfield MR, Waterfield AE, Steggles P, Pedlar F. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 2002, Jan; 109(1):68-76. [Included in the review]
Low LK, Miller JM, Guo Y, Ashton-Miller JA, DeLancey JO, Sampselle CM. Spontaneous pushing to prevent postpartum urinary incontinence: a randomized, controlled trial. Int Urogynecol J. 2013, Mar; 24(3):453-60. [Included in the review]
Agur WI, Steggles P, Waterfield M, Freeman RM. The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG 2008, Jul; 115(8):985-90.
Chiarreli P, Brown WJ. Leaking urine in Australian women: prevalence and associated conditions. Women Health 1999; 29:1-13.
Dietz HP, Eldridge A, Grace M, Clarke B. Does pregnancy affect pelvic organ mobility? Aust N Z Obstet Gynaecol. 2004; 6(44):517-20.
Sampselle CM, Miller JM, Mims BL, Delancey JO, Asthon-Miller JA. Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstet Gynecol. 1998; 91(3):406-12.
Reilly ETC, Freeman RM, Walterfield MR, Walterfield AE, Stegles P, Pedlar F. Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. BJOG 2012; 109(1):68–76.