Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Objective To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry. The pregnant women who presented UI answered the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results It was found that maternal age (OR=1.06; CI95% 1.02-1.11) and prior UI (OR=15.12; 95%CI 8.19-27.92) are the variables that, in tandem, best explain the occurrence of UI at the beginning of pregnancy. The mean score on the ICIQ-SF was 8.2 (SD=3.9), considered a moderate impact on quality of life. Conclusion Older pregnant women with prior UI are more likely to have UI in the first trimester of pregnancy.
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Predicting Risk of Cognitive Decline in Very Old Adults Using Three Models: The Framingham Stroke Risk Profile; the Cardiovascular Risk Factors, Aging, and Dementia Model; and Oxi-Inflammatory Biomarkers

Traditional ideas of intraseasonal and interannual climatic variability in the Western Indian Ocean, dominated by the mean cycle of seasonally reversing monsoon winds, are being replaced by a more complex picture, comprising air-sea interactions and feedbacks; atmosphere-ocean dynamics operating over intrannual to interdecadal time-scales; and climatological and oceanographic boundary condition changes at centennial to millennial time-scales. These forcings, which are mediated by the orography of East Africa and the Asian continent and by seafloor topography (most notably in this area by the banks and shoals of the Mascarene Plateau which interrupts the westward-flowing South Equatorial Current), determine fluxes of water, nutrients and biogeochemical constituents, the essential controls on ocean and shallow-sea productivity and ecosystem health. Better prediction of climatic variability for rain-fed agriculture, and the development of sustainable marine resource use, is of critical importance to the developing countries of this region but requires further basic information gathering and coordinated ocean observation systems