Co znamená ELSPAC?

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Association between Stress Urinary incontinence and Depressive Symptoms after Birth : the Czech eLSpAc Study

The study objectives were to (1) identify risk factors related to stress urinary incontinence (SUI) and postnatal depression (PD) after birth, and (2) investigate both possible directions of association between SUI and PD in population-based sample of Czech mothers. 3,701 nulliparous and multiparous women completed the self-reported questionnaires at 6 weeks and 6 months after birth and were included into the analyses of this prospective cohort study. Unadjusted and adjusted logistic regressions examined relationship between SUI a PD accounting for range of other risk factors. During the first 6 months after birth, 650 mothers (17.6%) developed SUI and 641 (17.3%) displayed signs of PD. The mode of delivery, parity and higher BMI were associated with SUI. The rate of PD symptoms was higher in mothers with positive history of prenatal depression, and in divorced or widowed mothers. Both conditions were associated with worse self-reported health, back pain and stop-smoker status. Initially, SUI at 6 weeks was slightly, but significantly associated with onset of PD at 6 months (OR 1.51, 95% CI 1.02–2.23) while PD at 6 weeks was not significantly related to new cases of SUI at 6 months (OR 1.48, 95% CI 0.91–2.39). After full adjustment these OR reduced to 1.41 and 1.38 (both non-significant), respectively. SUI and PD are common conditions in women postpartum that share some risk factors. Our study suggests that both directions of their relationship are possible although a larger study is needed to confirm our findings

El impacto de la actividad física durante el embarazo en el aumento de peso y los resultados del parto

Abstract: Background: Regular physical activity during pregnancy has been previously associated with preventing delivery complications; how- ever, the current evidence is inconsistent. herefore, this study analyzes how physical activity afects pre-term birth, Apgar score in the irst minute, birth weight, induction of labor, cesarean section, use of analgesia and an- esthesia, duration of the second stage of labor and pregnancy weight gain. Methods: he study population, selected from European Longitudinal Study of Pregnancy and Childhood consisted of 2,921 women. Physical activity data were obtained via questionnaires self-administered during the second trimester, while data associated with delivery were obtained via questionnaires administrated by health care professionals. A univariate analysis was used to evaluate the inluence of physical activity on delivery complications. he efect of physical activity on weight gain during preg- nancy and the second stage of labor duration were tested using a Mann- Whitney test and a one-sample t-test, respectively. Results: Analyzed delivery outcomes were found to be afected by maternal age, pre-pregnancy body mass and the number of previous live births. Nei- ther particular physical activities nor their volume were found to inluence delivery complications or the duration of the second stage of labor. Howev- er, physical activities such as aerobics, keep it exercise, swimming, weight training and cycling were found to afect weight gain during pregnancy. Conclusions: Results of this study conirms that current physical activity recommendations for healthy pregnant women are linked to no negative efects on either the delivery or the unborn baby.Resumen: Introducción: La actividad física regular durante el embarazo se ha asociado previamente con la prevención de complicaciones del parto; sin embargo, la evidencia actual es inconsistente. Por lo tanto, este estudio analiza cómo la actividad física afecta el nacimiento prematuro, puntaje de Apgar en el primer minuto, peso al nacer, inducción del parto, cesárea, uso de analgesia y anestesia, duración de la segunda etapa del parto y aumento de peso durante el embarazo. Métodos: Participaron en el estudio 2.921 mujeres, seleccionadas del Es- tudio Longitudinal Europeo de Embarazo e Infancia (ELSPAC), que se inició en la República Checa a principios de la década de 1990. Los datos de actividad física se obtuvieron a través de cuestionarios autoadministrados durante el segundo trimestre del embarazo, mientras que los datos asocia- dos con el parto se obtuvieron a través de cuestionarios administrados por profesionales de la salud. Se utilizó un análisis univariado para evaluar la inluencia de la actividad física en las complicaciones del parto. El efecto de la actividad física sobre el aumento de peso durante el embarazo y la du- ración de la segunda etapa del trabajo de parto se analizaron mediante una prueba de Mann-Whitney y una prueba t de una muestra, respectivamente. Resultados: Los resultados del parto analizados se encontraron afectados por la edad materna, la masa corporal previa al embarazo y el número de hijos nacidos vivos previos. Ni las actividades físicas particulares ni su volumen inluyeron en las complicaciones del parto ni en la duración de la segunda etapa del parto. Sin embargo, se descubrió que las actividades físicas como aeróbicos, keep it ejercicio, nadar, entrenar con pesas y andar en bicicleta afectan el aumento de peso durante el embarazo. Además, el 34.9% de las mujeres embarazadas analizadas no alcanzaron la actividad física mínima recomendada. Conclusiones: La actividad física entre las mujeres embarazadas se ha esta- blecido como beneiciosa; este estudio también conirma que las recomen- daciones actuales de actividad física para mujeres embarazadas sanas no tienen efectos negativos en el parto ni en el bebé nonato