<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1695-6141</journal-id>
<journal-title><![CDATA[Enfermería Global]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. glob.]]></abbrev-journal-title>
<issn>1695-6141</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Murcia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1695-61412018000300002</article-id>
<article-id pub-id-type="doi">10.6018/eglobal.17.3.292821</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disfunciones del suelo pélvico en mujeres primíparas después del parto]]></article-title>
<article-title xml:lang="en"><![CDATA[Pelvic floor dysfunctions in primiparous women after birth]]></article-title>
<article-title xml:lang="pt"><![CDATA[Disfunções do assoalho pélvico em primíparas após o parto]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Junqueira Vasconcellos de Oliveira]]></surname>
<given-names><![CDATA[Sonia Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Souza Caroci]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Paula Batista Mendes]]></surname>
<given-names><![CDATA[Edilaine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guimarães de Oliveira]]></surname>
<given-names><![CDATA[Sheyla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Penha Silva]]></surname>
<given-names><![CDATA[Francine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de São Paulo Escuela de Enfermería Departamento de Enfermería Materno-Infantil y Psiquiátrica]]></institution>
<addr-line><![CDATA[São Paulo SP]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de São Paulo Escuela de Artes, Ciencias y Humanidades ]]></institution>
<addr-line><![CDATA[São Paulo SP]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Santa Bárbara  ]]></institution>
<addr-line><![CDATA[Santa Bárbara d'Oeste São Paulo]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de São Paulo Escuela de Enfermería ]]></institution>
<addr-line><![CDATA[São Paulo SP]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de São Paulo Escuela de Enfermería ]]></institution>
<addr-line><![CDATA[São Paulo SP]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>51</numero>
<fpage>26</fpage>
<lpage>67</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1695-61412018000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1695-61412018000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1695-61412018000300002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN:  Objetivo Estimar la prevalencia de infecciones del tracto urinario (ITU), incontinencia urinaria (IU), incontinencia anal (IA) y dispareunia en mujeres primíparas, e identificar la asociación entre IU y dispareunia con el tipo de parto.  Método Estudio observacional prospectivo realizado con 96 puérperas (72 de parto normal y 24 de parto por cesárea) dos y seis meses después del parto. Los datos fueron recolectados por medio del carnet prenatal, historia clínica y entrevistas con las mujeres entre enero y agosto de 2014 en el Centro de Parto Normal Emergencias y maternidad Municipal Zoraide Eva das Dores, ubicado en el Municipio de Itapecerica da Serra, São Paulo; en centros de salud del municipio mencionado y de los municipios de Juquitiba, São Lourenço y Embú-Guaçú.  Resultados Durante la gestación, 52,1% de las mujeres informaron ITU y 30,2% de ellas, IU. En el segundo y sexto mes después del parto, las prevalencias encontradas fueron: 4,2% y 11,8% de ITU; 17,7% y 11,8% de IU; 8,4% de IA (6,3% con incontinencia de flatos y 2,1% de heces); 2,0% (únicamente incontinencia de flatos; no hubo incontinencia de heces); 48,1% y 17,8% de dispareunia, respectivamente. No hubo asociación estadística entre el tipo de parto y la dispareunia y la IU (p=0,742 y p=0,738; respectivamente).  Conclusiones Las disfunciones del suelo pélvico (DSP) más frecuentes después del parto fueron la IU y la dispareunia. Hubo reducción espontánea de las DPP en el sexto mes después del parto. La identificación prematura de estas enfermedades es de gran importancia para la prevención, diagnóstico y tratamiento de males a la salud física y emocional de la mujer.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT:  Objective To assess the prevalence of the urinary tract infection (UTI), urinary incontinence (UI), anal incontinence (AI) and dyspareunia among primiparous women, as well as to identify the association between dyspareunia and UI and mode of birth.  Material and methods Prospective observational study carried out with 96 post-partum women (72 normal births and 24 caesarean section), two and six months after birth. Data were collected via prenatal cards, medical registers and interviews with women between January and August, 2014, at the Centro do Parto Normal do Pronto Socorro e Maternidade Municipal Zoraide Eva das Dores, located in Itapecerica da Serra, São Paulo, and at Health Centers in the Itapecerica da Serra and the cities of Juquitiba, São Lourenço and Embú-Guaçú.  Results During pregnancy, 52.1% of women reported UTI and 30.2%, UI. Two and six months after birth, there was a prevalence of 4.2% and 11.8% of UTI, 17.7% and 11.8% of UI, 8.4% of AI (6.3% of flatus incontinence and 2.1% of feces) and 2.0% (only flatus incontinence; there was no faecal incontinence); and 48.1% and 17.8% of dyspareunia, respectively. There was no statistical association between the mode of delivery and dyspareunia and UI (p=0.742 and p=0.738; respectively).  Conclusions The most frequent pelvic floor dysfunctions (PFD) after birth were IU and dyspareunia. There was spontaneous reduction of the PFD in the sixth month after birth. The early identification of these diseases is extremely important to prevent, diagnose and treat any harm to women&#8217;s physical and emotional health.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO:  Objetivo  Estimar a prevalência de infecção do trato urinário (ITU), incontinência urinária (IU), incontinência anal (IA) e dispareunia em mulheres primíparas e identificar associação entre a dispareunia e IU com o tipo de parto.  Método Estudo observacional prospectivo realizado com 96 puérperas (72 de partos normais e 24 cesarianas) com dois e seis meses após o parto. Os dados foram coletados por meio de cartões de pré-natal, prontuários e entrevistas entre janeiro e agosto de 2014 no Centro do Parto Normal do Pronto Socorro e Maternidade Municipal Zoraide Eva das Dores, localizado no Município de Itapecerica da Serra, São Paulo, e em Unidades Básicas de Saúde do município referido e dos Municípios de Juquitiba, São Lourenço e Embú-Guaçú.  Resultados  Na gravidez, 52,1% das mulheres referiram ITU e 30,2% delas, IU. No segundo e no sexto mês pós-parto, as prevalências encontradas foram: 4,2% e 11,8% de ITU; 17,7% e 11,8% de IU; 8,4% de IA (6,3% de incontinência de flatos e 2,1% de fezes) e 2,0% (apenas incontinência de flatos; não houve incontinência de fezes); e 48,1% e 17,8% de dispareunia, respectivamente. Não houve associação estatística entre o tipo de parto e a dispareunia e a IU (p=0,742 e p=0,738; respectivamente).  Conclusão As disfunções do assoalho pélvico (DAP) mais frequentes após o parto foram a IU e a dispareunia. Houve redução espontânea das DAP no sexto mês após o parto. A identificação precoce destas morbidades é extremamente importante para a prevenção, diagnóstico e tratamento de agravos à saúde física e emocional da mulher.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infección del tracto urinario]]></kwd>
<kwd lng="es"><![CDATA[Incontinencia urinaria]]></kwd>
<kwd lng="es"><![CDATA[Incontinencia anal]]></kwd>
<kwd lng="es"><![CDATA[Dispareunia]]></kwd>
<kwd lng="es"><![CDATA[Primíparas]]></kwd>
<kwd lng="es"><![CDATA[Periodo posparto]]></kwd>
<kwd lng="en"><![CDATA[Urinary tract infection]]></kwd>
<kwd lng="en"><![CDATA[Urinary incontinence]]></kwd>
<kwd lng="en"><![CDATA[Anal incontinence]]></kwd>
<kwd lng="en"><![CDATA[Dyspareunia]]></kwd>
<kwd lng="en"><![CDATA[Primiparous]]></kwd>
<kwd lng="en"><![CDATA[Postpartum period]]></kwd>
<kwd lng="pt"><![CDATA[Infecção do trato urinário]]></kwd>
<kwd lng="pt"><![CDATA[Incontinência urinária]]></kwd>
<kwd lng="pt"><![CDATA[Incontinência anal]]></kwd>
<kwd lng="pt"><![CDATA[Dispareunia]]></kwd>
<kwd lng="pt"><![CDATA[Primíparas]]></kwd>
<kwd lng="pt"><![CDATA[Pós-parto]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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