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Association Between Selected Socio-Demographic Characteristics and Lower Urinary Tract Symptoms Among First-Time Mothers in Ogbomosho, Oyo State, Nigeria Zaki Desmond; Hashim Muhammad S.; Samuel-Udofia Cindy G.; Oduenyi Christian; Karaga Mahmud A.; Iribom Sarratu T. A.; Adegoke Ayobami A.; Jeremiah Hope M.
Kwaghe International Journal of Sciences and Technology Vol 2 No 2 (2025): Kwaghe International Journal of Sciences and Technology
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/kijst.v2i2.5669

Abstract

Urinary incontinence and other lower urinary tract symptoms (LUTS) are common postpartum complaints that can significantly affect the quality of life of new mothers. Previous researchers have reported the influence of selected sociodemographic factors on LUTS in a general female population and multiparous women. However, there is limited literature on the association between these factors and LUTS among first-time mothers in this part of the world. Therefore, this study was designed to investigate the association between body mass index (BMI), age, mode of delivery, and the occurrence of LUTS among first-time mothers in Ogbomoso. Oyo State Nigeria. This cross-sectional survey was conducted among 70 consenting first-time mothers recruited from 3 major hospitals (or ante-natal clinics) in Ogbomoso, Oyo State. A sociodemographic form was used to assess sociodemographic characteristics of participants. Height was measured using a portable stadiometer, while weight was measured using a calibrated digital bathroom scale. The ICIQ-FLUTS, a structured questionnaire was used to assess LUTS among participants, this questionnaire assesses LUTS in three domains - filling, voiding, and incontinence domains. The Chi-square test was used to assess associations between variables, with level of significance set at 0.05. The mean age of participants was 31.26 ± 6.00 years (range: 22–45 years), mean BMI was 25.20 ± 4.21 kg/m² (range: 18.16–36.69 kg/m²), and mean weight was 69.48 ± 11.92 kg (range: 45–100 kg), 65.7% of participants delivered through spontaneous vaginal delivery, while 34.3% underwent cesarean section, and majority of (85.7%) had single births, whereas 14.3% had multiple births. BMI was significantly associated with both filling (χ² = 20.213, p = 0.017) and incontinence symptoms (χ² = 26.773, p = 0.002), but not with voiding symptoms (p = 0.431). No significant associations were observed between LUTS and age, mode of delivery, number of births, educational level, or occupation. A large proportion (75.7%) of the participants reported mild to moderate LUTS in the incontinence domain. Among first-time mothers, elevated BMI is a key risk factor for urinary filling and incontinence symptoms. These findings underscore the importance of incorporating weight management and pelvic floor rehabilitation into postpartum physiotherapy programs. Broader and longitudinal studies are recommended to validate these findings and guide effective intervention strategies.
A Survey of Urinary and Faecal Incontinence Among Children with Cerebral Palsy in Selected Tertiary Hospitals in South-West Nigeria Zaki Desmond A.; Karaga Mahmud A.; Christopher Raphael; Saleh Baba A.; John-Chu Cindy G.; Adeleke Joana O.; Akintunde Ireoluwa T.
African Journal of Medicine, Surgery and Public Health Research Vol 2 No 2 (2025): African Journal of Medicine, Surgery and Public Health Research
Publisher : Darul Yasin Al Sys

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58578/ajmsphr.v2i2.5278

Abstract

Background: Previous studies have investigated the prevalence of Urinary Incontinence (UI) in children with cerebral palsy (CP), and yet a very few others have looked at Faecal incontinence (FI) in this population. However, there is a notable dearth of research on the association between UI and FI amongst this population particularly in the South-west Nigeria. Aim: To examine the prevalence of UI and FI in children with CP, as well as the association between UI and FI among this population in South-west Nigeria. Methods: Consecutive sampling technique was used to enlist 77 participants attending outpatient physiotherapy clinics in tertiary hospitals in Oyo, Osun, Ondo, Lagos and Ekiti states in south-western Nigeria. ICIQ-CLUTS questionnaire, Wexner/Cleaveland Clinic Florida Incontinence Score, Gross Motor Function Classification System (GMFCS) were administered to the participants through their primary caregivers. Descriptive statistics was used to summarize participants’ socio-demographic data. Inferential statistics of chi-square was used to determine the association between selected socio-demographic characteristics and each of UI, FI and GMFCS among participants. Spearman correlation was used to test the relationship between selected socio-demographic characteristics and each of UI, FI and GMFCS among participants. Data was analyzed using SPSS version 21.0 at 0.05 alpha level. Results: Among the participants, 51.9% were females and 48.1% were males, the mean age was 2.08 ± 0.82. Prevalence of UI amongst children with CP showed majority (79.2%) experiencing moderate symptoms, (19.5%) severe symptoms and (1.3%) experienced extremely severe symptoms. Prevalence of FI showed moderate symptoms in (62.3%), mild symptoms in (31.2%) and severe symptoms in (5.2%). However, no significant relationship or association was found among socio-demographic variables and (UI, FI, GMFCS). Conclusion: This study shows a 100% prevalence of UI and 98.7% of FI among children with Cerebral Palsy, underscoring the urgent need for comprehensive care and management strategies. The associated physical, psychological, and social implications for both the child and family cannot be overemphasized.