HUBUNGAN EPISIOTOMI TERHADAP INKONTINENSIS URIN: SUATU STUDI EPIDEMIOLOGI

Abstract

Background:The mortality rate of urinary incontinence is low but it greatly affects a person's quality of life as can cause embarrassment and discomfort. Consequently it affects psychosocial impact of patient. Urinary incontinence 2-3 times more often experienced by women in comparison with men because of trauma risk to the connective tissue, muscle, and nerve during childbirth. Objective: To assess association between episiotomy and nonepisiotomy vaginal delivery method on urinary incontinence among postpartum woman. Method: A cross sectional study was conducted toward women with post vaginal delivery in Bantul Hospital during the period of March-August 2014. After considering the inclusion and exclusion criteria, there were 95 women included in the study (44 women with episiotomy vaginal delivery and 51 women with nonepisiotomy vaginal delivery). Questionnaire for Urinary Incontinence Diagnosis (QUID)was administered to measure urinary incontinence in postpartum women. Data were analyzed using SPSS software version 19. Result and Discussion: The occurrence of urinary incontinence in this research was 45.3%, among these 39.5% were women with episiotomy vaginal delivery, and 60.5% were women with nonepisiotomy vaginal delivery method (p=0.228 and RP =0.76). Conclusion: Urinary incontinence among postpartum women is not significantly different among women who delivered with episiotomy and non episiotomy.