Caesarean section is protective against stress urinary incontinence: an analysis of women with multiple deliveries

Chaliha, Charlotte; Digesu, Alex; Hutchings, Anna; Soligo, Marco; Khullar, Vik

doi:10.1111/j.1471-0528.2004.00155.x

Cited by 29 publications

(15 citation statements)

References 9 publications

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“…Their findings seem to suggest that pregnancy plays an important role in the development of SUI and that the mode of delivery is not the sole factor. Moreover, they do not support the observations of Chaliha et al [14] who found that patients who had delivered vaginally three times had a significantly higher rate of SUI than those who had undergone three cesareans before labor (36% vs 3%, respectively; p=0.0001). Pertinently, Groutz et al [15] reported no difference between women who had delivered vaginally and those who had undergone cesarean during labor at about 8.7 cm of dilation (10.3% vs 12%, respectively).…”

Section: Discussioncontrasting

confidence: 55%

Vaginal delivery after tension-free vaginal tape procedure

et al. 2007

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To treat genuine stress urinary incontinence, the surgical technique of choice at present is suburethral tension-free vaginal tape (TVT) procedure. Because of its good results and low morbidity, TVT is now offered to younger women still of childbearing age. We describe a patient who delivered vaginally 2 years after undergoing a retropubic TVT procedure. The woman remained continent throughout her pregnancy and at 6 months postpartum, with normal urodynamic parameters.

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Section: Discussioncontrasting

confidence: 55%

Vaginal delivery after tension-free vaginal tape procedure

et al. 2007

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“…Most epidemiological studies for risk factors of UI also reveal that increasing BMI is positively related to the prevalence of UI [2,[9][10][11][12][15][16][17]. Nevertheless, there were some studies that showed that the increased risk for incontinence was not due to differences in weight [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for urinary incontinence in Taiwanese women aged 60 or over

Hsieh

Hsu

et al. 2007

Int Urogynecol J

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To determine risk factors of urinary incontinence (UI) in Taiwanese women aged 60 or over, face-to-face interviews with 1,517 women, selected by a multistage random method, were completed. The prevalence of UI in this age group was 29.8%. Factors and their prevalence associated with UI were age [odds ratio (OR)=1.04 per year], diabetes mellitus (39.8%, p = 0.002), hypertension (39.5%, p = 0.001), abdominal gynecological surgery (41.4%, p = 0.001), hysterectomy (42.4%, p = 0.003), history of drug allergy (41.3%, p = 0.001), smoking (45.5%, p = 0.010), hormone replacement therapy (41.5%, p = 0.026), and high body mass index (OR = 1.05 per unit). Alcohol consumption and marriage did not increase the risk of UI. UI is a common and costly problem in elderly women. It diminishes the quality of life of the affected women. Of the associated factors that are preventable, modifiable, or controllable, smoking, prior hysterectomy, and obesity may have the greatest impact on the prevalence of UI.

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“…Vaginal delivery, particularly the initial delivery, has been associated with increased odds of UI [4][5][6][7][8]. Cesarean deliveries, on the other hand, have been reported as protective on the development of UI [9][10][11][12][13][14], with risk of UI being about half the risk associated with vaginal deliveries [3,12,13,[15][16][17]. The relationship between parity and subsequent UI is unclear.…”

Section: Introductionmentioning

confidence: 99%

The effect of mode of delivery, parity, and birth weight on risk of urinary incontinence

et al. 2007

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To examine the relationship between symptoms of urinary incontinence (UI) and mode of delivery, parity, and birth weight, data were obtained from a population-based random sample of 3,205 black, Hispanic, and white women age 30-79 in the Boston Area Community Health Survey. Measures include UI symptoms [>or=3 (moderate/severe) Sandvik's severity index]; reproductive history [live birth(s), no live births, never pregnant]; mode of delivery for live births (>or=1 vaginal birth, cesarean delivery only); parity (1, 2, >or=3); and maximum birth weight of live births (<4,000 g, >or=4,000 g). Using logistic regression, women having >or=1 vaginal delivery had twice the odds of UI compared to women with no pregnancies (P = 0.002) or only cesarean deliveries (P = 0.032). There was no difference in odds of UI between cesarean delivery only and never pregnant, by parity or birth weight. Vaginal delivery contributes to risk of UI for black, Hispanic, and white women.

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Caesarean section is protective against stress urinary incontinence: an analysis of women with multiple deliveries

Cited by 29 publications

References 9 publications

Vaginal delivery after tension-free vaginal tape procedure

Vaginal delivery after tension-free vaginal tape procedure

Risk factors for urinary incontinence in Taiwanese women aged 60 or over

The effect of mode of delivery, parity, and birth weight on risk of urinary incontinence

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