Comparison of stress urinary incontinence between urban women and women of indigenous origin in the Brazilian Amazon

Rêgo, Aljerry Dias do; Peterson, Thais V.; Bernardo, Wanderley Marques; Baracat, Edmund Chada; Haddad, Jorge Milhem

doi:10.1007/s00192-020-04439-6

Cited by 2 publications

(1 citation statement)

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“…[ 5 , 6 ] There are many factors influencing the occurrence of SUI reported in previous studies, including body mass index (BMI), family history, pelvic floor muscle exercise, etc. [ 7 ] However, existing studies [ 8 , 9 ] mostly focus on postpartum or middle-aged and elderly urinary incontinence. The influencing factors of SUI in the population of primipara still need to be further explored.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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Stress urinary incontinence (SUI) is a common clinical postpartum complication. It is necessary to explore the risk factors of postpartum SUI in primiparas to provide evidence support for preventing and reducing the occurrence of SUI. Primiparas who were delivered in our hospital from March 2019 to October 2020 were identified, the personal information and related treatment details of SUI and no-SUI primiparas were collected and analyzed. Logistic regression analyses were conducted to identify the risk factors of postpartum SUI in primiparas. A total of 612 primiparas were included, the incidence of SUI in primiparas was 32.03%. There were significant differences in the body mass index (BMI) before pregnancy, diabetes, abortion, delivery method, newborn's weight, epidural anesthesia, and duration of second stage of labor (all P < .05) between SUI and no-SUI group, and there were no significant differences in the age, BMI at admission, hypertension and hyperlipidemia SUI and no-SUI group (all P > .05). Logistic regression analyses indicated that BMI before pregnancy ≥24 kg/m 2 (odds ratio [OR]: 2.109, 95% confidence interval [CI]: 1.042–4.394), diabetes (OR: 2.250, 95% CI: 1.891–3.544), abortion history (OR: 3.909, 95% CI: 1.187–5.739), vaginal delivery (OR: 2.262, 95% CI: 1.042–4.011), newborn's weight ≥3 kg (OR: 1.613, 95% CI: 1.095–2.316), epidural anesthesia (OR: 2.015, 95% CI: 1.226–3.372), and duration of second stage of labor ≥90 minutes (OR: 1.726, 95% CI: 1.084–2.147) were the risk factors of postpartum SUI in primiparas (all P < .05). The clinical incidence of SUI in primiparas is relatively high. In clinical practice, medical staff should conduct individualized early screening for those risk factors, and take prevention measures to reduce the occurrence of SUI.

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