Development of Predictive Risk Models of Postpartum Stress Urinary Incontinence for Primiparous and Multiparous Women

Chen, Ling; Luo, Dan; Chen, Xiaomin; Jin, Mei; Yu, Xiajuan; Cai, Wenzhi

doi:10.1159/000508416

Cited by 16 publications

(15 citation statements)

References 35 publications

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“…[ 12 ] Previous studies [ 13 , 14 ] have reported that pregnant women with urine leakage symptoms during pregnancy are more than twice as likely to have urine leakage again within 15 years after delivery than pregnant women without urine leakage symptoms during pregnancy. Studies [ 15 – 17 ] have pointed out that urinary incontinence during pregnancy can double the risk of postpartum urinary incontinence, and primiparas without urinary incontinence before pregnancy are considered the best clinical model for normal pelvic tissue function. Therefore, we took primiparas as the research population.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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“…As a practical and visual prediction tool, a nomogram can provide valuable information for clinical decision-making. In the field of obstetrics, Chen et al established a prediction model for postpartum SUI in primiparas and multiparas based on clinical factors, and the C-indexes of the model were 0.763 and 0.783 respectively [ 8 ]. Grobman et al established a model to predict the success rate of vaginal delivery after cesarean section to provide information for decision-making by obstetricians [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Establishment and validation of a risk prediction model for postpartum stress urinary incontinence based on pelvic floor ultrasound and clinical data

Liu

Qian

2022

Int Urogynecol J

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Introduction and hypothesis This study aimed to establish a risk prediction model for postpartum stress urinary incontinence (SUI) based on pelvic floor ultrasound measurement data and certain clinical data. Methods Singleton pregnant women aged ≥ 18 years who underwent delivery were selected. All participants were followed up to determine the symptoms of SUI, and pregnancy-related data were collected at the time of registration. Pelvic floor ultrasound was performed at 6–12 weeks postpartum to obtain ultrasonic measurement data. Logistic regression analysis was used to select predictors and establish a nomogram to predict the risk of postpartum SUI. Area under the ROC curve (AUC) values and calibration curves were used for discrimination and calibration, respectively. Finally, external verification of the model was carried out. Results A total of 255 participants were included in the analysis, comprising 105 in the postpartum SUI group and 150 in the non-SUI group. Logistic regression analysis identified age, parity, vaginal delivery, bladder neck descent (BND), and angle of internal urethral orifice funnel as risk factors for postpartum SUI (all P < 0.05). Conclusions We constructed a prediction model for postpartum SUI based on pelvic floor ultrasound measurement data and certain clinical data. In clinical practice, this convenient and reliable tool can provide a basis for formulation of treatment strategies for patients with postpartum SUI.

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“…PSUI is a major public health problem that significantly affects postpartum women both in physical and mental health. [8][9][10][11][12]25] Although surgery, medications and PFMT can reach a certain curative effect, there are shortcomings like difficult training techniques, adverse reaction of drugs and surgery. [3,[13][14][15][16] Acupuncture is a treatment method with fast curative effect and small side effect, which can improve PSUI symptoms by promoting nerve reinnervation, enhancing pelvic floor muscle strength and improving muscle coordination.…”

Section: Discussionmentioning

confidence: 99%

The effect of acupuncture on postpartum stress urinary incontinence: A protocol for systemic review and meta-analysis

et al. 2022

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Background: Postpartum stress urinary incontinence (PSUI) is a widespread complaint in postpartum women, which significantly affects their quality of life. Acupuncture has been widely used as an alternative complementary therapy for the treatment of PSUI. This protocol is carried out to comprehensively explore the effectiveness and safety of acupuncture for treating PSUI. Methods: Randomized clinical trials related to acupuncture treatment of PSUI will be searched in Chinese and English literature databases: PubMed, Web of Science, EMBASE, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, Chinese Biomedical Literature Database, Wanfang Database, and the Technology Periodical Database. Changes in pelvic floor muscle strength compared with baseline will be accepted as the primary outcomes, and secondary outcomes will be the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form score, the urodynamic indexes, the incontinence quality of life questionnaire, and adverse effects of acupuncture. All publications will be screened and extracted by 2 reviewers independently. Quality of the eligible publications will be assessed according to the Cochrane Risk of Bias tool and statistical analyses will be conducted by using the Review Manager V.5.3. Results: This study will provide a high-quality comprehensive evaluation for the clinical efficacy and safety of acupuncture for PSUI. Conclusion: This systematic review will provide comprehensive evidence of acupuncture treatment on specific outcomes for PSUI. Ethics and Dissemination: Because of the study will not collect personal information, ethical approval will not be required. The results will be published in a peer-reviewed journal. Trial registration: INPLASY 202220045.

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Development of Predictive Risk Models of Postpartum Stress Urinary Incontinence for Primiparous and Multiparous Women

Cited by 16 publications

References 35 publications

Risk factors of postpartum stress urinary incontinence in primiparas

Risk factors of postpartum stress urinary incontinence in primiparas

Establishment and validation of a risk prediction model for postpartum stress urinary incontinence based on pelvic floor ultrasound and clinical data

The effect of acupuncture on postpartum stress urinary incontinence: A protocol for systemic review and meta-analysis

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