Does Cesarean Section Reduce Postpartum Urinary Incontinence? A Systematic Review

Abstract

Although short-term occurrence of any degree of postpartum stress urinary incontinence is reduced with cesarean section, severe symptoms are equivalent by mode of birth. Risk of postpartum stress urinary incontinence must be considered in the context of associated maternal and newborn morbidity and mortality.

Prevalence and Risk Factors of Urinary Incontinence and its Impact on the Quality of Life and Treatment Seeking Behavior among Malaysian Women: A Review

“…A lot of studies have suggested a significant association between UI, obstetric history [36,41] and mode of child delivery, particularly vaginal delivery in younger women [60][61][62][63][64][65]. Some have suggested that the primary cause of UI is related to parity [55] and fetal weight [63], pregnancy, and childbirth, regardless of route [66,67]. However, there are also studies that have failed to show any significant association between UI and the mode of delivery [68] or even the number of deliveries [69][70][71].…”

“…Furthermore, older women who have developed minimal urine leak (MUL) in the past year are more likely to progress to frequent urinary leakage over a 3-year period [58,59]. A lot of studies have suggested a significant association between UI, obstetric history [36,41] and mode of child delivery, particularly vaginal delivery in younger women [60][61][62][63][64][65]. Some have suggested that the primary cause of UI is related to parity [55] and fetal weight [63], pregnancy, and childbirth, regardless of route [66,67].…”

“…HRQOL represents the patient's evaluation of the impact of a health condition and its treatment on daily life. The perception that it is "normal" for women to have incontinence [41,63,81] and that the condition is perceived by the public as more of a women's health problem than men's needs to be explored particularly among Malaysian women as it could influence the approach to its prevention and management. Another common view shared by both public and health workers is that UI is associated with ageing, which may prevent its early recognition and therefore its early management or may prevent many younger women with UI from seeking help [52,82] It has been reported that female UI, urgency and frequency significantly impair the QOL of both young and older women and also has negative effect on the partner's relationship [2,83].…”

Força muscular perineal e incontinência urinária e anal em mulheres após o parto: estudo transversal

“…No entanto, ainda não existem evidências que demonstrem que a cesariana diminui o risco para IU, principalmente quando é precedida do trabalho de parto (Chaliha et al, 2004;Press et al, 2007). Press et al (2007), em revisão sistemática, concluíram que embora tenha sido encontrada redução estatisticamente significante de IUE após a cesárea em comparação ao parto vaginal, a ocorrência de IU severa (perda de urina durante atividades diárias) é equivalente nos dois tipos de parto.…”

“…Press et al (2007), em revisão sistemática, concluíram que embora tenha sido encontrada redução estatisticamente significante de IUE após a cesárea em comparação ao parto vaginal, a ocorrência de IU severa (perda de urina durante atividades diárias) é equivalente nos dois tipos de parto. Além disso, citam como limitação da revisão a falta de detalhamento dos estudos quanto as características do parto, como as técnicas utilizadas no parto normal, o momento em que ocorreu a cesariana e dificuldades em partos instrumentais.…”