Factors involved in stress urinary incontinence 1 year after first delivery

Diez-Itza, Irene; Arrue, Miren; Ibañez, Larraitz; Murgiondo, Arantzazu; Paredes, Jone; Sarasqueta, Cristina

doi:10.1007/s00192-009-1055-y

Cited by 48 publications

(62 citation statements)

References 34 publications

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“…There is no doubt that vaginal delivery is associated with urinary incontinence after childbirth and that the presence of UI during pregnancy can predispose to UI in the postpartum period (13). However, Huebner et al (2010) related that showed that the effects of pregnancy on the pelvic floor are different from those triggered after vaginal delivery (12).…”

Section: Discussionmentioning

confidence: 94%

Can the delivery method influence lower urinary tract symptoms triggered by the first pregnancy?

et al. 2012

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(2), persisting after delivery in 6% to 29% of women (3). Estimating the post-partum prevalence of urinary incontinence is complex because the prevalence may depend upon the number of previous births, type of delivery, and history of previous inVol. 38 (2): 267-276; March -April, 2012 Introduction and Objectives: The increase of the intensity of urinary symptoms in late pregnancy and postpartum has been well documented by several authors, but their causes remain uncertain, partly because of its probable multifactor origin. There are also controversies whether the etiology of lower urinary tract symptoms during pregnancy is the same as postpartum and whether the method of delivery could infl uence the risk of onset of urinary symptoms. This study aimed to evaluate the urinary symptoms triggered during pregnancy and its evolution in the late puerperium, correlating them with the delivery method. Materials and Methods: A longitudinal study was conducted, which included 75 primigravidae women, classifi ed according to method of delivery as: (VD) vaginal delivery with right mediolateral episiotomy (n = 28); (CS) elective caesarean section (n = 26); and (EC) emergency caesarean section (n = 21). Urinary symptoms were assessed in the last trimester of pregnancy and at 45 days (± 10) of puerperium with validated versions for Portuguese language of the following questionnaires: International Consultation on Incontinence Questionnaire -Urinary Incontinence Short Form (ICIQ-UI SF) and the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB). Results: It was observed that frequency, urgency, nocturia and urge incontinence, triggered during pregnancy, decreased signifi cantly in the postpartum period, regardless of the delivery method (p = 0.0001). However, symptoms related to urinary loss due to stress persisted after vaginal delivery (p = 0.0001). Conclusions: Urgency, frequency and nocturia triggered during pregnancy tend to disappear in the late postpartum period, regardless of the delivery method, but the symptoms related to urinary loss due to stress tend to persist in late postpartum period after vaginal delivery.

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Section: Discussionmentioning

confidence: 94%

Can the delivery method influence lower urinary tract symptoms triggered by the first pregnancy?

et al. 2012

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“…Other authors have also observed that UI during pregnancy increases the risk of UI in the puerperium. A study conducted with primiparous women a year postpartum showed that women with UI during pregnancy were five times more likely to develop SUI (OR 5.79, CI 95% 2.79 -12) (24) . Another study included only primiparous women and found that participants with UI during pregnancy were 2.3 more likely to present UI six months postpartum (IC 95% 2.2 -2.4) (9) .…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum urinary incontinence

Leroy

Lúcio

Lopes

2016

Rev. esc. enferm. USP

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OBJECTIVE: To investigate the risk factors for postpartum urinary incontinence (UI) and its characteristics. METHOD: This was a case-control study with 344 puerperal women (77 cases and 267 controls) with up to 90 days postpartum. In a single session, participants were given a questionnaire with sociodemographic and clinical data and two others that assessed urine leakage, leakage situations, and type of UI. RESULTS: Stress UI was present in 45.5% of the women, incidents of urine leakage several times a day in 44.2%, of which 71.4% were in small amounts and 57.1% when coughing or sneezing. In 70.1% of cases, UI began during pregnancy and remained through the postpartum period. After running a binary logistic regression model, the following factors remained in the final model: UI during pregnancy (OR 12.82, CI 95% 6.94 - 23.81, p<0.0001), multiparity (OR 2.26, CI 95% 1.22 - 4.19, p=0.009), gestational age at birth greater or equal to 37 weeks (OR 2.52, CI 95% 1.16 - 5.46, p=0.02) and constipation (OR 1.94, CI 95% 1.05 - 5.46, p=0.035). CONCLUSION: Most often, UI first appeared during pregnancy and remained through the postpartum period. Urinary incontinence during pregnancy, multiparity, gestational age at birth greater or equal to 37 weeks, and constipation were presented as risk factors. In the studied group, stress UI was more frequent.

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“…Doğumdan sonraki beş yılda risk dört kez daha artar. 15,16 Birinci trimestrda Üİ prevalansı % 15 olup, gebe olmayan kadınlar ile eşittir. İkinci ve üçüncü trimestrda prevalans sırası ile % 35 ile % 40'a ulaşmaktadır.…”

Section: Pelvik Tabanunclassified

“…17 Ayrıca çok doğum yapan kadınlar tek doğum yapanlara göre, beyaz kadınlar siyah kadınlara göre daha fazla pelvik taban sorunları yaşamaktadır. 15,17 Vajinal doğum nedeniyle genellikle kaslarda, pelvik taban yapılarını destekleyen fasia ve ligamentlerde anlamlı olarak gerilme meydana gelmektedir. Bu yapılarda, anormal morfolojik ve fonksiyonel değişiklikler meydana gelebilmekte ve hatta bu değişiklikler geriye dönüşümsüz olabilmektedir.…”

Section: Pelvik Tabanunclassified