Factors involved in the persistence of stress urinary incontinence from pregnancy to 2 years post partum

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

doi:10.1016/j.ijgo.2011.07.024

Cited by 22 publications

(18 citation statements)

References 31 publications

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“…In contrast to previous studies that assessed BP and UI either retrospectively or in distinct populations such as nulliparas, the present study analysed the prevalence and the characteristics of these symptoms in a pregnant population of primi- and multiparas drawn from a prospective, community-based pregnancy cohort representing a metropolitan population who received prenatal care in community clinics and obstetrical care for labour and at delivery in tertiary hospitals. In agreement with previous studies, our findings also support a high prevalence of BP during the postpartum period [28, 35]. Furthermore, the proportion of women affected by BP and the impairment of maternal performance of daily tasks due to BP has a higher impact on women’s health and performance of daily tasks at 12 months postpartum than that by UI.…”

Section: Discussionsupporting

confidence: 92%

“…Previous studies report lower prevalence of UI in the late postpartum period, around 12% in a study by Burgio et al (2003) [33] and 24% by Woolhouse et al [26]. The findings from this study are similar to more recent reports on postpartum incontinence that also report higher UI prevalence at 12 months postpartum [34, 35]. In contrast to previous studies that assessed BP and UI either retrospectively or in distinct populations such as nulliparas, the present study analysed the prevalence and the characteristics of these symptoms in a pregnant population of primi- and multiparas drawn from a prospective, community-based pregnancy cohort representing a metropolitan population who received prenatal care in community clinics and obstetrical care for labour and at delivery in tertiary hospitals.…”

Section: Discussionsupporting

confidence: 88%

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The Influence of Back Pain and Urinary Incontinence on Daily Tasks of Mothers at 12 Months Postpartum

et al. 2015

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ObjectiveThe present study examined back pain (BP) and/or urinary incontinence (UI) impact on the ability to perform daily tasks at 12 months after childbirth in healthy reproductive women who sought maternity care in community based family practice clinics.MethodsThis study is a secondary analysis from the All Our Babies Study, a prospective, community-based pregnancy cohort in Calgary, Alberta. Maternal self-reported information on demographics, lifestyle, experiences with pregnancy and childbirth, occurrence of BP, UI and consequent impairment of daily tasks were collected by questionnaires administered before 25 weeks, at 34-36 weeks gestation and at 4 and 12 months postpartum. The occurrence and severity of BP and UI at one year after childbirth was assessed using descriptive and bivariate analyses. Logistic regression models examined the association between demographic and obstetrical variables and the severity of functional impairment due to UI and BP.ResultsFrom 1574 women with singleton pregnancies included in the study, 1212 (77%) experienced BP, 773 (49%) UI, and 620 (40%) both BP and UI. From the 821 women reporting impairment of daily tasks due to BP, 199 (24 %) were moderately and 90 (11%) severely affected with the remainder, 532 (64%) being mildly affected. From 267 women with functional impairment due to UI, 52 (19%) reported moderately to severe impairment in their ability to perform daily tasks. Obesity and parity were risk factors for impairment of daily functioning due to BP, whereas obesity and vaginal delivery increased the risk of moderate to severe impairment due to UI.ConclusionsBP and UI are common occurrences 1 year after childbirth. Maternal performance of daily tasks and women’s health and quality of life are more often impaired due to BP than UI. Our study brings new evidence of the risk factors that predict severity and impact of these conditions on women functioning at 12 months postpartum.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

The Influence of Back Pain and Urinary Incontinence on Daily Tasks of Mothers at 12 Months Postpartum

et al. 2015

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“…It appears that a woman must have all children delivered by cesarean section in order to achieve protection against long-term incontinence 35 . Urinary incontinence in pregnancy increases the risk of later urinary incontinence, both postpartum and later in life 17,38 , but nevertheless it is not a predictor of benefi t from giving birth by cesarean section to protect against urine leakage 17,39 . Increase of urethral mobility in combination with lesions of the levator ani muscle is the probable mechanism of impairment during vaginal delivery 40 .…”

Section: Impact Of Pregnancy and Delivery On Urinary Incontinencementioning

confidence: 99%

Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature

Živković

Župić

et al. 2016

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SUMMARY -Episiotomy is obstetric procedure during which the incision extends the vestibule of the vagina during the second stage of labor. Episiotomy was extensively spread with gradual increase of rates in the fi rst half of the 20 th century and was performed mediolaterally in all nulliparous women with the idea to protect fetal head from trauma and pelvic fl oor from injuries. However, reports claiming that episiotomy had no such benefi ts were published. It was shown that routine mediolateral episiotomy did not protect against the appearance of urinary incontinence after vaginal delivery, while the risk of anal incontinence could be increased. Th e role of episiotomy in development of pelvic fl oor dysfunction remains quite unclear. Due to the mentioned reason, restricted episiotomy approach should be accepted. Th e origin of stress incontinence during pregnancy is controversial and not definitely scientifi cally proven. Pregnancy per se and older age at fi rst delivery may have impact on the onset of pelvic fl oor dysfunction. Urinary incontinence in pregnancy increases the risk of later urinary incontinence, both postpartum and later in life. Vaginal delivery is just one of the potential risk factors for development of urinary incontinence. Mechanical pressure by fetus on the pelvic fl oor structures, limited denervation of the pelvic fl oor and soft tissue damage during delivery are some of explanations for the onset of stress urinary incontinence. On the other hand, cesarean delivery might not be protective against emergence of urinary incontinence. Further research in this fi eld is needed.

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“…27 Mode of delivery and parity is considered as factors contributing towards worsening of urinary incontinence. [28][29][30][31] It is well known that the vaginal delivery generates neurologic changes that affect the Urethra; these changes seem to be less pronounced in cases of caesarian section (C/section), 32,33 giving c/section a protective role against UI. A Chinese study 34 on primipara who delivered either vaginal way or by c/section concluded a high occurrence of UI in the vaginal birth group than in the Caesarian section group; it also suggested that vaginal delivery, lateral episiotomy and new born weight (over 4000 g) were risk factor of postpartum UI and pelvic Organ prolapse.…”

Section: Causes and Risk Factorsmentioning

confidence: 99%

Female urinary incontinence: a systematic overview and non-surgical treatment

Ngarambe

Peng

2015

Int J Reprod Contracept Obstet Gynecol

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Factors involved in the persistence of stress urinary incontinence from pregnancy to 2 years post partum

Abstract: Higher BMI in pregnant women at term was an independent risk factor for the persistence of SUI from pregnancy to 2 years post partum.

Cited by 22 publications

References 31 publications

The Influence of Back Pain and Urinary Incontinence on Daily Tasks of Mothers at 12 Months Postpartum

The Influence of Back Pain and Urinary Incontinence on Daily Tasks of Mothers at 12 Months Postpartum

Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature

Female urinary incontinence: a systematic overview and non-surgical treatment

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