Prevalence and predictors of double incontinence 1 year after first delivery

Johannessen, Hege Hølmo; Stafne, Signe Nilssen; Falk, Ragnhild Sørum; Stordahl, Arvid; Wibe, Arne; Mørkved, Siv

doi:10.1007/s00192-018-3577-7

Cited by 21 publications

(26 citation statements)

References 32 publications

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“…The most important risk factor for UI 1 year after vaginal birth has been shown to be UI symptoms before and during pregnancy [15,19]. In a study by Daly et al, the prevalence of any kind of UI was 38.4% pre-pregnancy and 38.8% during pregnancy; UI prevalence was statistically significantly associated with being obese (BMI >30) [20].…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth

et al. 2019

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Introduction and hypothesis Urinary incontinence (UI) is associated with pregnancy and parity and can cause health problems for women. Our objective was to explore risk factors for UI and its effect on women's daily activities, psychological health and wellbeing 9-12 months postpartum in a low-risk primiparous population. Methods In this prospective cohort study, first-time mothers in a low-risk population with a spontaneous vaginal birth reported the occurrence of UI and its effect on daily activities and on their psychological health and wellbeing in a questionnaire completed 1 year after birth. Descriptive and comparative statistics were employed for the analysis. Results A total of 410 women (75.7%) completed the questionnaire. The self-reported rates of stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence were 45.4%, 38.0% and 27.0% respectively. Neither the duration of the second stage of labour, the baby's head circumference or its birth weight were associated with the incidence of UI. There was an association between reported negative impact on daily activities and more negative psychological wellbeing (p < 0.001). Conclusions Urinary incontinence was common among primiparous women at 9-12 months postpartum. Women whose symptoms had a negative impact on their daily activities reported more psychological suffering. KeywordsUrinary incontinence . Postpartum . Primiparous . Vaginal . Birth Abbreviations UI Urinary incontinence SUI Stress urinary incontinence UUI Urge urinary incontinence MUI Mixed urinary incontinence

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Section: Discussionmentioning

confidence: 99%

Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth

et al. 2019

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“…After careful evaluation of full‐text papers 27 studies were excluded: 15 studies 23–37 did not evaluate FI assessment, six manuscripts 38–43 were just protocols, five were paediatric studies, 44–48 and one trial 49 had an inappropriate study design. Finally, 328 studies were included in our review: 306 studies…”

Section: Resultsmentioning

confidence: 99%

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

et al. 2020

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Background Fecal incontinence is a disabling condition affecting up to 20% of women. Objective We investigated fecal incontinence assessment in both inflammatory bowel disease and non-inflammatory bowel disease patients to propose a diagnostic approach for inflammatory bowel disease trials. Methods We searched on Pubmed, Embase and Cochrane Library for all studies on adult inflammatory bowel disease and non-inflammatory bowel disease patients reporting data on fecal incontinence assessment from January 2009 to December 2019. Results In total, 328 studies were included; 306 studies enrolled non-inflammatory bowel disease patients and 22 studies enrolled inflammatory bowel disease patients. In non-inflammatory bowel disease trials the most used tools were the Wexner score, fecal incontinence quality of life questionnaire, Vaizey score and fecal incontinence severity index (in 187, 91, 62 and 33 studies). Anal manometry was adopted in 41.2% and endoanal ultrasonography in 34.0% of the studies. In 142 studies (46.4%) fecal incontinence evaluation was performed with a single instrument, while in 64 (20.9%) and 100 (32.7%) studies two or more instruments were used. In inflammatory bowel disease studies the Wexner score, Vaizey score and inflammatory bowel disease quality of life questionnaire were the most commonly adopted tools (in five (22.7%), five (22.7%) and four (18.2%) studies). Anal manometry and endoanal ultrasonography were performed in 45.4% and 18.2% of the studies. Conclusion Based on prior validation and experience, we propose to use the Wexner score as the first step for fecal incontinence assessment in inflammatory bowel disease trials. Anal manometry and/or endoanal ultrasonography should be taken into account in the case of positive questionnaires.

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“…[3][4][5]14 In our previous work we found associations between obesity (BMI ≥35) and loose stool incontinence as well as double incontinence at 12 months postpartum. 10,30 The underlying mechanisms between high BMI and incontinence are not fully understood, though studies suggest that these associations may reflect the complex aetiology of AI, and the interaction between weight-related hormonal changes, diet, psychosocial, economic factors and other medical conditions. 4,31 In the present study, an association between high BMI in late pregnancy and long-term postpartum AI was only found in the complete case analysis.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Evolution and risk factors of anal incontinence during the first 6 years after first delivery: a prospective cohort study

Johannessen

Mørkved

Stordahl

et al. 2020

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Prevalence and predictors of double incontinence 1 year after first delivery

Cited by 21 publications

References 32 publications

Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth

Urinary incontinence after uncomplicated spontaneous vaginal birth in primiparous women during the first year after birth

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

Evolution and risk factors of anal incontinence during the first 6 years after first delivery: a prospective cohort study

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