Urinary incontinence in pregnant women and its relation with socio-demographic variables and quality of life

Oliveira, Cláudia de; Seleme, Maura; Cansi, Paula F.; Consentino, Renata F.D.C.; Kumakura, Fernanda Y.; Moreira, Gizelle A.; Berghmans, Bary

doi:10.1016/j.ramb.2013.08.002

Cited by 51 publications

(69 citation statements)

References 26 publications

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“…A cross-sectional study of 495 women found that 71% reported UI in the last 4 weeks of pregnancy, and they rated this as having a severe impact on their quality of life 59. The current findings suggest that PFMT is an effective prevention strategy for prenatal and postnatal UI, similar to findings in non-pregnant women 60–62.…”

Section: Discussionsupporting

confidence: 75%

Prenatal exercise (including but not limited to pelvic floor muscle training) and urinary incontinence during and following pregnancy: a systematic review and meta-analysis

et al. 2018

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ObjectiveTo examine the relationships between prenatal physical activity and prenatal and postnatal urinary incontinence (UI).DesignSystematic review with random effects meta-analysis and meta-regression.Data sourcesOnline databases were searched up to 6 January 2017.Study eligibility criteriaStudies of all designs were included (except case studies) if they were published in English, Spanish or French and contained information on the Population (pregnant women without contraindication to exercise), Intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise, alone [“exercise-only”] or in combination with other intervention components [e.g., dietary; “exercise + co-intervention”]), Comparator (no exercise or different frequency, intensity, duration, volume and type of exercise) and Outcome (prenatal or postnatal UI).Results24 studies (n=15 982 women) were included. ‘Low’ to ‘moderate’ quality evidence revealed prenatal pelvic floor muscle training (PFMT) with or without aerobic exercise decreased the odds of UI in pregnancy (15 randomised controlled trials (RCTs), n=2764 women; OR 0.50, 95% CI 0.37 to 0.68, I2=60%) and in the postpartum period (10 RCTs, n=1682 women; OR 0.63, 95% CI 0.51, 0.79, I2=0%). When we analysed the data by whether women were continent or incontinent prior to the intervention, exercise was beneficial at preventing the development of UI in women with continence, but not effective in treating UI in women with incontinence. There was ‘low’ quality evidence that prenatal exercise had a moderate effect in the reduction of UI symptom severity during (five RCTs, standard mean difference (SMD) −0.54, 95% CI −0.88 to –0.20, I2=64%) and following pregnancy (three RCTs, ‘moderate’ quality evidence; SMD −0.54, 95% CI −0.87 to –0.22, I2=24%).ConclusionPrenatal exercise including PFMT reduced the odds and symptom severity of prenatal and postnatal UI. This was the case for women who were continent before the intervention. Among women who were incontinent during pregnancy, exercise training was not therapeutic.

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Section: Discussionsupporting

confidence: 75%

Prenatal exercise (including but not limited to pelvic floor muscle training) and urinary incontinence during and following pregnancy: a systematic review and meta-analysis

et al. 2018

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“…The protective effect of cesarean delivery is consistent throughout the literature . In the present study, complaints of UI were observed more frequently in those who had ventouse and vaginal deliveries.…”

Section: Discussionsupporting

confidence: 91%

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

Dinç

2017

LUTS

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“…Stress urinary incontinence (SUI) during pregnancy causes negative effects on women's overall quality of life during pregnancy (1,2), as well as pelvic floor function after delivery (3). Given that the number of pregnant women in China is increasing rapidly under the government's "Two-Child Policy," it is of great importance to improve women's quality of life by preventing SUI during pregnancy and postpartum.…”

Section: Introductionmentioning

confidence: 99%

Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors

Chen

Luo

et al. 2018

Acta Obstet Gynecol Scand

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Urinary incontinence in pregnant women and its relation with socio-demographic variables and quality of life

Abstract: The majority of pregnant women have UI, negatively affecting the quality of their lives.

Cited by 51 publications

References 26 publications

Prenatal exercise (including but not limited to pelvic floor muscle training) and urinary incontinence during and following pregnancy: a systematic review and meta-analysis

Prenatal exercise (including but not limited to pelvic floor muscle training) and urinary incontinence during and following pregnancy: a systematic review and meta-analysis

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors

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