Urinary Incontinence in Pregnant Young Women and Adolescents: An Unrecognized At-Risk Group

Jean-Michel, Marjorie; Kroes, Jessica; Marroquín, Guillermo; Chau, Emily Man-Shan; Salafia, Carolyn M.; Mikhail, Magdy S.

doi:10.1097/spv.0000000000000445

Cited by 10 publications

(8 citation statements)

References 15 publications

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“…Risk of bias for the outcome measurement was judged as high for three studies since they did not state the questions used, 21–23 and seven studies were rated of medium risk of bias since the questions were asked in an interview. We judged 24 studies as high risk of bias for study confounding because they did not conduct multivariable analysis and these studies were subsequently judged of medium risk of bias for statistical analysis and reporting 6,21–43 . An additional two studies were judged as medium risk of bias for statistical analysis and reporting because they had not fully reported results 44,45 …”

Section: Resultsmentioning

confidence: 99%

“…Women with one to three (OR: 1.7 [0.8–3.3]; p = 0.14) or four to eight children (OR: 2.5 [1.0–6.7]; p = .06) were not more likely to experience UI than nulliparous women. Jean‐Michel et al 29 asked 98 women in the second/third trimester concerning UI symptoms in the prior 3 months and found no association (parity ≥1 vs. parity 0: OR: 0.6 [0.1–1.3]; p = 0.18).…”

Section: Resultsmentioning

confidence: 99%

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Is there an association between parity and urinary incontinence in women during pregnancy and the first year postpartum?: A systematic review and meta‐analysis

Wuytack

Moran

Daly

et al. 2021

Neurourology and Urodynamics

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Aims: To systematically review the literature on possible associations between parity and urinary incontinence (UI) during pregnancy and in the first year postpartum. Methods:We searched the databases Pubmed, CINAHL, Embase, the Cochrane Library, PsycINFO, MIDIRS, ClinicalTrials.gov (inception-18 April 2020). One reviewer screened all titles. Two reviewers independently selected studies by abstract and full text. Risk of bias was assessed using the Quality In Prognosis Studies tool. Findings were synthesised in meta-analysis or narratively. We assessed the certainty of evidence using the Grading of Recommendations, Assessment, Development and Evaluation Working Group approach adopted for prognostic studies. Results: We identified 16 643 records and 39 were included. Thirty studies examined UI during pregnancy and 12 examined UI postpartum. Multiparity was associated with UI at any point in the last pregnancy (odds ratio [OR]: 1.59 [1.26-2.00], 5 studies, 1565 participants) and in the third trimester when measured by , 4 studies, 1150 participants), but not when studies measured the UI point prevalence (OR: 2.48 [0.91-6.79], 4 studies, 52 976 participants), or if they measured the prevalence at one point in any trimester (OR: 1.09 (0.60-1.95), 3 studies, 872 participants). At 3 months postpartum, UI was associated with multiparity (OR: 2.03 [1.35-3.06], 4 studies, 6781 participants). Conclusions: Increased parity was associated with UI in the first year postpartum, but studies on UI during pregnancy had conflicting results. The evidence was (very) uncertain. Future studies should use comparable definitions and further explore UI sub-types.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Is there an association between parity and urinary incontinence in women during pregnancy and the first year postpartum?: A systematic review and meta‐analysis

Wuytack

Moran

Daly

et al. 2021

Neurourology and Urodynamics

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“…Based on these classes the overall bother of UI during pregnancy is mild and in the third trimester mild to moderate. One study reporting on bother of UI in the last 4 weeks of pregnancy reported the highest bother of 57 [42]. This might be due to the rising prevalence over time in pregnancy [29,34,[42][43][44][45][46].…”

Section: Discussionmentioning

confidence: 99%

“…One study reporting on bother of UI in the last 4 weeks of pregnancy reported the highest bother of 57 [42]. This might be due to the rising prevalence over time in pregnancy [29,34,[42][43][44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis

Moossdorff-Steinhauser

Berghmans

Spaanderman

et al. 2021

Int Urogynecol J

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Introduction and hypothesis Urinary incontinence (UI) is a common and embarrassing complaint for pregnant women. Reported prevalence and incidence figures show a large range, due to varying case definitions, recruited population and study methodology. Precise prevalence and incidence figures on (bothersome) UI are of relevance for health care providers, policy makers and researchers. Therefore, we conducted a systematic review and meta-analysis to investigate the prevalence and incidence of UI in pregnancy in the general population for relevant subgroups and assessed experienced bother. Methods All observational studies published between January 1998 and October 2018 reporting on prevalence and/or incidence of UI during pregnancy were included. All women, regardless of weeks of gestation and type of UI presented in all settings, were of interest. A random-effects model was used. Subgroup analyses were conducted by parity, trimester and subtype of UI. Results The mean (weighted) prevalence based on 44 included studies, containing a total of 88.305 women, was 41.0% (range of 9–75%). Stress urinary incontinence (63%) is the most prevalent type of UI; 26% of the women reported daily loss, whereas 40% reported loss on a monthly basis. Bother was experienced as mild to moderate. Conclusions UI is very prevalent and rising with the weeks of gestation in pregnancy. SUI is the most common type and in most cases it was a small amount. Bother for UI is heterogeneously assessed and experienced as mild to moderate by pregnant women.

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“…Urinary incontinence (UI) is the most frequent pelvic floor dysfunction during pregnancy and the postpartum period, with a prevalence in the range of 21%-54% in adolescents and adults, depending on the study design, applied definitions, and sample recruitment. [1][2][3] Despite its temporary condition in most cases, with resolution in the first 3 months after delivery, UI in immediate postpartum may predict the long-term existence of this condition. 2 The UI complaint after this period increases the dysfunction persistence risk for up to 12 years after delivery.…”

Section: Introductionmentioning

confidence: 99%

Predictive factors for time to cessation of urinary incontinence in primiparous adolescents after vaginal delivery

Babini

Lemos

2020

Intl J Gynecology & Obste

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Urinary Incontinence in Pregnant Young Women and Adolescents: An Unrecognized At-Risk Group

Abstract: This was a cross-sectional study evaluating the prevalence of UI in pregnant young females and adolescents.

Cited by 10 publications

References 15 publications

Is there an association between parity and urinary incontinence in women during pregnancy and the first year postpartum?: A systematic review and meta‐analysis

Is there an association between parity and urinary incontinence in women during pregnancy and the first year postpartum?: A systematic review and meta‐analysis

Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis

Predictive factors for time to cessation of urinary incontinence in primiparous adolescents after vaginal delivery

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