Urinary incontinence: Is vaginal delivery a cause?

Horng, Huann Cheng; Chen, Yi Jen; Wang, Peng Hui

doi:10.1016/j.jcma.2016.09.004

Cited by 3 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The women with instrument-assisted delivery might have a higher risk of the development of pelvic organ prolapse and/or urinary incontinence than those with NSD. [ 40 , 41 ] Moreover, we did not compared the women enrolled in our preventive strategy with those who took only part in traditional perinatal care program.…”

Section: Discussionmentioning

confidence: 99%

Avoiding excessive pregnancy weight gain to obtain better pregnancy outcomes in Taiwan

Horng

Huang²,

et al. 2018

Medicine

Self Cite

View full text Add to dashboard Cite

Pregnancy weight gain may be associated with adverse pregnancy outcomes. The article aims to explore the relationship between weight change and pregnancy outcome in the Taiwanese pregnant women.The retrospective cohort study enrolled women with vertex singleton pregnancy at University-associated Hospital between 2011 and 2014. Pregnancy weight change was separated into 3 groups, based on the Institute of Medicine (IOM) guidelines: below (n = 221); within (n = 544); and above (n = 382). Analysis of variance, χ2 tests, generalized linear models, and logistic regression models were used for statistical comparisons.Pregnant women with weight change above IOM guidelines had a significant increase in both maternal and perinatal complications compared with normal controls (odds ratio [OR] 1.65, 95% confidence interval [CI] 1.03–1.98; P = .043; OR 1.45, 95% CI 1.01–1.87; P = .049, respectively). This finding was not found in pregnant women with weight gain below IOM guidelines. Moreover, age (OR 1.08, 95% CI 1.02–1.15; P = .0011), pre-pregnancy weight (OR 1.04, 95% CI 1.01–1.09; P = .0008), pre-pregnancy body mass index (BMI; OR 1.15, 95% CI 1.06–1.30; P < .0001), weight at the time of delivery (OR 1.05, 95% CI 1.02–1.13; P < .0001) and BMI at the time of delivery (OR 1.15, 95% CI 1.06–1.39; P < .0001), all contributed to increased maternal complications but not perinatal complications, whereas parity (OR 0.23, 95% CI 0.12–0.41; P < .0001) and gestational age (OR 0.50, 95% CI 0.35–0.62; P < .001) were associated with fewer maternal complications.Our study reconfirmed that for Taiwanese pregnant women, the approximate pregnancy weight gain recommended by IOM in 2009 was associated with the fewest maternal and perinatal complications. If approximate pregnancy weight gain cannot be attained, even less weight gain during pregnancy is still reasonable without significantly and adversely affecting maternal and perinatal outcomes in Taiwan.

show abstract

Section: Discussionmentioning

confidence: 99%