Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

Stafne, Signe Nilssen; Mørkved, Siv; Gustafsson, Miriam K.; Syversen, Unni; Stunes, Astrid Kamilla; Salvesen, Kjell Å.; Johannessen, Hege Hølmo

doi:10.1111/1471-0528.16340

“…We thank Currie et al 1 for their interest in our paper published in BJOG. 2 We acknowledge that low vitamin D may enhance the risk of urinary tract infections (UTIs) and that urinary incontinence (UI) is associated with UTIs.…”

Section: Data Availability Statementmentioning

confidence: 97%

“…Re: Vitamin D and stress urinary incontinence in pregnancy: a crosssectional study Dear Editor, We read with interest the recent crosssectional study from Stafne et al in which they describe an association between urinary incontinence symptoms in pregnancy and low vitamin D levels. 1 Urinary incontinence is a common problem in pregnancy, with limited treatment options.…”

mentioning

confidence: 99%

Re: Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

Currie

¹

,

Kindinger²,

David³

2020

BJOG

1

0

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support of their partner facilitates collaborative decision-making. Ironically, those pregnancies that are of high enough risk to warrant in-person consultations, where additional support could offer significant value, are those in which partners are not permitted. Before the pandemic, partners often reported feeling excluded, fearful of the uncertainty of pregnancy and labour and frustrated by perceived lack of support from healthcare professionals. 5 This may subsequently negatively impact their relationship because of the inability to adequately support their partners. Their exclusion from the majority of antenatal care therefore, may not only negatively impact the psychological wellbeing of women, which may in turn result in suboptimal outcomes, but also negatively impact their future relationship. As such, we agree with Herron and Herron and support their notion that attempts should be made towards delivering individualised patientcentred care, both antenatally and intrapartum. &

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“…A recent analysis by Stafne et al showed that women with a reduced vitamin D level suffer significantly more often from urinary incontinence during pregnancy 55 , 56 . The extent to which basic vitamin D supplementation during pregnancy has protective effects for the pelvic floor is still unclear.…”

Section: Overview/reviewmentioning

confidence: 99%

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Hübner

¹

,

Rothe²,

Plappert

³

et al. 2022

Geburtshilfe Frauenheilkd

3

0

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The necessity of increasingly addressing aspects of pelvic floor protection, i.e., prevention of the most frequent female pelvic floor disorders, such as urinary incontinence, faecal incontinence and pelvic organ prolapse, is the result of the steadily improving understanding of the association of pregnancy and delivery with the prevalence of these disorders. About a quarter of all women experience one or more such symptoms during their life. Apart from age and weight, pregnancies and births play an important part. While initial discussion of pelvic floor protection often focused very rapidly on the mode of delivery and elective caesarean section as a possible protective intervention, it has become apparent in the last few decades how varied and wide-ranging the options are that can be used to protect against pelvic floor disorders. The mode of delivery as such is “only” one element among numerous other considerations and has diminished markedly in importance. Interprofessionality and interdisciplinarity undoubtedly represent an important development as resulting recommendations must always be incorporated in an overall context that considers mother and child at the same time. Considering the pelvic floor only certainly does not make sense. This review article will analyze in greater detail important pre-, intra- and postpartum aspects that in their entirety can provide insight into the various aspects of pelvic floor protection. The authors regard the following article as an additional basis for discussion on achieving a sustained reduction in the incidence and prevalence of female pelvic floor disorders.

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“…A strong association was found between 25(OH)D <50 nmol/l and stress UI 2 . The aetiology of stress UI is different from that of urgency UI, and is mainly attributed to muscle weakness caused by stretched or injured muscles, nerves and connective tissue.…”

mentioning

confidence: 92%

“…However, urgency UI, which is the most frequent UI symptom associated with UTIs, was reported by 95 (11%) women in our study population. The proportion of women reporting urgency UI was equally distributed in the different categories of vitamin D levels – 25(OH)D <50 nmol/l, 50–74 nmol/l and ≥75 nmol/l 2 …”

mentioning

confidence: 99%

Authors' reply re: Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

Stafne

¹

2020

BJOG

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0

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support of their partner facilitates collaborative decision-making. Ironically, those pregnancies that are of high enough risk to warrant in-person consultations, where additional support could offer significant value, are those in which partners are not permitted. Before the pandemic, partners often reported feeling excluded, fearful of the uncertainty of pregnancy and labour and frustrated by perceived lack of support from healthcare professionals. 5 This may subsequently negatively impact their relationship because of the inability to adequately support their partners. Their exclusion from the majority of antenatal care therefore, may not only negatively impact the psychological wellbeing of women, which may in turn result in suboptimal outcomes, but also negatively impact their future relationship. As such, we agree with Herron and Herron and support their notion that attempts should be made towards delivering individualised patientcentred care, both antenatally and intrapartum. &

show abstract

Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

Cited by 16 publications

References 51 publications

Re: Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

Re: Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Authors' reply re: Vitamin D and stress urinary incontinence in pregnancy: a cross‐sectional study

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