Effect of Mode of Delivery on the Incidence of Urinary Incontinence in Primiparous Women

Boyles, Sarah Hamilton; Li, Hong; Mori, Tomi; Osterweil, Patricia; Guise, Jeanne Marie

doi:10.1097/aog.0b013e318191bb37

Cited by 107 publications

(124 citation statements)

References 16 publications

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“…A prevalence of UI of 31% was found in Bergen, Norway in women six months after birth (7) , with an increased risk in the cases of vaginal birth and perineal laceration (8) .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Santos

2010

Rev. Latino-Am. Enfermagem

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This study determines and analyzes the prevalence of Urinary Incontinence (UI) and its demographic and clinical predictors. This epidemiological and cross-sectional study was approved by the Research Ethics Committee of the University of São Paulo, Nursing School.The sample was randomly selected by cluster technique and included 519 individuals aged ≥18 years, living in 341 houses in urban areas. Data were analyzed through Chi-Square, Hosmer Lemeshow's test and multivariate logistic regression (stepwise). Prevalence rates were standardized by gender and age. Of the 519 people composing the sample: 20.1% had UI, 32.9% were women and 6.2% were men. Longer duration of losses (OR = 29.3; p<0.001), diabetes mellitus (OR = 17.7; p<0.001), stroke (OR = 15.9; p<0.001), and cystocele (OR = 12.5; p <0.001) were the factors most strongly associated with UI. This study enabled the identification of UI epidemiology and can contribute to the development of public policies for its primary and secondary prevention and treatment, even if such measures are initially implemented at the city level. Descritores: Incontinência Urinária; Epidemiologia; Enfermagem. Prevalencia de la incontinencia urinaria en muestra aleatoria de la población urbana de Pouso Alegre, Minas Gerais, BrasilEl estudio tiene por objetivo conocer la prevalencia de la incontinencia urinaria (IU), de los factores de predicción demográficos y clínicos de la presencia de IU. Se trata de un estudio epidemiológico de corte transversal, aprobado por el Comité de Ética de la Escuela de Enfermería de la Universidad de Sao Paulo. Muestreo estratificado por conglomerado compuesto de 519 individuos con edad ≥18 años, residentes en 341 domicilios del área urbana, sorteados aleatoriamente. Las pruebas utilizadas fueron Chi-cuadrado, HosmerLemeshow y regresión logística multivariante (stepwise). Las prevalencias de IU fueron estandarizadas por sexo y edad, en una muestra de 519 personas, siendo 20,1 % en la población general -32,9% eran mujeres y 6,2% hombres. Los factores más fuertemente asociados a la IU fueron: mayor tiempo de pérdidas (OR=29,3; p<0,001), diabetes mellitus (OR=17,7; p<0,001), accidente vascular encefálico (OR=15,9; p<0,001) y cistocele (OR=12,5; p<0,001). El estudio permitió conocer la epidemiologia de la IU y puede contribuir para el desarrollo de políticas públicas para su prevención primaria y secundaria, su tratamiento, inclusive considerando su inicio en el ámbito municipal.

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“…A prevalence of UI of 31% was found in Bergen, Norway in women six months after birth (7) , with an increased risk in the cases of vaginal birth and perineal laceration (8) .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Santos

2010

Rev. Latino-Am. Enfermagem

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“…Pelvic fl oor disorders are a highly common condition in the immediate postpartum period, with a prevalence of 18.4% in primiparous women and 24.6% in secundiparae 32 . It has been estimated that the prevalence of urinary incontinence three months postpartum is around 30% of women with previously spontaneous vaginal delivery, while for women having delivered by cesarean section the rate is 15% 17,33,34 . A study in 4200 women conducted six years after delivery showed that those that had only vaginal delivery and those that had delivered both vaginally and by cesarean section had an approximately equal prevalence of urinary leakage (26% and 28%, respectively).…”

Section: Impact Of Pregnancy and Delivery On Urinary Incontinencementioning

confidence: 99%

Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature

Živković

Župić

et al. 2016

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SUMMARY -Episiotomy is obstetric procedure during which the incision extends the vestibule of the vagina during the second stage of labor. Episiotomy was extensively spread with gradual increase of rates in the fi rst half of the 20 th century and was performed mediolaterally in all nulliparous women with the idea to protect fetal head from trauma and pelvic fl oor from injuries. However, reports claiming that episiotomy had no such benefi ts were published. It was shown that routine mediolateral episiotomy did not protect against the appearance of urinary incontinence after vaginal delivery, while the risk of anal incontinence could be increased. Th e role of episiotomy in development of pelvic fl oor dysfunction remains quite unclear. Due to the mentioned reason, restricted episiotomy approach should be accepted. Th e origin of stress incontinence during pregnancy is controversial and not definitely scientifi cally proven. Pregnancy per se and older age at fi rst delivery may have impact on the onset of pelvic fl oor dysfunction. Urinary incontinence in pregnancy increases the risk of later urinary incontinence, both postpartum and later in life. Vaginal delivery is just one of the potential risk factors for development of urinary incontinence. Mechanical pressure by fetus on the pelvic fl oor structures, limited denervation of the pelvic fl oor and soft tissue damage during delivery are some of explanations for the onset of stress urinary incontinence. On the other hand, cesarean delivery might not be protective against emergence of urinary incontinence. Further research in this fi eld is needed.

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“…Many studies on UI in pregnancy try to gather information from all pregnant women in the community; so called population based studies (Boyles et al, 2009, Thompson et al, 2002. Participation rates for epidemiologic studies have been declining during the decades with even steeper declines in recent years (Galea and Tracy, 2007).…”

Section: Biasmentioning

confidence: 99%

“…A large questionnaire based cross-sectional study of 5,599 primiparous American women investigated prevalence of UI postpartum (Boyles et al, 2009). The prevalence of any UI was 17 % 6 months postpartum.…”

Section: Prevalence Of Urinary Incontinence Postpartummentioning

confidence: 99%

See 1 more Smart Citation

Epidemiology of Urinary Incontinence in Pregnancy and Postpartum

Wesnes¹,

Hunskaar²,

Rørtveit³

2012

Urinary Incontinence

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Effect of Mode of Delivery on the Incidence of Urinary Incontinence in Primiparous Women

Abstract: II.

Cited by 107 publications

References 16 publications

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Prevalence of Urinary Incontinence in a Random Sample of the Urban Population of Pouso Alegre, Minas Gerais, Brazil

Effect of Delivery and Episiotomy on the Emergence of Urinary Incontinence in Women: Review of Literature

Epidemiology of Urinary Incontinence in Pregnancy and Postpartum

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