Hormonal Influence in Stress Urinary Incontinence During Pregnancy and Postpartum

Coll, Cristina Molinet; Franco, Eva Martínez; Queral, Laura Altimira; Cuadras, Daniel; Tardiu, Lluís Amat; Parés, David

doi:10.1007/s43032-022-00946-7

Cited by 20 publications

(6 citation statements)

References 24 publications

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“…The final study group for assessment consisted of longitudinal, prospective observational studies published between 1971 and 2022. All studies relevant to this systematic review are summarized in Table 1 ( 14 , 23 , 25 , 27 , 28 , 58-85 ).…”

Section: Resultsmentioning

confidence: 99%

Longitudinal Course of Sex Steroids From Pregnancy to Postpartum

Đukić

Ehlert

2023

Endocrinology

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Context Sex steroids (SS) typically rise during pregnancy and decline after birth, but no consistent reference values exist for these hormonal courses. We aimed to establish an overview of SS secretion patterns during the peripartum and to better understand how SS contribute to maternal and fetal pathologies. Evidence acquisition A systematic literature search was conducted in accordance with the PRISMA guidelines using PubMed, Cochrane Library, and PsycINFO. Additionally, we conducted a supplementary manual search of references. Observational studies published in English and assessing estradiol, progesterone, and testosterone over the course of the peripartum in physically healthy female subjects were included, without restrictions on year of publication. Extracted data were analyzed descriptively and visually. Evidence synthesis SS increase progressively during pregnancy, with an extremely wide range of reported concentrations, especially in the third trimester. In fact, reported concentrations varied up to 5000-fold at comparable measurement time points. Conclusions A comprehensive understanding of the influence of SS levels on associated maternal and fetal pathologies is currently hindered by two main factors. First, reported SS levels vary widely during the peripartum period. Second, the current state of knowledge on how SS are associated with pathologies in mothers and babies is largely based on correlational studies, and causality thus remains unclear. Consequently, we recommend the development of a systematic reference framework that follows the suggestions presented in this review. This would enable the establishment of SS reference values for a healthy population, resulting in the possibility to draw conclusions about deviations and related pathologies.

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Section: Resultsmentioning

confidence: 99%

Longitudinal Course of Sex Steroids From Pregnancy to Postpartum

Đukić

Ehlert

2023

Endocrinology

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“…Women with UTI (47.2% vs 34.4%, P 34.018), chronic cough (28.3% vs 13.9%, P 13.001), and chronic constipation (34.9% vs 19%, P 19.001) during the pregnancy had significantly more UI. The number of UTI infection attacks was significantly higher in those who had incontinence compared with those who did not (median [range] 1 [1][2][3][4][5][6][7]) compared with 0 (0-0), P = .007, Mann-Whitney U test).…”

Section: Resultsmentioning

confidence: 99%

“…[ 2 ] Stress incontinence, urge incontinence, and mixed incontinence are the 3 main types of UI. [ 3 ] It is a pregnancy-related condition [ 4 ] which is related to multiple anatomical and physiological factors including obesity, [ 5 ] increased intra-abdominal pressure, [ 6 ] hormonal changes, [ 7 ] and multiparity. [ 8 , 9 ] UI in pregnancy can affect the quality of women’s life, leading to psychological problems including anxiety, depression and low self-esteem.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for urinary incontinence during pregnancy among nulliparous women in the United Arab Emirates

2023

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Urinary incontinence (UI), which affects the quality of life, is associated with different risk factors during pregnancy. We aimed to study the risk factors related to UI during pregnancy among nulliparous women in the UAE. This is a prospective descriptive survey, which included all nulliparous women after the first 24 weeks’ gestation from 2012 to 2014 in a teaching hospital in the UAE. Participants were interviewed face-to-face, using a structured and pre-tested questionnaire and divided into 2 groups: those with UI and those without it. Factors which were statistically significant (P < .05) between the 2 groups were entered into an logistic regression backward logistic regression model to define the factors predicting UI. Five hundred one participants were interviewed. UI occurred in 106/501 (21.2%). The 2-sample comparison analysis showed that urinary tract infection (UTI) (47.2% vs 34.4%, P = .018) and its number of attacks (P = .007), chronic cough (28.3% vs 13.9%, P < .001) and chronic constipation (34.9% vs 19%, P < .001) were statistically significant between those who had UI and those who did not. The logistic regression backward logistic regression model showed that the risk factors which predicted UI were chronic constipation (P = .003), chronic cough (P = .008), and the number of UTI attacks (P = .036). UI affects one-fifth of nulliparous women in the UAE. Chronic cough, constipation, and repeated UTI infection, significantly increase the odds of UI during pregnancy. Addressing these risk factors may reduce the risk of UI.

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“…Risk factors for female SUI include age, [19,20] delivery, [21] pregnancy, [22] obesity, [23][24][25][26] chronic cough, and so on. Structural or functional abnormality of the tissue at the base of the pelvis is among the main pathological characteristics of SUI.…”

Section: Discussionmentioning

confidence: 99%

Health Qigong Mawangdui Guidance can improve pelvic floor muscle function and quality of life in females with stress urinary incontinence: A randomized controlled trial pilot study

Xu,

Zhang,

Zhuo

et al. 2024

Medicine

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Background: Urinary incontinence (UI) is a great problem of public health, especially for women’s quality of life. UI afflicts at least 21.6% of the global population, and more than half of the UI is related to female stress urinary incontinence (SUI). Mawangdui Guidance plays an important role in preventing diseases and maintaining health. Methods: Sixty female patients with SUI were randomly divided into a control group (n = 30) and an experimental group (n = 30). Patients in both groups were treated with basic rehabilitation therapy under the guidance of rehabilitation therapists who were trained in Mawangdui Guidance, based on the former, the experimental group was taught to exercise Mawangdui Guidance(including selected movements: “Qishi,” “Longdeng,” “Chishi,” and “Yinyao”), while the control group performed Kegel exercise with a procedure of 20 min, six times per week for 6 weeks. The function was mainly evaluated by the 1 h pad-test, incontinence quality of life questionnaire (I-QOL), and international consultation on incontinence questionnaire urinary incontinence short form (ICI-Q-SF). In addition, evaluation of pelvic floor muscle function was also included in our assessment. Results: The leakage of urine in the 1 h pad-test was significantly decreased in both two groups after treatment (P < .05), and the urine leakage in the experimental group was significantly less than that in the control group (P < .05). The muscle strength of type I and II muscle fibers of the pelvic floor, intravaginal pressure, and I-QOL score in both two groups were increased after treatment; moreover, the experimental group was more significant than the control group (P <.05). The fatigue degree of type I and type II muscle fibers of the pelvic floor, and the ICI-Q-SF score in both groups were significantly improved after treatment (P < .05); however, there were no differences between these two groups. The total effective rate of the experimental group was 90.00%, and 76.67% in the control group (P <.05). Conclusion: Mawangdui Guidance can effectively improve the function of pelvic floor muscle, improve the ability of urine storage and control, and alleviate the symptoms of female patients with SUI. However, the international research on Mawangdui Guidance is very limited, and more in-depth research is needed.

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Hormonal Influence in Stress Urinary Incontinence During Pregnancy and Postpartum

Cited by 20 publications

References 24 publications

Longitudinal Course of Sex Steroids From Pregnancy to Postpartum

Longitudinal Course of Sex Steroids From Pregnancy to Postpartum

Risk factors for urinary incontinence during pregnancy among nulliparous women in the United Arab Emirates

Health Qigong Mawangdui Guidance can improve pelvic floor muscle function and quality of life in females with stress urinary incontinence: A randomized controlled trial pilot study

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