Influence of the COVID‐19 pandemic on self‐reported urinary incontinence during pregnancy and postpartum: A prospective study

Abstract

The COVID-19 pandemic has disruptively changed healthcare routine practice and affected the delivery of elective care. Italy has been one of the countries most affected by COVID-19 in Europe. The clinical and economic burden for the Italian National HealthSystem during the pandemic was overwhelming and led to the suspension of several elective medical activities. Hospitals and frontline

Pregnancy vaccination predictive factors and uptake profiles among Italian women: A cross‐sectional survey study on a large population

“…In contrast, this study used a very large study population and a wide number of covariates, obtaining data from the systematic and longitudinal survey on the maternity pathways of Tuscany, Italy. [15][16][17] We aimed to: (1) compute the influenza and Tdap vaccine uptake rate, (2) explore key socioeconomic and pathway-related predictors of influenza and Tdap vaccine uptake, and (3) identify subgroups of respondents with specific patterns of vaccination coverage. We used the same data source that we used in a previous paper.…”

Risk and protective factors for pregnancy‐related urinary incontinence until 1 year postpartum: A cohort study using patient‐reported outcome measures in Italy

“…We computed the ICIQ‐SF score for each woman at all time points. To calculate UI prevalence, we created the dummy variable “Presence of UI”, assuming value 1 when the ICIQ‐SF score was non‐zero 18 . Furthermore, we recoded the responses to define the type of UI (stress, urgent, mixed, undefined) using a specific question from the ICIQ‐SF scale that asked women when and how they happened to leak urine.…”

“…Before launching the systematic survey on the maternity pathway, we submitted to the evaluation of the four ethics committees of Tuscany and obtained their nihil obstat between November and December 2017. Therefore, as explained in previously published papers using the same data source, 9,18 informed consent and ethics approval were not required to conduct the present study, in line with the 2011 Italian guidelines on processing personal data to perform customer satisfaction surveys in the healthcare sector. The use of PRO measures has also been regulated within this legal framework with the Decree of the President of Tuscany Region number 6/R/2013, so PRO measures have been equated with other types of surveys, such as patient‐reported experience questionnaires, for which informed consent is not required.…”

Frequency of Urinary Incontinence Among Post COVID Males

“…The ICIQ-UI SF, with an intraclass correlation coefficient of 0.73 and a Cronbach's alpha of 0.87, consists of four questions and provides a score ranging from 0 to 21, where a higher score indicates more severe symptoms. This questionnaire categorizes urinary incontinence severity into four levels: slight (1-5), moderate (6)(7)(8)(9)(10)(11)(12), severe (13)(14)(15)(16)(17)(18), and very severe (19)(20)(21). On the other hand, the ICIQ-MLUTS, comprising 13 items, is designed to evaluate voiding and storage symptoms along with their impact on the patient's life.…”

“…Furthermore, UI post-COVID significantly elevates the risk of disability, dependency, and care home placement, adversely affecting psychological, physical, and social well-being [17,18]. The lack of familial support and challenges in accessing healthcare exacerbate these issues, leading to a deterioration in QoL and symptom severity [19,20]. Despite its significance, there is a knowledge gap regarding the genitourinary consequences of COVID-19, as most studies focus primarily on respiratory symptoms and complications.…”