Is prenatal urethral descent a risk factor for urinary incontinence during pregnancy and the postpartum period?

Abstract

Prenatal urethral descent and UI during pregnancy are risk factors for UI at 1 year postpartum. These results indicate that postnatal UI is more strongly influenced by susceptibility factors existing before first delivery than by the mode of delivery.

Is bladder neck and urethral mobility associated with urinary incontinence and mode of delivery 4 years after childbirth?

“…A recent study found that BND during pregnancy correlated to UI after delivery. 24 We found a similar correlation for RVA to SUI, but as in the study by Pizzoferrato et al, UI symptoms during pregnancy were a stronger predictor for UI after delivery. Attempts have been made to establish a cut off for normality for BND.…”

“…If ultrasound measurements during pregnancy could be used to predict which women would be at higher risk to develop UI after delivery, it could help identify women who would potentially benefit from pelvic floor muscle exercise during pregnancy and after delivery. A recent study found that BND during pregnancy correlated to UI after delivery . We found a similar correlation for RVA to SUI, but as in the study by Pizzoferrato et al, UI symptoms during pregnancy were a stronger predictor for UI after delivery.…”

“…We found a similar correlation for RVA to SUI, but as in the study by Pizzoferrato et al, UI symptoms during pregnancy were a stronger predictor for UI after delivery. Attempts have been made to establish a cut off for normality for BND . However, as the overlap in BND between symptomatic and continent women is large, this seems to be of less practical value …”

“…Attempts have been made to establish a cut off for normality for BND. 9,24 However, as the overlap in BND between symptomatic and continent women is large, this seems to be of less practical value. 9 5 | CONCLUSIONS This is the first study to assess bladder neck and urethral mobility from pregnancy to 4 years postpartum, demonstrating a significant increase in mobility over time.…”

Épidémie de césariennes et crainte du traumatisme obstétrical

“…Cela permettra, j'espè re, d'é branler les fausses croyances encore largement communes à propos du caractè re traumatique de l'accouchement vaginal. Il faut encore rappeler que l'incontinence urinaire est particuliè rement fré quente pendant la grossesse (entre 30 et 50 % des femmes rapportent des fuites urinaires pendant la premiè re grossesse) [4], et aussi qu'il est possible de pré dire le risque d'incontinence urinaire postnatale en observant la mobilité uré trale avant l'accouchement [5]. Une grande partie de ce qui dé termine l'incontinence urinaire de la femme est donc probablement à rechercher ailleurs que dans le mode d'accouchement et dè s la pé riode pré natale.…”