Lower urinary tract symptoms 7 years after the first delivery: Correlation to the mode of delivery

Li, Zhiyi; Xu, Tao; Li, Zhaoai; Gong, Jian; Liu, Qing; Zhu, Lan

doi:10.1002/nau.23922

Cited by 7 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The modality of past deliveries may impact development of nocturia currently because some delivery methods can impact the lower urinary tract more significantly in the long term. 2,14 Nevertheless, previously pregnant patients had a greater odds of nocturia than nulligravida patients, in agreement with past findings, 13 demonstrating that pregnancy can have long-term impacts on LUTS.…”

Section: Methodssupporting

confidence: 86%

“…Pregnancy is associated with significant hormonal and physical changes and has been implicated in the development of lower urinary tract symptoms (LUTS) including nocturia, frequency, urinary incontinence (UI), urgency, incomplete bladder emptying, straining, and voiding difficulty 1 . Although most of these symptoms seem to resolve after delivery, some may persist for months or years 2 . Of these LUTS, nocturia, defined as waking up ≥2 times to void as per the International Consultation on Incontinence Research Society 2018 definition, 3,4 is reported as the most common symptom and has a significant effect on quality of life during gestation; nevertheless, the association between nocturia and pregnancy is less characterized than the relationship between pregnancy and other LUTS 5–7 …”

Section: Introductionmentioning

confidence: 99%

“…1 Although most of these symptoms seem to resolve after delivery, some may persist for months or years. 2 Of these LUTS, nocturia, defined as waking up ≥2 times to void as per the International Consultation on Incontinence Research Society 2018 definition, 3,4 is reported as the most common symptom and has a significant effect on quality of life during gestation; nevertheless, the association between nocturia and pregnancy is less characterized than the relationship between pregnancy and other LUTS. [5][6][7] Nocturia in women has been scarcely studied in the United States; however, studies performed in other countries have suggested that the occurrence of nocturia in pregnant patients can be between 51.1% and 75.4%.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association between pregnancy and nocturia: A National Health and Nutrition Examination Survey analysis

Khosla

Huang

Kasarla

et al. 2022

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: This study aimed to determine the impact of pregnancy and pregnancyassociated characteristics on nocturia.Methods: Using the National Health and Nutrition Examination Survey (NHANES) database from 2005/06 to 2017/18, we analyzed women who completed the "Reproductive Health" and "Kidney Conditions-Urology" questionnaires by sorting them into three groups: nulligravida, previously pregnant (nonpregnant with prior pregnancies), and currently pregnant. After excluding patients with pre-existing conditions impacting nocturia or with incomplete data, we weighed and matched the groups for age, race, BMI, and number of pregnancies. The relationships of nocturia to pregnancy in all groups and pregnancy-associated characteristics (gestational diabetes mellitus [GDM], history of multiple pregnancies, and trimesters of pregnancy) in currently pregnant women were assessed. Results: Of 8330 women that indicated pregnancy status, 1544 women (age range: 20-44 years; 523 nulligravida, 498 previously pregnant, 523 currently pregnant women) were included in analysis. Currently, pregnant women had a higher prevalence of nocturia than previously pregnant and nulligravida women (56.4% vs. 22.5% vs. 16.1%, p < 0.001) and had the highest odds of nocturia (OR: 6.82, p < 0.001). GDM or history of multiple pregnancies showed no associations in currently pregnant women. Increasing trimesters were associated with nocturia, with the third trimester showing the highest odds (OR: 10.35, p < 0.001) and a greater average of nighttime voids than the first and second trimesters (2.40 ± 1.42 vs. 1.56 ± 1.31 and 1.88 ± 1.32, p < 0.001). Conclusions:The association noted between pregnancy and nocturia, which strengthened with increasing trimesters, demonstrates that nocturia can significantly impact quality of life and therefore must be addressed during pregnancy.

show abstract

Section: Methodssupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association between pregnancy and nocturia: A National Health and Nutrition Examination Survey analysis

Khosla

Huang

Kasarla

et al. 2022

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…Our findings in terms of the relationship between LUTS and older age, obesity, number of pregnancies, and number of vaginal deliveries correspond to previous findings. [ 6 7 21 ]…”

Section: Discussionmentioning

confidence: 99%

Lower Urinary Tract Symptoms and Related Factors in Iranian Female Nurses

Nasiri

Sigaroudi

Moghadamnia

et al. 2022

Iranian Journal of Nursing and Midwifery Research

View full text Add to dashboard Cite

Background: Lower Urinary Tract Symptom (LUTS) are common among female nurses. High levels of job stress in nurses may be associated with the prevalence of these symptoms. This study aimed to investigate the prevalence of LUTS and factors related to these symptoms in female nurses. Materials and Methods: A cross-sectional study in which 460 nurses and nursing assistants participated was conducted. A questionnaire consisting of socio-demographic data, International Consultation on Incontinence Questionnaire – Female Lower Urinary Tract Symptoms, and Toileting Behavior – Women's Elimination Behavior Scale was used. Data analysis was performed by descriptive and inferential statistical tests at a significant level of p < 0.05. Results: The highest and lowest scores of LUTS were related to the urgency and nocturnal enuresis with a mean (SD) score of 1.85 (1.03) and 0.05 (0.26), respectively. Concerning toileting behaviors, the highest score was for the place preference for voiding with a mean (SD) score of 4.13 (0.66), which correlated with LUTS. Among controllable variables, years of practice, urinary tract infections, use of perineal pads for urinary leakage, lifting heavy objects at work, and medical history were identified as predictors of LUTS (p < 0.05). Conclusions: LUTS was highly prevalent in the female nurses. The results revealed that unhealthy toileting behaviors may contribute to the prevalence of LUTS. Early identification of these symptoms and the development of an educational intervention program to enhance the knowledge of healthy toileting behaviors may prevent the occurrence of urinary symptoms.

show abstract

“…For some women, postpartum LUTS are temporary, but a considerable number of postpartum women experience long-term issues. A longitudinal cohort study [3] revealed that the incidence of maternal urge urinary incontinence (UUI) and stress urinary incontinence (SUI) increased from 5.7% and 29.9% during pregnancy to 22.8% and 46.4% at 1 year after delivery and 10.2% and 23.7% at 7 years after delivery, respectively. Thus, early effective therapies are clearly needed to prevent and treat postpartum LUTS.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of physiotherapy for lower urinary tract symptoms in postpartum women: systematic review and meta-analysis

2021

View full text Add to dashboard Cite

Introduction and hypothesisThe efficacy of physiotherapy for postpartum lower urinary tract symptoms (LUTS) has attracted considerable research interest. In the current study we evaluated the efficacy and safety of pelvic floor muscle training (PFMT) combined with biofeedback (BF), electrical stimulation (ES) therapy, or both for postpartum LUTS. Methods PUBMED, EMBASE, Web of Science, Cochrane Library, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Chinese Science and Technique Journals Database, and Wanfang databases were searched from inception to December 2020. Eligible randomized controlled trials on postpartum LUTS comparing PFMT plus BF, ES, or both with PFMT alone were included. The Cochrane handbook was used to evaluate the quality of the studies. Results Seventeen studies were included. The results of the meta-analysis showed that PFMT plus ES with or without BF was more effective than PFMT alone. Patients receiving PFMT plus ES and BF achieved greater improvement than controls receiving PFMT alone in incontinence quality of life scores (mean difference: 15.33, 95% confidence interval [CI]: 11.70-18.97, P < 0.00001), pelvic floor muscle strength (risk ratio: 2.29, 95% CI: 1.53-3.43, P < 0.0001), and urodynamic parameters (maximum urethral closure pressure, abdominal leak point pressure, and maximum urinary flow rate), and 1-h urine leakage (standardized mean difference: −0.70, 95% CI: −1.23 to −0.17, P = 0.010) also decreased. Conclusions PFMT plus ES with or without BF exhibited better efficacy and safety for early postpartum LUTS than PFMT alone.

show abstract

Lower urinary tract symptoms 7 years after the first delivery: Correlation to the mode of delivery

Cited by 7 publications

References 21 publications

Association between pregnancy and nocturia: A National Health and Nutrition Examination Survey analysis

Association between pregnancy and nocturia: A National Health and Nutrition Examination Survey analysis

Lower Urinary Tract Symptoms and Related Factors in Iranian Female Nurses

Effectiveness of physiotherapy for lower urinary tract symptoms in postpartum women: systematic review and meta-analysis

Contact Info

Product

Resources

About