Maternal, obstetrical and neonatal risk factors’ impact on female urinary incontinence: a systematic review

Siahkal, Shahla Faal; Iravani, Mina; Mohaghegh, Zaynab; Sharifipour, Foruzan; Zahedian, Maryam

doi:10.1007/s00192-020-04442-x

Cited by 40 publications

(36 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In den Studien wurden verschiedene Risikofaktoren für Beckenbodenfunktionsstörungen untersucht: ▪ Harninkontinenz in der Schwangerschaft: Frauen, die bereits in der Schwangerschaft eine Harninkontinenz haben, leiden auch häufiger postpartal daran [16]. Frauen in der Schwangerschaft unsicher, ob sie eine willkürliche Beckenbodenkontraktion durchführen können, wurden sie häufiger postpartal inkontinent [11].…”

Section: Allgemeine Risikofaktoren Für Beckenbodensymptomeunclassified

“…Various risk factors for pelvic floor dysfunction were investigated in the studies: ▪ Urinary incontinence in pregnancy: women who have urinary incontinence in pregnancy also suffer from it more often post partum [16]. ▪ Age over 35 years: greater age at first delivery and especially over 35 years has been described in different studies as a risk for defects of the levator ani muscle and functional pelvic floor impairment such as urinary and faecal incontinence [9 -12, 16, 17] (urinary incontinence risk increases by a factor of 2-4 [11,12,17]).…”

Section: General Risk Factors For Pelvic Floor Symptomsmentioning

confidence: 99%

“…Urinary incontinence in pregnancy: women who have urinary incontinence in pregnancy also suffer from it more often post partum 16 .…”

Section: Overview/reviewmentioning

confidence: 99%

“…Age over 35 years: greater age at first delivery and especially over 35 years has been described in different studies as a risk for defects of the levator ani muscle and functional pelvic floor impairment such as urinary and faecal incontinence 9 , 10 , 11 , 12 , 16 , 17 (urinary incontinence risk increases by a factor of 2 – 4 11 , 12 , 17 ).…”

Section: Overview/reviewmentioning

confidence: 99%

“…Obesity: BMI over 25 kg/m 2 increases the risk for urinary incontinence by a factor of 1 – 3 10 , 11 , 12 , 16 , 17 , 18 , and also for anal incontinence 12 , 15 , 18 .…”

Section: Overview/reviewmentioning

confidence: 99%

See 4 more Smart Citations

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Hübner

Rothe²,

Plappert

et al. 2022

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

The necessity of increasingly addressing aspects of pelvic floor protection, i.e., prevention of the most frequent female pelvic floor disorders, such as urinary incontinence, faecal incontinence and pelvic organ prolapse, is the result of the steadily improving understanding of the association of pregnancy and delivery with the prevalence of these disorders. About a quarter of all women experience one or more such symptoms during their life. Apart from age and weight, pregnancies and births play an important part. While initial discussion of pelvic floor protection often focused very rapidly on the mode of delivery and elective caesarean section as a possible protective intervention, it has become apparent in the last few decades how varied and wide-ranging the options are that can be used to protect against pelvic floor disorders. The mode of delivery as such is “only” one element among numerous other considerations and has diminished markedly in importance. Interprofessionality and interdisciplinarity undoubtedly represent an important development as resulting recommendations must always be incorporated in an overall context that considers mother and child at the same time. Considering the pelvic floor only certainly does not make sense. This review article will analyze in greater detail important pre-, intra- and postpartum aspects that in their entirety can provide insight into the various aspects of pelvic floor protection. The authors regard the following article as an additional basis for discussion on achieving a sustained reduction in the incidence and prevalence of female pelvic floor disorders.

show abstract

Section: Allgemeine Risikofaktoren Für Beckenbodensymptomeunclassified

Section: General Risk Factors For Pelvic Floor Symptomsmentioning

confidence: 99%

“…Urinary incontinence in pregnancy: women who have urinary incontinence in pregnancy also suffer from it more often post partum 16 .…”

Section: Overview/reviewmentioning

confidence: 99%

Section: Overview/reviewmentioning

confidence: 99%

“…Obesity: BMI over 25 kg/m 2 increases the risk for urinary incontinence by a factor of 1 – 3 10 , 11 , 12 , 16 , 17 , 18 , and also for anal incontinence 12 , 15 , 18 .…”

Section: Overview/reviewmentioning

confidence: 99%

See 3 more Smart Citations

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Hübner

Rothe²,

Plappert

et al. 2022

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

show abstract

Prevalence of urinary incontinence in postpartum women and physiotherapy interventions applied: An integrative review

Koomson,

Mgolozeli,

Mshunqane

2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveThis integrative review identified studies that reported the prevalence of physiotherapeutic interventions for urinary incontinence among postpartum women.MethodsThis is an integrative literature review study. We used the integrative literature review framework proposed by Whittemore and Knafl to search for relevant literature.Search StrategyThe search strategy for electronic databases was developed from the research question and definitions of key concepts, assisted by the librarian. Databases that were searched include Google Scholar, Medline (PubMed), CINAHL, and the Joanna Briggs Institute databases. Both qualitative and quantitative studies that met the inclusion criteria were included. We used the CASP tool to assess the quality of selected papers.Data Collection and AnalysisThe included articles were thematically analyzed. Thirty‐six papers met the inclusion criteria for the review. Six themes emerged from the analysis: prevalence of postpartum UI; risk factors for postpartum UI; antenatal pelvic floor muscle training; conservative treatment and quality of life; experiences of postpartum women with UI; and possible coping strategies adopted by women. Most of the articles were quantitative studies (80.5%); 16.6% were qualitative and 2.7% adopted mixed methods.ConclusionsUrinary incontinence is common in postpartum women. Antenatal pelvic floor muscle training is protective against postpartum UI and should be the first‐line treatment option.

show abstract

An Evaluation of the Effects of Gestational Weight Gain on the Early Postpartum Pelvic Floor Using Transperineal Ultrasound

Sun

Shang

et al. 2023

J of Ultrasound Medicine

View full text Add to dashboard Cite

ObjectivesWe herein evaluated the effects of gestational weight gain (GWG) on postpartum pelvic floor function using transperineal ultrasound (TPUS).MethodsWe analyzed retrospectively the data from 228 primiparous women with singleton pregnancies who were evaluated for postpartum pelvic floor function between February 2022 and October 2022. According to the 2009 Institute of Medicine guidelines regarding GWG, subjects were separated into three groups: inadequate GWG, recommended GWG, and excessive GWG. All underwent TPUS 6–10 weeks postpartum to assess bladder neck descent between rest and Valsalva (BND), retrovesical angle at Valsalva (RVA), urethral rotation angle between rest and Valsalva (URA), the area of levator hiatus at Valsalva (LHA), and abnormal pelvic floor function. Univariate and multivariate regression analyses were applied to explore the association measures between GWG and the pelvic floor. A P‐value <.05 was considered statistically significant.ResultsOf the 228 primiparous women, 113 (49.6%) showed excessive GWG. Univariate analysis revealed that there were no statistical differences in ultrasonic parameters of the pelvic floor among the three groups (P > .05). After adjusting for potential confounders and using the recommended GWG group as a reference group, inadequate GWG was significantly associated with BND ≥25 mm (OR = 0.36, 95% CI = 0.14–0.93), and excessive GWG was significantly associated with uterine prolapse (OR = 2.79, 95% CI = 1.13–6.92).ConclusionsGWG was associated with the ultrasonic parameters of the female pelvic floor in the early postpartum period.

show abstract

Maternal, obstetrical and neonatal risk factors’ impact on female urinary incontinence: a systematic review

Cited by 40 publications

References 47 publications

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Aspects of Pelvic Floor Protection in Spontaneous Delivery – a Review

Prevalence of urinary incontinence in postpartum women and physiotherapy interventions applied: An integrative review

An Evaluation of the Effects of Gestational Weight Gain on the Early Postpartum Pelvic Floor Using Transperineal Ultrasound

Contact Info

Product

Resources

About