Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy

Li, Zhiyi; Xu, Tao; Zhang, Lei; Zhu, Lan

doi:10.1111/luts.12274

Cited by 16 publications

(14 citation statements)

References 32 publications

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“…Patients with pre-existing urogenital conditions and a history of urological surgery were also excluded, as mentioned previously. Understanding of Pregnancy-associated LUTS/ Pregnancy non-pathological LUTS/ LUTS during pregnancy is an evolving concept in the literature [44] and we took the first step in the Middle East to evaluate its presence, risk factors, and impact on QoL.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

The impact of lower urinary tract symptoms on the quality of life during pregnancy: a cross-sectional study from Palestine

et al. 2020

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Background Lower urinary tract symptoms (LUTS) are prevalent among pregnant women. Several articles show the impact of LUTS on pregnant women’s quality of life (QoL). This study was designed to examine the impact of non-pathological LUTS on QoL among pregnant Palestinian women. Methods A cross-sectional, hospital-based study was conducted on women who were pregnant and receiving regular antenatal care at the obstetrics and gynecology clinic in Rafidia Hospital, Palestine. This self-administered questionnaire included the Urinary Distress Inventory – short-form (UDI-6), the Incontinence Impact Questionnaire – short-form (IIQ-7), the European Quality of Life scale – 5 dimensions (EQ-5D), and the European Quality of Life – visual analogue scale (EQ-VAS). A convenience sampling method was used. In addition to this, multiple linear regression analyses were performed aiming to identify variables that have a significant relationship with QoL (i.e. socio-demographic variables, UDI-6 score, and IIQ-7 score). Results This study included a total of 306 pregnant women. Participants had a mean age of 26.9 years (SD, 3.6). The subjects scored an average of 31.2 ± 19.2 out of 100 points for the UDI-6 scale and an average of 31.9 ± 24.9 out of 100 points for the IIQ-7 scale. On the other hand, the subjects’ average EQ-5D and EQ-VAS scores were 0.76 ± 0.17 and 67.96 ± 19.28 respectively. The subjects’ responses on UDI-6 significantly correlated with their responses on both the EQ-5D and EQ-VAS scales (r = − 0.338, p < 0.001 and r = − 0.206, p < 0.001, respectively). Likewise, their responses on IIQ-7 also significantly correlated with their responses on both the EQ-5D and EQ-VAS scales (r = − 0.389, p < 0.001 and r = − 0.329, p < 0.001, respectively). Regression analysis found that the UDI-6 score (p = 0.001) and IIQ-7 score (p < 0.001), were significantly and negatively associated with EQ-5D index scores. Conclusions Our study shows a remarkable correlation between LUTS and QoL among pregnant women. Further longitudinal studies are required to assess the status of LUTS in the pre-pregnancy stage to ascertain a more accurate assessment of LUTS or LUTS related intervention and its impact on QoL during pregnancy.

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Section: Limitations and Strengthsmentioning

confidence: 99%

The impact of lower urinary tract symptoms on the quality of life during pregnancy: a cross-sectional study from Palestine

et al. 2020

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“…Since nocturia is one of the most bothersome LUTS in pregnancy and greatly impacts quality of life, 8 we evaluated its association with pregnancy and pregnancy‐associated characteristics in currently pregnant women. Using the NHANES database from 2005/06 to 2017/18, the prevalence of nocturia in currently pregnant women was 56.4%, which was comparable to the prevalences reported in previous single‐center studies 7,9,11 .…”

Section: Discussionmentioning

confidence: 99%

“…Pregnant survey respondents in the third trimester had a significantly higher average number of nighttime voids when compared to those in their first and second trimesters (p < 0.001) (Table 3). Since nocturia is one of the most bothersome LUTS in pregnancy and greatly impacts quality of life, 8 we evaluated its association with pregnancy and pregnancyassociated characteristics in currently pregnant women. Using the NHANES database from 2005/06 to 2017/18, the prevalence of nocturia in currently pregnant women was 56.4%, which was comparable to the prevalences reported in previous single-center studies.…”

Section: Methodsmentioning

confidence: 99%

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

Khosla

Huang

Kasarla

et al. 2022

Neurourology and Urodynamics

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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.

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“…Furthermore, Zhiyi Li showed a mixture of voiding and storage LUTS during pregnancy directly associated with BMI. For example, a patient with a low BMI was more likely to have voiding LUTS during late pregnancy [14].…”

Section: Discussionmentioning

confidence: 99%

“…However, LUTS in women are slightly different from men, as overactive bladder syndrome and incontinence are more prevalent in females [4][5][6][7][8][9][10]. LUTS and related underlying conditions can cause major disruption to a pregnant female's daily activities and interfere with their work, exercise, and social life [10][11][12][13][14][15]. Furthermore, LUTS can negatively impact the quality of life (QoL) of pregnant women [15,16].…”

Section: Introductionmentioning

confidence: 99%

Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine

Saffarini

Ahmad

Samara

et al. 2021

BMC Pregnancy Childbirth

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Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to assess LUTS among pregnant women in Palestine, in addition to identifying factors that exacerbate LUTS during pregnancy. Methods We devised a cross-sectional, questionnaire-based study that used the Urinary Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) tools to assess LUTS during pregnancy in an antenatal care clinic setting. Multiple linear regressions were conducted to determine variables that significantly related to LUTS (UDI-6 and IIQ-7 scores as dependent variables). Results The study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.9 ± 24.9 out of 100 points (6.7 ± 5.2 out of 21) for the IIQ-7 scale and a mean of 31.2 ± 19.2 out of 100 points (5.6 ± 3.4 out of 18) for the UDI-6 scale. Regression analysis showed that older women (p = 0.031), women with a higher body mass index (p < 0.001), and women in the third trimester of pregnancy (p = 0.023), were independently associated with high UDI score. Multiple linear regression analysis showed that obese and overweight patients (p = 0.006) and multiparity (p = 0.026) were independently associated with high IIQ score. Conclusions High body mass index is independently associated with both UDI and IIQ scores for LUTS. Several strategies should be arranged to raise the awareness of females of childbearing age in Palestine regarding LUTS during pregnancy and factors which may exacerbate LUTS, such as obesity and multiparity. Thus, preventive measures should be implemented, such as serial assessment of LUTS during antenatal care to respond timely to this frequent problem.

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Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy

Cited by 16 publications

References 32 publications

The impact of lower urinary tract symptoms on the quality of life during pregnancy: a cross-sectional study from Palestine

The impact of lower urinary tract symptoms on the quality of life during pregnancy: a cross-sectional study from Palestine

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

Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine

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