Risk factors for urinary incontinence 1 year after the first vaginal delivery in a cohort of primiparous Danish women

Svare, Jens; Hansen, Birgit Fischer; Lose, Gunnar

doi:10.1007/s00192-013-2233-5

Cited by 35 publications

(48 citation statements)

References 22 publications

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“…It is also known that certain symptoms such as frequency, nocturia and urge incontinence (common in pregnancy) decrease significantly and tend to disappear in the postpartum period (25) . Parity has been reported as a risk factor for UI (25)(26)(27) , which was also demonstrated in this study.…”

Section: Discussionsupporting

confidence: 86%

“…A relationship between UI in pregnancy and weight gain of pregnant women has been reported as a risk factor for pelvic floor muscle dysfunction (25) . A postpartum strategy for UI prevention is pelvic floor muscle training and postpartum weight loss (26) . It is also known that certain symptoms such as frequency, nocturia and urge incontinence (common in pregnancy) decrease significantly and tend to disappear in the postpartum period (25) .…”

Section: Discussionmentioning

confidence: 99%

“…However, there is scientific evidence that indicates that well-conducted vaginal delivery is more beneficial to both mother and baby. The literature indicates equality in the prevalence of UI among women who had vaginal delivery and those with Cesarean section, reporting an even higher proportion of UI among women who only underwent Cesarean section (24)(25)(26)(27) . The frequency of UI in women who had vaginal delivery or Cesarean section in the present study was similar.…”

Section: Discussionmentioning

confidence: 99%

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Associated factors to urinary incontinence in women undergoing urodynamic testing

Silva

Soler

DominguesWysocki

2017

Rev. esc. enferm. USP

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Objective: Analyzing factors associated with urinary incontinence (UI) among women submitted to urodynamic testing. Method: A cross-sectional study of 150 women attended at a urological center. Data were analyzed using univariate and multivariate statistics. Results: White women (79.3%), overweight (45.3%), menopausal (53.3%), who drink coffee (82.7%), sedentary (65.3%), who had vaginal birth (51.4%), with episiotomy (80%), and who underwent the Kristeller maneuver (69%). 60.7% had Urethral Hypermobility (UH). A statistical association was found between: weight change and UH (p = 0.024); menopause, Intrinsic Sphincter Deficiency (ISD) and Detrusor Instability (DI) (p = 0.001); gynecological surgery, ISD and DI (p = 0.014); hysterectomy and all types of UI (p = 0.040); physical activity and mixed UI (p = 0.014). Conclusion: Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women. Associated factors to urinary incontinence in women undergoing urodynamic testing* Fatores associados à incontinência urinária em mulheres submetidas ao exame urodinâmico Factores asociados con la incontinencia urinaria en mujeres sometidas al estudio urodinámico DESCRIPTORS

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Associated factors to urinary incontinence in women undergoing urodynamic testing

Silva

Soler

DominguesWysocki

2017

Rev. esc. enferm. USP

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“…Although gravidic changes may contribute to UI after childbirth 21 , some authors present evidence that, when present in pregnancy, this condition becomes a risk factor for its occurrence also in postpartum 7 , 21 - 22 . …”

Section: Discussionmentioning

confidence: 99%

Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study

Mendes

Oliveira

Caroci

et al. 2016

Rev. Latino-Am. Enfermagem

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Objectives: to compare the pelvic floor muscle strength in primiparous women after normal birth and cesarean section, related to the socio-demographic characteristics, nutritional status, dyspareunia, urinary incontinence, perineal exercise in pregnancy, perineal condition and weight of the newborn.Methods: this was a cross-sectional study conducted after 50 - 70 postpartum days, with 24 primiparous women who underwent cesarean delivery and 72 who had a normal birth. The 9301 PeritronTM was used for analysis of muscle strength. The mean muscle strength was compared between the groups by two-way analysis of variance. Results: the pelvic floor muscle strength was 24.0 cmH2O (±16.2) and 25.4 cmH2O (±14.7) in postpartum primiparous women after normal birth and cesarean section, respectively, with no significant difference. The muscular strength was greater in postpartum women with ≥ 12 years of study (42.0 ±26.3 versus 14.6 ±7.7 cmH2O; p= 0.036) and in those who performed perineal exercises (42.6±25.4 11.8±4.9 vs. cmH2O; p = 0.010), compared to caesarean. There was no difference in muscle strength according to delivery type regarding nutritional status, dyspareunia, urinary incontinence, perineal condition or newborn weight. Conclusion: pelvic floor muscle strength does not differ between primiparous women based on the type of delivery. Postpartum women with normal births, with higher education who performed perineal exercise during pregnancy showed greater muscle strength.

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“…Associations between birth weight greater than 8 pounds and postpartum urinary incontinence were found in 2 studies: Boyles et al described a small increased risk (OR, 1.29; 95% CI, 1.10‐1.52), as did the research by Glazener and colleagues (OR, 1.56; 95% CI, 1.12‐2.19) . Oxytocin augmentation appears to be protective (OR, 0.5; 95% CI, 0.3‐0.9) . Two studies found no association between epidural analgesia and postpartum SUI .…”

Section: Risk Factors For Urinary Incontinencementioning

confidence: 99%

Primary Prevention of Urinary Incontinence: A Case Study of Prenatal and Intrapartum Interventions

Kissler¹,

Yount²,

Rendeiro³

et al. 2016

J Midwife Womens Health

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A wealth of information is available regarding the diagnosis and treatment of urinary incontinence. However, there is a dearth of quality information and clinical practice guidelines regarding the primary prevention of urinary incontinence. Given the high prevalence of this concern and the often cited correlation between pregnancy, childbirth, and urinary incontinence, women's health care providers should be aware of risk factors and primary prevention strategies for stress urinary incontinence (SUI) in order to reduce associated physical and emotional suffering. This case report describes several common risk factors for SUI and missed opportunities for primary prevention of postpartum urinary incontinence. The most effective methods for preventing urinary incontinence include correct teaching of pelvic floor muscle training (PFMT; specifically Kegel exercises), moderate combined physical exercise regimens, counseling and support for weight loss, counseling against smoking, appropriate treatment for asthma and constipation, and appropriate labor management to prevent pelvic organ prolapse, urethral injury, and pelvic floor muscle damage.

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Risk factors for urinary incontinence 1 year after the first vaginal delivery in a cohort of primiparous Danish women

Abstract: SUI or MUI 1 year after the first vaginal delivery was strongly associated with UI during the pregnancy and inversely associated with oxytocin augmentation.

Cited by 35 publications

References 22 publications

Associated factors to urinary incontinence in women undergoing urodynamic testing

Associated factors to urinary incontinence in women undergoing urodynamic testing

Pelvic floor muscle strength in primiparous women according to the delivery type: cross-sectional study

Primary Prevention of Urinary Incontinence: A Case Study of Prenatal and Intrapartum Interventions

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