The prevalence of urinary incontinence symptoms among multiparous women: a survey of Saudi health-care centers

Alghamdi, Amal; Alyousif, Ghada Fouad; Alghamdi, Reham L; Almulhim, Fai A; Alsadah, Hawra M; Almutawaa, Jehan M; Alnakhli, Kalthoom A; Almansour, Noura A

doi:10.1007/s00192-020-04443-w

Cited by 13 publications

(17 citation statements)

References 19 publications

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“…The overall prevalence of UI symptoms of in the present study of both groups was lower than that found in previous studies in Jeddah and Dammam that showed the rate of UI symptoms ranged from 40% to 55% in PHCCs respectively. [ 6 , 13 ] The most common type of UI in the present study was stress UI in both groups, similar to the other studies. [ 6 ] Where the least common type was mixed UI.…”

Section: Discussionsupporting

confidence: 91%

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Urinary incontinence: Comparison study to identify the type, incidence and risk factors between admitted women and the general population in Al-Kharj city, Saudi Arabia

et al. 2022

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Introduction: Urinary incontinence (UI) is defined as the involuntary loss of urine. The condition can happen in both genders, but more frequently in women. There are multiple known risk factors for UI. For women, multiparity, previous vaginal deliveries, and menopause are known risk factors for UI. To diagnose UI, three steps should be done, including the patient history, physical examination, and laboratory tests. The options management of UI includes conservative, medical, and surgical, a trial of conservative treatment is recommended by all guidelines before medical or invasive surgical therapy. Conservative therapies include behavioral therapy, physical therapy, and timed voiding. Aim: Our aim in this study is to estimate the prevalence of UI in admitted women and the general population and to compare UI between the general population and admitted women in Al-Kharj city. Material: A quantitative cross-sectional study of 108 women admitted to maternity and children’s hospital and 435 women from the general population of Al Kharj city, Saudi Arabia, between January and March 2021, aged 18+ years. A hard copy questionnaire was distributed to admitted patients at maternity and children’s hospital, and an electronic questionnaire was distributed by social media to the general population. Result: The prevalence of UI in the general population was reported by 132 women (30%). Seventy-four out of 132 women have stress UI (56%), 45 women have urge UI (34%), and the remaining 13 women have mixed UI (10%). The prevalence in admitted women was reported by 38 out of 108 women (35%). Twenty-four out of 38 women have stress UI (63%), 10 women have urgency UI (26%), and the remaining four women have mixed UI (11%). Conclusion: UI is a common health problem in our society. Risk factors for UI are advanced age, multi parity, chronic disease, and obesity.

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Section: Discussionsupporting

confidence: 91%

“…In our study, overweight and obesity were associated with a higher prevalence of UI symptoms, as in other studies were done in Saudi Arabia. [ 6 , 13 ]…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence: Comparison study to identify the type, incidence and risk factors between admitted women and the general population in Al-Kharj city, Saudi Arabia

et al. 2022

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“…Studies [15][16][17] have pointed out that urinary incontinence during pregnancy can double the risk of postpartum urinary incontinence, and primiparas without urinary incontinence before pregnancy are considered the best clinical model for normal pelvic tissue function. Therefore, we took primiparas as the research population.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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Stress urinary incontinence (SUI) is a common clinical postpartum complication. It is necessary to explore the risk factors of postpartum SUI in primiparas to provide evidence support for preventing and reducing the occurrence of SUI. Primiparas who were delivered in our hospital from March 2019 to October 2020 were identified, the personal information and related treatment details of SUI and no-SUI primiparas were collected and analyzed. Logistic regression analyses were conducted to identify the risk factors of postpartum SUI in primiparas. A total of 612 primiparas were included, the incidence of SUI in primiparas was 32.03%. There were significant differences in the body mass index (BMI) before pregnancy, diabetes, abortion, delivery method, newborn's weight, epidural anesthesia, and duration of second stage of labor (all P < .05) between SUI and no-SUI group, and there were no significant differences in the age, BMI at admission, hypertension and hyperlipidemia SUI and no-SUI group (all P > .05). Logistic regression analyses indicated that BMI before pregnancy ≥24 kg/m 2 (odds ratio [OR]: 2.109, 95% confidence interval [CI]: 1.042–4.394), diabetes (OR: 2.250, 95% CI: 1.891–3.544), abortion history (OR: 3.909, 95% CI: 1.187–5.739), vaginal delivery (OR: 2.262, 95% CI: 1.042–4.011), newborn's weight ≥3 kg (OR: 1.613, 95% CI: 1.095–2.316), epidural anesthesia (OR: 2.015, 95% CI: 1.226–3.372), and duration of second stage of labor ≥90 minutes (OR: 1.726, 95% CI: 1.084–2.147) were the risk factors of postpartum SUI in primiparas (all P < .05). The clinical incidence of SUI in primiparas is relatively high. In clinical practice, medical staff should conduct individualized early screening for those risk factors, and take prevention measures to reduce the occurrence of SUI.

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“…An increase in the weight of the uterus causes increased pressure on the bladder, stimulating it and reducing its volume, which in turn increases the incidence of UI in pregnant women [8]. A previous study has found that women who experienced urine leakage during pregnancy had a higher risk of developing postpartum incontinence than those who did not [17][18][19][20]. Furthermore, pregnant women who experienced urine leakage symptoms during pregnancy are twice as likely to experience urine leakage again within 15 years of delivery as those without urine leakage symptoms during pregnancy [8, [17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

“…A previous study has found that women who experienced urine leakage during pregnancy had a higher risk of developing postpartum incontinence than those who did not [17][18][19][20]. Furthermore, pregnant women who experienced urine leakage symptoms during pregnancy are twice as likely to experience urine leakage again within 15 years of delivery as those without urine leakage symptoms during pregnancy [8, [17][18][19][20]. In pregnancy, the increased weight of the uterus presses on the bladder, stimulating it and reducing its volume, which in turn leads to an increase in urination during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Pelvic Floor Dysfunction in Postpartum Period: a Cross-Section Study

Jing

Gong²,

Yang

et al. 2023

Preprint

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Introduction: Pelvic floor dysfunction (PFD) is most commonly dysfunctions in women, it has been reported to affect 23% to 49% of women according to an epidemiological report. PFDs have many consequences, such as pain, embarrassment, social isolation, and a decreased quality of life (QOL). Thus, this study aims to understand which factors are associated with the development of postpartum pelvic floor dysfunction and determine the degree of such dysfunctions to provide theoretical and data support for clinical diagnosis and treatment of this disorder. Method: Puerperal women were recruited between September to November of 2021 by an online survey platform called WenjuanXing. And the demographic characteristics and PFDs related questionnaire were be collected and analyzed. Multivariate logistic regression analyses were conducted to identify the risk factors of postpartum PFDs in postpartum women. Result: A total of 1226 participants were included, the incidence of urinary incontinence (UI), pelvic organ prolapse (POP) and anal incontinence (AI) was 79.6%, 70.7% and 67.4%, respectively. Multivariate logistic regression analyses shown that body mass index (BMI) more than 28 (OR: 2.591, 95% CI: 1.016-6.607), gestational diabetes (OR: 1.541, 95% CI: 1.011-2.348, P=0.044), prenatal incontinence (OR: 2.63, 95% CI: 0.405-0.982), vaginal delivery (OR: 1.521, 95% CI: 0.35-0.774), episiotomy (OR: 1.595, 95% CI: 1.093-2.326) were the risk factors of postpartum UI. BMI more than 28 (OR: 2.337, 95% CI: 1.086-5.029), smoking in pregnancy (OR: 1.434, 95% CI: 0.241-0.78), vaginal delivery (OR: 1.663, 95% CI: 0.473-0.93) were the risk factors of the POP, however, BMI less than 18.5(OR: 546, 95% CI: 0.337-0.885) was considered as a protective factor for POP in statistical methods. BMI less than 18.5 (OR: 0.555, 95% CI: 0.344-0.895) was only the protective factor of Colorectal-Anal Distress Inventory (CRADI). Conclusion: According to our data, we conclude that the BMI >28, gestational diabetes, prenatal incontinence, vaginal delivery, and episiotomy are risk factors for postpartum UI. In addition to the above risk factors, smoking has also been found to be a risk factor for POP. However, we found no risk factors for AI. Additionally, we found that BMI <18.5 is a protective factor of AI and POP.

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The prevalence of urinary incontinence symptoms among multiparous women: a survey of Saudi health-care centers

Cited by 13 publications

References 19 publications

Urinary incontinence: Comparison study to identify the type, incidence and risk factors between admitted women and the general population in Al-Kharj city, Saudi Arabia

Urinary incontinence: Comparison study to identify the type, incidence and risk factors between admitted women and the general population in Al-Kharj city, Saudi Arabia

Risk factors of postpartum stress urinary incontinence in primiparas

Risk Factors of Pelvic Floor Dysfunction in Postpartum Period: a Cross-Section Study

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