Urinary incontinence during pregnancy and 1 year after delivery in primiparous women compared with a control group of nulliparous women

Hansen, Birgit Fischer; Svare, Jens; Viktrup, Lars; Jørgensen, Torben; Lose, Gunnar

doi:10.1002/nau.21221

Cited by 71 publications

(75 citation statements)

References 28 publications

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“…In this study, the average (8.2; SD = 3.9) and the median (8) of the ICIQ-SF score showed values that were compatible with moderate impact on the quality of life of pregnant women with UI, considering the classification into four categories of severity: light (1-5), moderate (6)(7)(8)(9)(10)(11)(12), heavy (13)(14)(15)(16)(17)(18) and very heavy (19)(20)(21) (28) .…”

supporting

confidence: 55%

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Riesco

Fernandes-Trevisan

Leister

et al. 2014

Rev. esc. enferm. USP

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Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study RESUMENObjetivo: Analizar la fuerza de los múscu-los del suelo pélvico (FMSP), la continencia urinaria y la calidad de vida en mujeres en el primer trimestre del embarazo. Método: Estudio transversal cuyo muestra incluyó 500 mujeres que comenzaron la atención prenatal en un servicio del sector de salud complementaria en Guarulhos, SP, en 2012-2013. La FMSP fue evaluada por la perineometría y las mujeres embarazadas con incontinencia urinaria (IU) respondieron al International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Resultados: Muestran que edad materna (OR=1,06 IC95% 1,02-1,11) y IU previa (OR=15,12; IC95% 8,(19)(20)(21)(22)(23)(24)(25)(26)(27)92) son las variables que, en conjunto, mejor explican la ocurrencia de IU al inicio del embarazo. La media del escore ICIQ-SF fue 8,2 (d.p.=3,9), considerado como de impacto moderado en la calidad de vida. Conclusión: Las embarazadas con más edad y con IU previa tienen chance mayor de presentar IU en el primer trimestre del embarazo. DESCRIPTORES ABSTRACTObjective: To analyze pelvic floor muscle strength (PFMS), urinary continence and quality of life related to urinary incontinence (UI) of women in the first trimester of pregnancy. Method: Cross-sectional study with a sample of 500 women who started prenatal care in a complementary healthcare facility in Guarulhos, state of São Paulo, from 2012 and 2013. Pelvic floor muscle strength was evaluated through perineometry. The pregnant women who presented UI answered the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results: It was found that maternal age (OR=1.06; CI95% 1.02-1.11) and prior UI (OR=15.12; 95%CI 8.19-27.92) are the variables that, in tandem, best explain the occurrence of UI at the beginning of pregnancy. The mean score on the ICIQ-SF was 8.2 (SD=3.9), considered a moderate impact on quality of life. Conclusion: Older pregnant women with prior UI are more likely to have UI in the first trimester of pregnancy. DESCRIPTORS

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supporting

confidence: 55%

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Riesco

Fernandes-Trevisan

Leister

et al. 2014

Rev. esc. enferm. USP

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“…Vaginal delivery when compared to cesarean delivery has been shown to increase risk for UI [17], presumably by weakening pelvic floor support. Urinary incontinence has been reported to be 3.3 times higher in primiparous women during pregnancy and 2.5 times more prevalent at one year post delivery when compared to nulliparous controls [18]. It is also presumed that the risk here is probable damage to the pelvic floor that over time leads to further weakening and UI [17].…”

Section: Discussionmentioning

confidence: 99%

Continence Index: a new screening questionnaire to predict the probability of future incontinence in older women in the community

et al. 2015

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Purpose Urinary incontinence (UI) is a chronic, costly condition that impairs quality of life. To identify older women most at risk, the Medical Epidemiologic and Social aspects of Aging (MESA) dataset was mined to create a set of questions that can reliably predict future UI. Methods MESA data were collected during four household interviews at approximately one year intervals. Factors associated with becoming incontinent at the second interview (HH2) were identified using logistic regression (construction dataset). Based on p-values and odds ratios, eight potential predictive factors with their 256 combinations and corresponding prediction probabilities formed the Continence Index. It's predictive and discriminatory capability was tested against the same cohort's outcome in the fourth survey (HH4-validation dataset). Sensitivity analysis, area under receiver operating characteristic (ROC) curve, predicted probabilities, and confidence intervals were used to statistically validate the Continence Index. Results Body Mass Index, sneezing, post partum UI, urinary frequency, mild UI, belief of developing UI in the future, and difficulty stopping urinary stream and remembering names emerged as the strongest predictors of UI. The confidence intervals for prediction probabilities strongly agreed between construction and validation datasets. Calculated sensitivity, specificity, false positive and false negative values revealed that the areas under the ROC's (0.802 and 0.799) for the construction and validation datasets, respectively, indicated good discriminatory capabilities of the Index as a predictor. Conclusions The Continence Index will help identify older women most at risk for UI in order to apply targeted prevention strategies in women that are most likely to benefit.

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“…Even caesarean section [4,11] and epidural anaesthesia during delivery are predisposing factors for SUI [6,10]. Existing literature diverges on whether SUI during pregnancy is a risk factor for constant incontinence after delivery or not [12,13]. The involuntary leakage of urine is not only a hygiene problem but also the cause of social and psychological suffering that negatively affects daily life, leisure time and sexual activity [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Pelvic Floor Muscle Exercise after Delivery with or without the Biofeedback Method: An Intervention Study

Finnbogadóttir¹,

Moghaddassi²,

Stenzelius³

2016

J Women’s Health Care

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Objective: The aim of this study was to explore the strength of the pelvic floor muscles after delivery by performing pelvic floor muscle exercises using the biofeedback method, with and without supporting visits and to compare with a conventional method. Further, to explore the objective measurement by EMG (electromyography) of the contracting ability of those with weakest pelvic floor muscle strength and compare the effect of the intervention.Methods: An intervention study, where 150 recently delivered women were consecutively selected, at their first postpartum visit, into one of three groups.Results: There was no significant difference between the three groups in pelvic floor muscle (PFM) contraction at 6-months. Analysis of a subgroup of women (n = 42), who had the poorest ability to contract their PFM with Periform ® , controlled by EMG (<17.5 µV) at the first visit postpartum, showed that there was a statistical difference between group I (n = 15) and group III (n = 15) at the six month control (p = 0.010), where group III had significantly better objective results of the strength in their PFM. Significantly more women in groups II (n = 11 of 12) and III (n = 14 of 15) increased their PFM strength (p = 0.005 and 0.001), respectively. Conclusion:Women with a poor ability to contract their PFM had better results regarding the strength of their PFM when they exercised using the biofeedback method with the Periform ® instrument compared to those who exercised without it. Motivation and support from the midwife had a positive impact on the results.

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Urinary incontinence during pregnancy and 1 year after delivery in primiparous women compared with a control group of nulliparous women

Cited by 71 publications

References 28 publications

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Urinary incontinence related to perineal muscle strength in the first trimester of pregnancy: cross-sectional study

Continence Index: a new screening questionnaire to predict the probability of future incontinence in older women in the community

Pelvic Floor Muscle Exercise after Delivery with or without the Biofeedback Method: An Intervention Study

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