Urinary incontinence in primigravida: the neglected pregnancy predicament

Abdullah, Bahiyah; Ayub, Saima; Zahid, Akmal Zulayla Mohd; Noorneza, A.R.; Isa, Mohamad Rodi; Ng, Pui

doi:10.1016/j.ejogrb.2016.01.006

Cited by 43 publications

(53 citation statements)

References 24 publications

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“…The prevalence of UI increased with gestational age, which is consistent with previously reported data . However, unlike these results, there were also studies indicating that there was no correlation between gestational age and UI …”

Section: Discussionsupporting

confidence: 91%

“…6,8 However, unlike these results, there were also studies indicating that there was no correlation between gestational age and UI. 3,16 It is known that some fertility-related characteristics of women are among the factors that cause UI. It was determined in the present study that the prevalence of UI increased as the number of children increased.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

Dinç

2017

LUTS

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

Dinç

2017

LUTS

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“…The prevalence of urinary incontinence in the third trimester was 34.3% (95%CI: 29.0, 39.7; n=105 women). This was reported in our earlier publication for this study, which included risk factors and impact on quality of life among women during the third trimester of their first pregnancy [10]. The prevalence dropped dramatically to 5.2% (95% CI: 2.7, 7.7; n= 16 women) in the postpartum period.…”

Section: Resultssupporting

confidence: 65%

“…The methodology used in this has been described in our earlier publication focusing on the urinary incontinence during the third trimester [10]. In brief, however, this is a cross-sectional study involving primiparous women at 6-8 weeks postpartum, who had delivered in one of the tertiary referral hospital in Malaysia.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence of Urinary Incontinence, Its Risk Factors and Effect on the Quality of Life in Women after Their First Delivery

Abdullah¹,

Ayub²,

Zahid³

et al. 2017

JCHS

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Introduction: Although urinary incontinence is commonly associated with increasing parity, there is however a lack of published data on urinary incontinence among primiparous women. This study aims to determine its prevalence among primiparous women at 6-8 weeks postpartum, its risk factors and effects to their quality of life. Methods: This is a crosssectional study involving primiparous women at 6-8 weeks postpartum. Women in their third trimester were recruited using convenience sampling. Data were obtained using a study proforma, and International Consultation on Incontinence Questionnaire – Short Form (ICIQSF) over a face-to-face interview. The same questionnaire with additional enquiries on delivery was completed over a telephone interview at 6-8 week postpartum. Data were analysed using chi-square and simple logistic regression tests contained in the Statistical Package for Social Science version 20.0. Results: Three hundred and six women participated in this study. The prevalence of urinary incontinence in the third trimester of pregnancy was 34.3% (95%CI: 29.0, 39.7) and dropped to 5.2% (95% CI: 2.7, 7.7) at 6-8 weeks postpartum. Childhood enuresis and postpartum body mass index were the two factors that showed significant association with postpartum urinary incontinence. Urinary incontinence in 95 (31%) women had resolved by 6-8 weeks postpartum, whereas 10 (3.3%) women still had persistent symptom. A small proportion of women (2.0%) developed urinary incontinence in the postpartum period. Majority of women with urinary incontinence did not feel it significantly affected their quality of life. The ICIQ- SF mean score was 6.13 (range 2- 12). Conclusions: Postpartum urinary incontinence is rather uncommon among primiparous women and does not seem to affect their quality of life. Childhood enuresis and postpartum BMI were risk factors associated with postpartum urinary incontinence.

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Healthcare resource use and cost burden of urinary incontinence to United States payers

Datar

Pan

McKinney

et al. 2022

Neurourology and Urodynamics

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Objective To assess healthcare resource utilization and costs for female patients diagnosed with stress or mixed urinary incontinence (SUI/MUI) compared to a matched cohort of patients without SUI/MUI. Methods We conducted a retrospective matched cohort study of women using the IBM MarketScan research database. Women diagnosed with SUI/MUI between July 1, 2014 and June 30, 2016 were identified using International Classification of Diseases 9 and 10 codes for SUI or MUI with the date of first diagnosis as the index date from which 2‐year postindex healthcare resource use and direct cost data were derived from claims, examined, and compared 1:1 with patients without a SUI/MUI diagnosis, matched by age and Charlson's Comorbidity Index. Results A total of 68 636 women with SUI/MUI were matched 1:1 with controls. In the 2‐year postindex date, a significantly higher proportion of SUI/MUI patients had ≥1 inpatient visit and ≥1 outpatient visit compared to the control group (inpatient: 18.89% vs. 12.10%, p < 0.0001; outpatient: 88.44% vs. 73.23%, p < 0.0001). Mean primary care visits were significantly higher in SUI/MUI patients compared to controls (7.33 vs. 5.53; p < 0.0001) as were specialist visits (1.2 vs. 0.08; p < 0.0001). Mean all‐cause outpatient costs were higher in SUI/MUI patients compared to controls ($7032.10 vs. $3348.50; p < 0.0001), as were inpatient costs ($3990.70 vs. $2313.70; p < 0.0001). Conclusion Women with SUI/MUI consume significantly higher medical resources and incur higher costs to payers, compared to women without SUI/MUI. While reasons for this are not fully understood, improved and standardized treatment for women with SUI/MUI may positively affect cost and outcomes.

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Urinary incontinence in primigravida: the neglected pregnancy predicament

Cited by 43 publications

References 24 publications

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors

Prevalence of Urinary Incontinence, Its Risk Factors and Effect on the Quality of Life in Women after Their First Delivery

Healthcare resource use and cost burden of urinary incontinence to United States payers

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