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Erschienen in:
01.10.2009 | Original Article
Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women
Erschienen in: International Urogynecology Journal | Ausgabe 10/2009
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Introduction and hypothesis
The aim of the study was to investigate the incidence and severity of stress urinary incontinence (SUI) in primigravid women at term and its association with maternal body weight.
Methods
This was an observational study of 458 primigravid women who came to give birth at Donostia Hospital during 2007. Urinary symptoms were investigated (2002 ICS definitions), and a physical examination including height, weight, pelvic floor muscle strength, and fetal presentation was performed. We calculated the incontinence severity index (ISI) and the women answered the International Consultation on Incontinence short form questionnaire.
Results
SUI affected 139 (30.3%) primigravid women. The ISI distribution was 40.3% slight, 54.7% moderate, 4.3% severe, and 0.7% very severe. Pregnant women at term with body weight ≥75 kg appear to have more than doubled the risk of presenting SUI.
Conclusions
The incidence of SUI is high in pregnancy. Increased maternal body weight at term is an independent risk factor for incontinence.