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01.06.2011 | Original Article

Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency

verfasst von: Sedighgeh Hantoushzadeh, Pouya Javadian, Mamak Shariat, Bahram Salmanian, Shirin Ghazizadeh, Malekmansour Aghssa

Erschienen in: International Urogynecology Journal | Ausgabe 6/2011

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Abstract

Introduction and hypothesis

We aimed to determine the prevalence of mild stress urinary incontinence (SUI) 1 year postpartum in relation to mode of delivery and pre-pregnancy SUI.

Methods

This cohort study was performed on 618 primiparous women who delivered by elective cesarean section and NVD. Development of SUI during pregnancy till 12 months after delivery was studied. Frequency of mild SUI among patients with and without pre-pregnancy SUI was compared at the ante-partum (RR, 5.75), 40 days postpartum (RR, 9.3), 3 months postpartum (RR, 10.1), 6 months postpartum (RR, 10.1), and 12 months postpartum (RR, 16.8).

Results

Regarding the mode of delivery, incidence of SUI showed significant difference at 40 days, 3 and 6 months postpartum in both patients with and without pre-pregnancy history of SUI (P < 0.05, all groups).

Conclusion

The mode of delivery had significant effect on the persistency of SUI up to 6 months postpartum, while pre-pregnancy SUI revealed such effect till 1 year.

Viktrup L, Lose G (1993) Epidural anesthesia during labor and stress incontinence after delivery. Obstet Gynecol 82(6):984–986PubMed

Wilson PD, Herbison RM, Herbison GP (1996) Obstetric practice and the prevalence of urinary incontinence 3 months after delivery. Br J Obstet Gynaecol 103(2):154–161CrossRef

Foldspang A, Mommsen S, Djurhuus JC (1999) Prevalent urinary incontinence as a correlate of pregnancy. Chi Public Health 89:209–212

Hvidman L, Flodspang A, Mommsen S, Nielsen JB (2003) Postpartum urinary incontinence. Acta Obstet Gynecol Scand Jun 82(6):556–563CrossRef

Ege E, Akin B, Altuntuğ K, Benli S, Arioz A (2008) Prevalence of urinary incontinence in the 12-month postpartum period and related risk factors in Turkey. Urol Int 80(4):355–361PubMedCrossRef

Eftekhar T, Hajibaratali B, Ramezanzadeh F, Shariat M (2006) Postpartum evaluation of stress urinary incontinence among primiparas. Int J Gynaecol Obstet 94(2):114–118PubMedCrossRef

Goldberg RP, Abramov Y, Botros S, Miller JJ, Gandhi S, Nickolov A et al (2005) Delivery mode is a major environmental determinant of stress urinary incontinence: results of the Evanston-Northwestern Twin Sister Study. Am J Obstel Gynecol 193(6):2149–2153CrossRef

Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC (2003) Urinary incontinence in the 12-month postpartum period. Obstet Gynecol 102:1291–1298PubMedCrossRef

Eason E, Labrecque M, Marcoux S, Mondor M (2004) Effects of carrying a pregnancy and of method of delivery on urinary incontinence: a prospective cohort study. BMC Pregnancy Childbirth 2004 Feb 19;4(1):4

10.

Wesness SL, Hunskaar S, Bo K, Rortveit G (2009) The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study. BJOG 116:700–707CrossRef

11.

Diez-Itza I, Arrue M, Ibañez L, Murgiondo A, Paredes J, Sarasqueta C (2010) Factors involved in stress urinary incontinence 1 year after first delivery. Int Urogynecol J 21:439–445CrossRef

12.

Panayi DC, Khulla V (2009) Urogynaecological problems in pregnancy and postpartum sequelae. Curr Opin Obstet Gynecol 21:97–100PubMedCrossRef

13.

Altman D, Ekström A, Gustafsson C, López A, Falconer C, Zetterström J (2006) Risk of urinary incontinence after childbirth: a 10-year prospective cohort study. Obstet Gynecol 108(4):873–878PubMedCrossRef

14.

Glazener CM, Herbison GP, MacArthur C, Lancashire R, McGee MA, Grant AM et al (2006) New postnatal urinary incontinence: obstetric and other risk factors in primiparae. BJOG 113:208–217PubMedCrossRef

15.

Rortveit G, Dalrveit AK, Hannestad HS (2003) Urinary incontinence after vaginal delivery or cesarean section. N Eng J Med 6(348 (10)):900–907CrossRef

16.

Farrell S, Allen V, Baskett TF (2001) Parturition and urinary incontinence in primiparas. Obstet Gynecol 97:350–356PubMedCrossRef

17.

Connolly TJ, Litman HJ, Tennstedt SL, Link CL, McKinlay JB (2007) The effect of mode of delivery, parity, and birth weight on risk of urinary incontinence. Int Urogynecol J 18:1033–1042CrossRef

18.

Foldspang A, Hvidman L, Mommsen S, Nielsen JB (2004) Risk of postpartum urinary incontinence associated with pregnancy and mode of delivery. Acta Obstet Gynecol Scand 83(10):923–927PubMed

19.

Xavier F, Amaud F, Caroline L, Jean-Louis B (2004) Stress urinary incontinence 4 years after the first delivery: a retrospective cohort study. Acta Obstet Gynecol Scandinavia 83:941–945

20.

Arrue M, Ibañez L, Paredes J, Murgiondo A, Belar M, Sarasqueta C et al (2010) Eur J Obstet Gynecol Reprod Biol 150(2):210–214

21.

Hay-Smith J, Mørkved S, Fairbrother KA, Herbison GP (2008) Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev (4):CD007471

22.

Farrell SA, Allen VM, Baskett TF (2004) Parturition and urinary incontinence after delivery: risk factors and prevention. Obstet Gynecol 32(6):540–548

23.

Yap S-K, Daljit S, Allan C, Tony C (2003) Effect of one interval vaginal delivery on the prevalence of stress urinary incontinence: a prospective cohort study. Neurol Urodyn 23:558–562CrossRef

24.

Groutz A, Rimon E, Peled S, Gold R, Pauzner D, Lessing JB (2004) Cesarean section: dose it really prevent the development of postpartum stress urinary incontinence? A prospective study of 363 women 1 year after their delivery. Neurourol Urodyn 23(1):2–6PubMedCrossRef

25.

Press JZ, Klein MC, Kaczorowski J, Liston RM, von Dadelszen P (2007) Does cesarean section reduce postpartum urinary incontinence? A systematic review. Birth 34(3):228–237PubMedCrossRef

26.

van Brummen HJ, Bruinse HW, van de Pol G, Heintz AP, van der Vaart CH (2007) The effect of vaginal and cesarean delivery on lower urinary tract symptoms: what makes the difference? Int Urogynecol J Pelvic Floor Dysfunct 18(2):133–139PubMed

Titel: Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency
verfasst von: Sedighgeh Hantoushzadeh
Pouya Javadian
Mamak Shariat
Bahram Salmanian
Shirin Ghazizadeh
Malekmansour Aghssa
Publikationsdatum: 01.06.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 6/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1335-6

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Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency