Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study

Anna Rajavuori; Jussi P. Repo; Arja Häkkinen; Pirkko Palonen; Juhani Multanen; Pauliina Aukee

doi:10.1016/j.eurox.2021.100138

Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study

Anna Rajavuori, Jussi P. Repo, Arja Häkkinen, Pirkko Palonen, Juhani Multanen, Pauliina Aukee

Research output: Contribution to journal › Article › Scientific › peer-review

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Abstract

Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI. Methods: In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI. Results: The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI. Conclusions: Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.

Original language	English
Article number	100138
Journal	European Journal of Obstetrics and Gynecology and Reproductive Biology: X
Volume	13
Early online date	8 Nov 2021
DOIs	https://doi.org/10.1016/j.eurox.2021.100138
Publication status	Published - 2022
Publication type	A1 Journal article-refereed

Funding

We thank Elina Anttonen, MSc, for her assistance in data collection, and the biostatician Hannu Kautiainen, BA from Department of General Practice, University of Helsinki, Finland for his assistance in the statistical analysis. The research was supported by Central Finland Health Care District Grant T1021 .

Keywords

Pregnancy
Primiparity
Urinary incontinence

Publication forum classification

Publication forum level 1

ASJC Scopus subject areas

Obstetrics and Gynaecology
Reproductive Medicine

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10.1016/j.eurox.2021.100138Licence: CC BY-NC-ND

1-s2.0-S2590161321000181-mainFinal published version, 395 KBLicence: CC BY-NC-ND

https://urn.fi/URN:NBN:fi:tuni-202201101175Licence: CC BY-NC-ND

Cite this

@article{55e089b877654cbd8123c19d4b545f26,

title = "Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study",

abstract = "Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI. Methods: In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI. Results: The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI. Conclusions: Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.",

keywords = "Pregnancy, Primiparity, Urinary incontinence",

author = "Anna Rajavuori and Repo, {Jussi P.} and Arja H{\"a}kkinen and Pirkko Palonen and Juhani Multanen and Pauliina Aukee",

note = "Funding Information: We thank Elina Anttonen, MSc, for her assistance in data collection, and the biostatician Hannu Kautiainen, BA from Department of General Practice, University of Helsinki, Finland for his assistance in the statistical analysis. The research was supported by Central Finland Health Care District Grant T1021 . Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2022",

doi = "10.1016/j.eurox.2021.100138",

language = "English",

volume = "13",

}

TY - JOUR

T1 - Maternal risk factors of urinary incontinence during pregnancy and postpartum

T2 - A prospective cohort study

AU - Rajavuori, Anna

AU - Repo, Jussi P.

AU - Häkkinen, Arja

AU - Palonen, Pirkko

AU - Multanen, Juhani

AU - Aukee, Pauliina

N1 - Funding Information: We thank Elina Anttonen, MSc, for her assistance in data collection, and the biostatician Hannu Kautiainen, BA from Department of General Practice, University of Helsinki, Finland for his assistance in the statistical analysis. The research was supported by Central Finland Health Care District Grant T1021 . Publisher Copyright: © 2021 The Authors

PY - 2022

Y1 - 2022

N2 - Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI. Methods: In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI. Results: The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI. Conclusions: Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.

AB - Introduction: Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI. Methods: In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI. Results: The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI. Conclusions: Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.

KW - Pregnancy

KW - Primiparity

KW - Urinary incontinence

U2 - 10.1016/j.eurox.2021.100138

DO - 10.1016/j.eurox.2021.100138

M3 - Article

AN - SCOPUS:85119154160

SN - 2590-1613

VL - 13

JO - European Journal of Obstetrics and Gynecology and Reproductive Biology: X

JF - European Journal of Obstetrics and Gynecology and Reproductive Biology: X

M1 - 100138

ER -

Maternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study

Abstract

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Keywords

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ASJC Scopus subject areas

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