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 -