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International Urogynecology Journal

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01-10-2009 | Original Article

Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women

Authors: Irene Diez-Itza, Larraitz Ibañez, Miren Arrue, Jone Paredes, Arantzazu Murgiondo, Cristina Sarasqueta

Published in: International Urogynecology Journal | Issue 10/2009

Abstract

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.

Stanton SL, Kerr-Wilson R, Grant Harris V (1980) The incidence of urological symptoms in normal pregnancy. Br J Obstet Gynecol 87:897–900

Viktrup L, Lose G, Rolf M, Barfoed K (1993) The frequency of urinary symptoms during pregnancy and puerperium in the primipara. Int Urogynecol J 4:27–30CrossRef

Chaliha C, Kalia V, Stanton SL, Monga A, Sultan AH (1999) Antenatal prediction of postpartum urinary and fecal incontinence. Obstet Gynecol 94:689–694PubMedCrossRef

Grutz A, Gordon D, Keidar R, Lessing JB, Wolman I, David MP et al (1999) Stress urinary incontinence: prevalence among nulliparous compared with primiparous and grand multiparous premenopausal women. Neurourol Urodyn 18:419–425CrossRef

van Brummen HJ, Bruinse HW, van der Bom JG, Heintz AP, van der Vaart CH (2006) How do the prevalences of urogenital symptoms change during pregnancy? Neurourol Urodyn 25:135–139PubMedCrossRef

Wesnes SL, Rortveit G, Bo K, Hunskaar S (2007) Urinary incontinence during pregnancy. Obstet Gynecol 109:922–928PubMed

Dolan LM, Walsh D, Hamilton S, Marshall K, Thomson K, Ashe RG (2004) A study of quality of life in primigravidae with urinary incontinence. Int Urogynecol J 15:160–164CrossRef

King JK, Freeman RM (1998) Is antenatal bladder neck mobility a risk factor for postpartum stress incontinence? Br J Obstet Gynecol 105:1300–1307

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

10.

Viktrup L, Rortveit G, Lose G (2006) Risk of stress urinary incontinence twelve years after the first pregnancy and delivery. Obstet Gynecol 108:248–254PubMed

11.

Unemori EN, Amento EP (1990) Relaxin modulates synthesis and secretion of procollagenase and collagen by human dermal fibroblasts. J Biol Chem 265:10681–10685PubMed

12.

Hvidman L, Foldspang A, Mommsen S, Nielsen JB (2002) Correlates of urinary incontinence in pregnancy. Int Urogynecol J 13:278–283CrossRef

13.

Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT Study. Epidemiology of Incontinence in the County of Nord-Trøndelag. J Clin Epidemiol 53:1150–1157PubMedCrossRef

14.

Rortveit G, Hannestad YS, Daltveit AK, Hunskaar S (2001) Age- and type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT Study. Obstet Gynecol 98:1004–1010PubMedCrossRef

15.

Chiarelli P, Brown W, McElduff P (1999) Leaking urine: prevalence and associated factors in Australian women. Neurourol Urodyn 18:567–577PubMedCrossRef

16.

Scarpa KP, Herrmann V, Palma PCR, Riccetto CLZ, Morais SS (2006) Prevalence and correlates of stress urinary incontinence during pregnancy: a survey at UNICAMP Medical School, Sao Paulo, Brazil. Int Urogynecol J 17:219–223CrossRef

17.

Burgio KL, Locher JL, Zyczynski H, Hardin JM, Singh K (1996) Urinary incontinence during pregnancy in a racially mixed sample: characteristics and predisposing factors. Int Urogynecol J 7:69–73CrossRef

18.

Hunskaar S, Burgio K, Clark A, Lapitain MC, Nelson R, Sillen U, Thom D (2005) Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse. In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence: 3rd International Consultation on Incontinence. Health Publication, Plymouth, pp 257–311

19.

Chiarelli P, Campbell E (1997) Incontinence during pregnancy. Prevalence and opportunities for continence promotion. Aust N Z J Obstet Gynecol 37:66–73CrossRef

20.

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef

21.

Sandvik H, Seim A, Vanvik A, Hunskaar S (2000) A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn 19:137–145PubMedCrossRef

22.

Sandvik H, Espuña M, Hunskaar S (2006) Validity of the incontinence severity index: comparison with pad-weighing test. Int Urogynecol J 17:520–524CrossRef

23.

Espuña Pons M, Rebollo Alvarez P, Puig Clota M (2004) Validation of the Spanish version of the International Consultation on Incontinence questionnaire-short form. A questionnaire for assessing the urinary incontinence. Med Clin (Barc) 122:288–292CrossRef

24.

Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P (2004) ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 23:322–330PubMedCrossRef

25.

Frawley HC, Galea MP, Phillips BA, Sherburn M, Bø K (2006) Reliability of pelvic floor muscle strength assessment using different test positions and tools. Neurourol Urodyn 25:236–242PubMedCrossRef

26.

Kristianson P, Samuelsson E, von Schoultz B, Svardsudd K (2001) Reproductive hormones and stress urinary incontinence in pregnancy. Acta Obstet Gynecol Scand 80:1125–1130CrossRef

Title: Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women
Authors: Irene Diez-Itza
Larraitz Ibañez
Miren Arrue
Jone Paredes
Arantzazu Murgiondo
Cristina Sarasqueta
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 10/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0923-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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