Top

Published in:

01-03-2009 | Original Article

Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity

Authors: Viviane Herrmann, Katia Scarpa, Paulo Cesar Rodrigues Palma, Cassio Zanettini Riccetto

Published in: International Urogynecology Journal | Issue 3/2009

Abstract

The aim was to estimate the incidence of stress urinary incontinence 3 years after delivery and its correlation to mode of delivery and parity. A longitudinal cohort study was conducted with 120 women at the Antenatal Clinic at the State University of Campinas. There was a significant difference in the incidence of postpartum stress urinary incontinence (SUI) among patients with SUI during pregnancy (p > 0.0001). Women that were asymptomatic during pregnancy and had vaginal delivery developed SUI 2.4 times more frequently than after c-section (19.2% and 8.0%, respectively). The incidence of SUI after delivery dropped significantly in the primiparous (p = 0.0073) and multiparous 2–3 (p < 0.0001), but not in the multiparous with four or more deliveries (66.7% to 60.0%) (p = 0.5637). A significant correlation has been observed between parity and SUI (p = 0.0299). Pregnancy possibly predisposes to SUI 3 years after delivery as well as parity. No significant correlation has been demonstrated between mode of delivery and SUI.

Available only for authorised users

Rortveit G, Dalveit AK, Hannestad YS, Hunskaar S (2003) Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med 348:900–907PubMedCrossRef

Guarisi T, Pinto-Neto M, Osis MJ, Pedro AO, Paiva LH, Faúndes A (2001) Incontinência urinária entre mulheres climatéricas brasileiras: inquérito domiciliar. Rev Saúde Pública 35:428–435PubMedCrossRef

IBGE. Instituto Brasileiro de Geografia e Estatística—Sistema IBGE de Recuperação Automática—SIDRA. Contagem Nacional da População, 2000

Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M (2005) Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J 16:497–503CrossRef

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

Fritel X, Fauconnier SP, Levet C, Bénfila JL (2004) Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey. Acta Obstet Gynecol Scand 83:941–945PubMedCrossRef

Viktrup L (2002) The risk of lower urinary tract symptoms five years after the first delivery. Neurourol Urodyn 21:2–29PubMedCrossRef

Sun MJ, Chen GD, Chang SY, Lin KC, Chen SY (2005) Prevalence of lower urinary tract symptoms during pregnancy in Taiwan. J Formos Med Assoc 104:185–189PubMed

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, São Paulo, Brazil. Int Urogynecol J 17:219–223CrossRef

10.

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

11.

MacArthur C, Glazener CMA, Wilson PD, Lancashire RJ, Herbison GP, Grant AM (2006) Persistent urinary incontinence and delivery mode history: a six-year longitudinal study. Br J Obstet Gynaecol 113:218–224

12.

Van Brummen HJ, Bruinse HW, van der Bom JG, Heintz APM, van der Vaart CH (2006) How does prevalence of urogenital symptoms change during pregnancy? Neurourol Urodyn 25:135–139PubMedCrossRef

13.

Chin HY, Chen MC, Liu YH, Wang KH (2006) Pospartum urinary incontinence: a comparison of vaginal delivery, elective, and emergent cesarean section. Int Urogynecol J 17:631–635CrossRef

14.

Schytt E, Lindmark G, Waldenström U (2004) Symptoms of stress incontinence 1 year after childbirth: prevalence and predictors in a national Swedish sample. Acta Obstet Gynecol Scand 83:928–936PubMedCrossRef

15.

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

16.

Bahl R, Strachan B, Murphy DJ (2005) Pelvic floor morbidity at 3 years after instrumental delivery and cesarean delivery in the second stage of labor and the impact of a subsequent delivery. Am J Obstet Gynecol 192:789–794PubMedCrossRef

17.

Carroli B, Belizan J (2000) Episiotomy for vaginal birth. Cochrane Database Syst Rev (2):CD 000081

18.

Clemons JL, Towers GD, McClure GB, O’Boyle Al (2005) Decreased anal sphincter lacerations associated with restrictive episiotomy use. Am J Obstet Gynecol 192:1620–1623PubMedCrossRef

19.

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Committee of the International Continence Society. Neurourol Urodyn 21:1676–1678CrossRef

20.

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

21.

MacArthur C, Glazener CMA, Lancashire RJ, Herbison GP, Wilson PD, Grant AM (2005) Faecal incontinence and mode of first and subsequent delivery: a six-year longitudinal study. Br J Obstet Gynaecol 112:1075–1082

22.

Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef

23.

Uma R, Libby G, Murphy DJ (2005) Obstetric management of a women’s first delivery and the implications for pelvic surgery in later life. Br J Obstet Gynaecol 112:1043–1046

24.

Davila GW (2001) Informed consent for obstetrics management: a urogynecologic perspective. Int Urogynecol J 12:289–291

25.

Dietz HP, Schierlitz L (2004) Pelvic floor trauma in childbirth—myth or reality? Aust N Z J Obstet Gynecol 45:3–11CrossRef

Title: Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity
Authors: Viviane Herrmann
Katia Scarpa
Paulo Cesar Rodrigues Palma
Cassio Zanettini Riccetto
Publication date: 01-03-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0767-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2009

Vaginal surgery for uterine descent; which options do we have? A review of the literature

Prevalence and degree of bother from pelvic floor disorders in obese women

Does the presenting bladder volume at urodynamics have any diagnostic relevance?

Evaluation of urgency in women, with a validated Urgency, Severity and Impact Questionnaire (USIQ)

Stress urinary incontinence in patients treated for cervical cancer: is TVT-Secur a valuable treatment option?

Hans Peter Dietz, Lennox P.J. Hoyte, Anneke B. Steensma (eds): Atlas of Pelvic Floor Ultrasound