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Published in: International Urogynecology Journal 10/2010

01-10-2010 | Original Article

Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women

Authors: Gisele Martins, Zaida A. S. G. Soler, José Antônio Cordeiro, João Luiz Amaro, Katherine N. Moore

Published in: International Urogynecology Journal | Issue 10/2010

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Abstract

Introduction and hypothesis

Physiological and anatomical changes of pregnancy are risk factors for lower urinary tract symptoms (LUTS). This study aimed to evaluate the prevalence and risk factors for urinary incontinence (UI) in healthy pregnant women.

Methods

A cross-sectional study was conducted in pregnant Brazilian women who enrolled in the primary health-care system in Sao Jose do Rio Preto, Brazil. Face-to-face interview and completion of two-part questionnaire were administered and done which evaluated the presence of LUTS pre- and during pregnancy. The data were analyzed by logistic regression.

Results

Five hundred pregnant women were enrolled ranging from first to third trimester. LUTS present in 63.8% in these women; the main associated risk factors were multiparity and prepregnancy LUTS as well as smoking, constipation, and daily coffee intake.

Conclusions

The prevalence of UI during pregnancy is high, highlighting the presence of the risk factors associated with UI during pregnancy.
Literature
1.
go back to reference Fitzgerald MP, Graziano S (2007) Anatomic and functional changes of the lower urinary tract during pregnancy. Urol Clin North Am 34:7–12CrossRefPubMed Fitzgerald MP, Graziano S (2007) Anatomic and functional changes of the lower urinary tract during pregnancy. Urol Clin North Am 34:7–12CrossRefPubMed
2.
go back to reference McKinnie V, Swift SE, Wang W, Woodman P, O’Boyle A, Kahn M et al (2005) The effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence. AJOG 193(2):512–517CrossRef McKinnie V, Swift SE, Wang W, Woodman P, O’Boyle A, Kahn M et al (2005) The effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence. AJOG 193(2):512–517CrossRef
3.
go back to reference Layton S (2004) The effect of perineal trauma on women´s health. Br J Midwifery 12(4):231–236 Layton S (2004) The effect of perineal trauma on women´s health. Br J Midwifery 12(4):231–236
4.
go back to reference Solans-Domènech M, Sánchez E, Espuña-Pons M (2010) Urinary and anal incontinence during pregnancy and postpartum: incidence, severity, and risk factors. Obstet Gynecol 115(3):618–628CrossRefPubMed Solans-Domènech M, Sánchez E, Espuña-Pons M (2010) Urinary and anal incontinence during pregnancy and postpartum: incidence, severity, and risk factors. Obstet Gynecol 115(3):618–628CrossRefPubMed
5.
go back to reference Gray ML (2003) Gender, race, and culture in research on UI. AJN. Supplement issue: 20–25 Gray ML (2003) Gender, race, and culture in research on UI. AJN. Supplement issue: 20–25
6.
go back to reference Wesnes SL, Rortveit G, Bø K, Hunskaar S (2007) Urinary incontinence during pregnancy. Obstet Gynecol 109(4):922–928PubMed Wesnes SL, Rortveit G, Bø K, Hunskaar S (2007) Urinary incontinence during pregnancy. Obstet Gynecol 109(4):922–928PubMed
7.
go back to reference Thompson J, Roberts CL, Currie M, Ellwood DAD (2002) Prevalence and persistence of health problems after childbirth: associations with parity and method of birth. Birth 29(2):83–94CrossRefPubMed Thompson J, Roberts CL, Currie M, Ellwood DAD (2002) Prevalence and persistence of health problems after childbirth: associations with parity and method of birth. Birth 29(2):83–94CrossRefPubMed
8.
go back to reference Viktrup L, Rortveit G, Lose G (2008) Does the impact of subsequent incontinence risk factors depend on continence status during the first pregnancy or the postpartum period 12 years before? A cohort study in 232 primiparous women. Am J Obstet Gynecol 199:73–75CrossRefPubMed Viktrup L, Rortveit G, Lose G (2008) Does the impact of subsequent incontinence risk factors depend on continence status during the first pregnancy or the postpartum period 12 years before? A cohort study in 232 primiparous women. Am J Obstet Gynecol 199:73–75CrossRefPubMed
9.
go back to reference Dolan LM, Hosker GL, Mallett VT, Allen RE, Smith ARB (2003) Stress incontinence and pelvic floor neurophysiology 15 years after the first delivery. BJOG 110(12):1107–1114CrossRefPubMed Dolan LM, Hosker GL, Mallett VT, Allen RE, Smith ARB (2003) Stress incontinence and pelvic floor neurophysiology 15 years after the first delivery. BJOG 110(12):1107–1114CrossRefPubMed
10.
go back to reference Cardozo L, Cutner A (1997) Lower urinary tract symptoms in pregnancy. Br J Urol 80(Suppl 1):14–23PubMed Cardozo L, Cutner A (1997) Lower urinary tract symptoms in pregnancy. Br J Urol 80(Suppl 1):14–23PubMed
11.
go back to reference van Belle G (2002) Statistical rules of tthumb. New York: Wiley p 221 van Belle G (2002) Statistical rules of tthumb. New York: Wiley p 221
12.
go back to reference Fitzgerald ST, Palmer MH, Kirkland VL, Robinson L (2002) The impact of urinary incontinence in working women: a study in a production facility. Women Health 35(1):1–16CrossRefPubMed Fitzgerald ST, Palmer MH, Kirkland VL, Robinson L (2002) The impact of urinary incontinence in working women: a study in a production facility. Women Health 35(1):1–16CrossRefPubMed
13.
go back to reference Liao YM, Yang CY, Kao CC, Dougherty MC, Lai YH, Chang Y et al (2009) Prevalence and impact on quality of life of lower urinary tract symptoms among a sample of employed women in Taipei: a questionnaire survey. Int J Nurs Stud 46(5):633–644CrossRefPubMed Liao YM, Yang CY, Kao CC, Dougherty MC, Lai YH, Chang Y et al (2009) Prevalence and impact on quality of life of lower urinary tract symptoms among a sample of employed women in Taipei: a questionnaire survey. Int J Nurs Stud 46(5):633–644CrossRefPubMed
14.
go back to reference French L, Phelps K, Pothula NR, Mushkbar S (2009) Urinary problems in women. Prim Care 36(1):53–71PubMed French L, Phelps K, Pothula NR, Mushkbar S (2009) Urinary problems in women. Prim Care 36(1):53–71PubMed
15.
go back to reference Jesus Menezes MA, Hashimoto SY, Gouveia Santos VL (2009) Prevalence of urinary incontinence in a community sample from the city of Sao Paulo. J Wound Ostomy Continence Nurs 36(4):436–440PubMed Jesus Menezes MA, Hashimoto SY, Gouveia Santos VL (2009) Prevalence of urinary incontinence in a community sample from the city of Sao Paulo. J Wound Ostomy Continence Nurs 36(4):436–440PubMed
16.
go back to reference Bradley CS, Kennedy CM, Turcea AM, Rao SS, Nygaard IE (2007) Constipation in pregnancy: prevalence, symptoms, and risk factors. Obstet Gynecol 110(6):1351–1357PubMed Bradley CS, Kennedy CM, Turcea AM, Rao SS, Nygaard IE (2007) Constipation in pregnancy: prevalence, symptoms, and risk factors. Obstet Gynecol 110(6):1351–1357PubMed
17.
go back to reference Sobhgol SS, Charandabee SM (2008) Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age women in Tabriz, Iran: a cross-sectional study. Int Urogynecol J Pelvic Floor Dysfunct 19(3):367–373CrossRefPubMed Sobhgol SS, Charandabee SM (2008) Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age women in Tabriz, Iran: a cross-sectional study. Int Urogynecol J Pelvic Floor Dysfunct 19(3):367–373CrossRefPubMed
18.
go back to reference Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S (2003) Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG 110:247–254CrossRefPubMed Hannestad YS, Rortveit G, Daltveit AK, Hunskaar S (2003) Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG 110:247–254CrossRefPubMed
19.
go back to reference Danforth KN, Townsend MK, Lifford K, Curhan GC, Resnick NM, Grodstein F (2006) Risk factors for urinary incontinence among middle-aged women. Am J Obstet Gynecol 194(2):339–345CrossRefPubMed Danforth KN, Townsend MK, Lifford K, Curhan GC, Resnick NM, Grodstein F (2006) Risk factors for urinary incontinence among middle-aged women. Am J Obstet Gynecol 194(2):339–345CrossRefPubMed
20.
go back to reference Eliasson K, Nordlander I, Mattsson E, Larson B, Hammarström M (2004) Prevalence of urinary leakage in nulliparous women with respect to physical activity and micturition habits. Int Urogynecol J Pelvic Floor Dysfunct 15(3):149–153CrossRefPubMed Eliasson K, Nordlander I, Mattsson E, Larson B, Hammarström M (2004) Prevalence of urinary leakage in nulliparous women with respect to physical activity and micturition habits. Int Urogynecol J Pelvic Floor Dysfunct 15(3):149–153CrossRefPubMed
21.
go back to reference Bo K (2004) Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med 34(7):451–464CrossRefPubMed Bo K (2004) Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Med 34(7):451–464CrossRefPubMed
22.
go back to reference Koskimaki J, Hakama M, Huhtala H, Tammela TL (2000) Association of dietary elements and lower urinary tract symptoms. Scand J Urol Nephrol 34(1):46–50CrossRefPubMed Koskimaki J, Hakama M, Huhtala H, Tammela TL (2000) Association of dietary elements and lower urinary tract symptoms. Scand J Urol Nephrol 34(1):46–50CrossRefPubMed
23.
go back to reference Bryant CM, Dowell CJ, Fairbrother G (2002) Caffeine reduction education to improve urinary symptoms. Br J Nurs 11(8):560–565PubMed Bryant CM, Dowell CJ, Fairbrother G (2002) Caffeine reduction education to improve urinary symptoms. Br J Nurs 11(8):560–565PubMed
24.
go back to reference López M, Ortiz AP, Vargas R (2009) Prevalence of urinary incontinence and its association with body mass index among women in Puerto Rico. J Womens Health 18(10):1607–1614CrossRef López M, Ortiz AP, Vargas R (2009) Prevalence of urinary incontinence and its association with body mass index among women in Puerto Rico. J Womens Health 18(10):1607–1614CrossRef
25.
go back to reference Hannestad YS, Lie RT, Rortveit G, Hunskaar S (2004) Familial risk of urinary incontinence in women: population based cross sectional study. BMJ 329(7471):889–891CrossRefPubMed Hannestad YS, Lie RT, Rortveit G, Hunskaar S (2004) Familial risk of urinary incontinence in women: population based cross sectional study. BMJ 329(7471):889–891CrossRefPubMed
26.
go back to reference Wesnes 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(5):700–707CrossRefPubMed Wesnes 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(5):700–707CrossRefPubMed
27.
go back to reference Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2003) The standardisation of terminology of lower urinary tract function: report from the standardisation sub-commitee of the international continence society. Urology 61(1):37–49CrossRefPubMed Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2003) The standardisation of terminology of lower urinary tract function: report from the standardisation sub-commitee of the international continence society. Urology 61(1):37–49CrossRefPubMed
28.
go back to reference 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(3):219–223CrossRef 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(3):219–223CrossRef
29.
go back to reference Wisborg K, Kesmodel U, Bech BH, Hedegaard M, Henriksen B (2003) Maternal consumption of coffee during pregnancy and stillbirth and infant death in the first year of life: prospective study. BMJ 326:420–422CrossRefPubMed Wisborg K, Kesmodel U, Bech BH, Hedegaard M, Henriksen B (2003) Maternal consumption of coffee during pregnancy and stillbirth and infant death in the first year of life: prospective study. BMJ 326:420–422CrossRefPubMed
30.
go back to reference Stainton MC, Strahle A, Fethney J (2005) Leaking urine prior to pregnancy: a risk factor for postnatal incontinence. Austr New Zealand J Obst Gynaecol 45:295–299CrossRef Stainton MC, Strahle A, Fethney J (2005) Leaking urine prior to pregnancy: a risk factor for postnatal incontinence. Austr New Zealand J Obst Gynaecol 45:295–299CrossRef
Metadata
Title
Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women
Authors
Gisele Martins
Zaida A. S. G. Soler
José Antônio Cordeiro
João Luiz Amaro
Katherine N. Moore
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 10/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1185-2

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