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International Urogynecology Journal

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01-10-2018 | Original Article

Prevalence and predictors of double incontinence 1 year after first delivery

Authors: Hege Hølmo Johannessen, Signe Nilssen Stafne, Ragnhild Sørum Falk, Arvid Stordahl, Arne Wibe, Siv Mørkved

Published in: International Urogynecology Journal | Issue 10/2018

Abstract

Introduction and hypothesis

Urinary (UI) and anal incontinence (AI) are common pelvic floor disorders (PFD), and postpartum women experiencing double incontinence (DI), the combination of UI and AI, tend to have more severe symptoms and a greater impact on quality of life. Our objective was to investigate the prevalence and predictors of postpartum DI and UI alone 1 year after first delivery.

Methods

In this prospective cohort study, 976 women reported the prevalence of DI and UI alone 1 year after their first delivery in one of two hospitals in Norway using the St Marks score and the ICI-Q UI SF.

Results

DI was significantly reduced from 13% in late pregnancy to 8% 1 year later, whereas 30% reported UI at both time points. Incontinence in late pregnancy predicted incontinence 1 year after delivery. Higher age was associated with UI alone. Compared with caesarean delivery, normal vaginal or instrumental delivery increased the risk of UI alone more than three and four times respectively. Obstetric anal sphincter injuries showed a four-fold increase in the risk of DI.

Conclusions

Nearly 50% reported incontinence symptoms 1 year after first delivery. Continence status during pregnancy was one of the main predictors of postpartum continence status. Mode of delivery increased the risk of postpartum UI, whereas obstetric anal sphincter injuries increased the risk of postpartum DI.

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Title: Prevalence and predictors of double incontinence 1 year after first delivery
Authors: Hege Hølmo Johannessen
Signe Nilssen Stafne
Ragnhild Sørum Falk
Arvid Stordahl
Arne Wibe
Siv Mørkved
Publication date: 01-10-2018
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 10/2018
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-018-3577-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Prevalence and predictors of double incontinence 1 year after first delivery

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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