Format

Send to

Choose Destination
See comment in PubMed Commons below
BJOG. 2009 Apr;116(5):700-7. doi: 10.1111/j.1471-0528.2008.02107.x. Epub 2009 Feb 10.

The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study.

Author information

1
Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway. stian.langeland@isf.uib.no

Abstract

OBJECTIVE:

The objectives of this study were to investigate prevalence of urinary incontinence at 6 months postpartum and to study how continence status during pregnancy and mode of delivery influence urinary incontinence at 6 months postpartum in primiparous women.

DESIGN:

Cohort study.

SETTING:

Pregnant women attending routine ultrasound examination were recruited to the Norwegian Mother and Child Cohort Study (MoBa).

POPULATION:

A total of 12,679 primigravidas who were continent before pregnancy.

METHODS:

Data are from MoBa, conducted by the Norwegian Institute of Public Health. Data are based on questionnaires answered at week 15 and 30 of pregnancy and 6 months postpartum.

MAIN OUTCOME MEASURES:

Urinary incontinence 6 months postpartum is presented as proportions, odds ratios and relative risks (RRs).

RESULTS:

Urinary incontinence was reported by 31% of the women 6 months after delivery. Compared with women who were continent during pregnancy, incontinence was more prevalent 6 months after delivery among women who experienced incontinence during pregnancy (adjusted RR 2.3, 95% CI 2.2-2.4). Adjusted RR for incontinence after spontaneous vaginal delivery compared with elective caesarean section was 3.2 (95% CI 2.2-4.7) among women who were continent and 2.9 (95% CI 2.3-3.4) among women who were incontinent in pregnancy.

CONCLUSION:

Urinary incontinence was prevalent 6 months postpartum. The association between incontinence postpartum and mode of delivery was not substantially influenced by incontinence status in pregnancy. Prediction of a group with high risk of incontinence according to mode of delivery cannot be based on continence status in pregnancy.

PMID:
19220234
PMCID:
PMC2675011
DOI:
10.1111/j.1471-0528.2008.02107.x
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Support Center