[Assessment of Urinary Incontinence in Pregnancy and Postpartum: Observational Study].

Anabela Melo
Anabela Melo
Hospital de São João
Porto | Portugal
Silvia Torres
Silvia Torres
University of Miami Miller School of Medicine
United States
Lurdes Mota
Lurdes Mota
Centro Hospitalar Tâmega e Sousa
Guilhufe | Portugal
Fernanda Costa
Fernanda Costa
Universidade Federal do Rio de Janeiro
Rio de Janeiro | Brazil

Acta Med Port 2017 Aug 31;30(7-8):568-572. Epub 2017 Aug 31.

Serviço de Ginecologia e Obstetrícia. Centro Hospitalar Tâmega e Sousa. Penafiel. Portugal.

Introduction: The urinary incontinence can affect up to 50% of women at some stage of their lives, particularly during pregnancy and postpartum. This study was designed in order to identify and assess the prevalence and risk factors for urinary incontinence during the third trimester of pregnancy and three months postpartum.

Material And Methods: Observational and cross-sectional study. The population of the study was composed of 268 women who delivered and were admitted to the Centro Hospitalar Tâmega e Sousa in the years 2013 and 2014, and who agreed to participate in this study. Postpartum women were asked to fill out a questionnaire adapted from the International Consultation on Incontinence Questionnaire - Short Form, for urinary incontinence research in the third trimester of pregnancy. Three months after delivery, they were contacted by telephone and asked to answer the same questions about the urinary incontinence postpartum.

Results: Of the 268 women interviewed, 31 were excluded from the study, taking into account the defined inclusion and exclusion criteria. In total (n = 237), 51.89% of women included in the study, reported the occurrence of urinary incontinence during pregnancy. The prevalence of urinary incontinence in pregnancy by parity (primiparous versus multiparous) was statistically significant (p = 0.006). At postpartum (n = 237), 28.69% of women with urinary incontinence had vaginal delivery and 5.91% of women underwent cesarean delivery (p = 0.001). In these group of women with postpartum urinary incontinence (n = 82), 31.69% have had urinary incontinence only in the postpartum and 68.31% of women have had symptoms during pregnancy (p < 0.001).

Discussion: This study demonstrates the high prevalence of urinary incontinence in pregnancy and the respective decrease in postpartum.

Conclusion: Multiparity and occurrence of urinary incontinence in pregnancy appear as potential risk factors in the emergence of the urinary incontinence.

Download full-text PDF

August 2017
6 Reads

Publication Analysis

Top Keywords

urinary incontinence
incontinence pregnancy
prevalence urinary
pregnancy three
268 women
three months
risk factors
incontinence third
trimester pregnancy
pregnancy postpartum
third trimester
occurrence urinary
questionnaire short
vaginal delivery

Similar Publications

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

BJOG 2009 Apr 10;116(5):700-7. Epub 2009 Feb 10.

Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.

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). Read More

View Article
April 2009

Prevalence of urinary incontinence during pregnancy and postpartum.

S Mørkved K Bø

Int Urogynecol J Pelvic Floor Dysfunct 1999 ;10(6):394-8

Department of Physiotherapy, Trondheim Regional Hospital and Melhus Physiotherapy Clinic, Melhus, Norway.

The purpose of the study was to investigate the prevalence of urinary incontinence during pregnancy and the postpartum, and to examine postpartum pelvic floor muscle strength. Eight weeks postpartum the prevalence of urinary incontinence and pelvic floor muscle strength was registered. All women in a Norwegian community, delivering at the local hospital during a 1-year period, were included in the study. Read More

View Article
January 2000

[Postpartum urinary and fecal incontinence in gemelar pregnancy according to route and mode of delivery].

Ginecol Obstet Mex 2011 Sep;79(9):540-6

Departamento de Ginecología y Obstetricia, Hospital Universitario La Paz, Madrid, Espana.

Background: The incidence of multiple pregnancies increased in the last two decades. Several studies seeking the incidence of pelvic floor pathology, particularly urinary incontinence and its risk factors, conclude that a previous cesarean and vaginal delivery even more, carry an increased risk for developing urinary and fecal incontinence, compared with patients nulligravida.

Objective: To determine the different risk factors for urinary incontinence after a twin pregnancy. Read More

View Article
September 2011

Prevalence of urinary incontinence during the late third trimester and three months postpartum period in King Chulalongkorn Memorial Hospital.

J Med Assoc Thai 2013 Feb;96(2):144-9

Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Objective: To assess prevalence of Urinary Incontinence (UI) during the late third trimester and three months postpartum period in King Chulalongkorn Memorial Hospital.

Material And Method: The present study population comprised > or = 36 weeks singleton pregnant women attending the ANC at King Chulalongkorn Memorial Hospital between 2009 and 2010. Questionnaire was developed from International Continence Society Questionnaire, which consisted of two parts, (1) socioeconomic demographic, characteristics related to UI, and (2) obstetric characteristic, UI experienced after delivery. Read More

View Article
February 2013