Incidence of Urinary Incontinence During the Postpartum Period in Rajavithi Hospital: A Prospective Cohort Study

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2024 Jul 1

PMID 38951165

Authors

Jaruwan Naorungrot

Thanawat Sangnucktham

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: The objective was to study the incidence of urinary incontinence (UI), associated risk factors and quality of life (QOL) in postpartum women.

Methods: A prospective study was conducted with 406 postpartum women at Rajavithi Hospital and followed up over the phone between June 2020 and September 2021. Inclusion criteria were singleton pregnant women aged 18-45 years, and gestational age ≥ 37 weeks. Baseline characteristics (age, body mass index, birthweight, gestational age, parity, delivery type, smoking, and alcohol and caffeine intake) were recorded. UI was defined as a score ≥ 16.7% using the Urogenital Distress Inventory. Incontinence-related QOL was evaluated using the Incontinence Impact Questionnaire: a score of ≥ 70 indicated poor QOL. Outcomes were assessed during the postpartum period at 2 days, 6 weeks, 3 months, and 6 months. Multivariate logistic regression was used to analyze risk factors for UI.

Results: The incidence of self-reported UI at 2 days, 6 weeks, 3 months, and 6 months postpartum were 39%, 3%, 1%, and 0% respectively. Caffeine consumption during pregnancy was only a risk factor for UI (adjusted RR 1.61, 95%CI 1.27-2.05, p < 0.001) after adjusting for age, BMI, birthweight, parity, delivery type, alcohol, smoking, and pelvic floor exercise. Three women with UI had poor QOL, whereas all women without UI reported a good QOL.

Conclusion: In our study sample, urinary incontinence was found in one-third of women during the early postpartum period, but for most women symptoms improved with the first 6 weeks and all resolved at 6 months. In this study, caffeine consumption during pregnancy was the only risk factor for UI.

References

DAncona C, Haylen B, Oelke M, Abranches-Monteiro L, Arnold E, Goldman H . The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourol Urodyn. 2019; 38(2):433-477. DOI: 10.1002/nau.23897. View

Waetjen L, Liao S, Johnson W, Sampselle C, Sternfield B, Harlow S . Factors associated with prevalent and incident urinary incontinence in a cohort of midlife women: a longitudinal analysis of data: study of women's health across the nation. Am J Epidemiol. 2006; 165(3):309-18. DOI: 10.1093/aje/kwk018. View

Townsend M, Danforth K, Rosner B, Curhan G, Resnick N, Grodstein F . Body mass index, weight gain, and incident urinary incontinence in middle-aged women. Obstet Gynecol. 2007; 110(2 Pt 1):346-53. DOI: 10.1097/01.AOG.0000270121.15510.57. View

Hannestad Y, Rortveit G, Daltveit A, Hunskaar S . Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003; 110(3):247-54. View

Lawrence J, Lukacz E, Liu I, Nager C, Luber K . Pelvic floor disorders, diabetes, and obesity in women: findings from the Kaiser Permanente Continence Associated Risk Epidemiology Study. Diabetes Care. 2007; 30(10):2536-41. DOI: 10.2337/dc07-0262. View

Ebbesen M, Hannestad Y, Midthjell K, Hunskaar S . Diabetes and urinary incontinence − prevalence data from Norway. Acta Obstet Gynecol Scand. 2007; 86(10):1256-62. DOI: 10.1080/00016340701625347. View

Minassian V, Drutz H, Al-Badr A . Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet. 2003; 82(3):327-38. DOI: 10.1016/s0020-7292(03)00220-0. View

Albo M, Richter H, Brubaker L, Norton P, Kraus S, Zimmern P . Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med. 2007; 356(21):2143-55. DOI: 10.1056/NEJMoa070416. View

Troko J, Bach F, Toozs-Hobson P . Predicting urinary incontinence in women in later life: A systematic review. Maturitas. 2016; 94:110-116. DOI: 10.1016/j.maturitas.2016.09.006. View

10.

Sangsawang B, Sangsawang N . Stress urinary incontinence in pregnant women: a review of prevalence, pathophysiology, and treatment. Int Urogynecol J. 2013; 24(6):901-12. PMC: 3671107. DOI: 10.1007/s00192-013-2061-7. View

11.

Tahtinen R, Cartwright R, Tsui J, Aaltonen R, Aoki Y, Cardenas J . Long-term Impact of Mode of Delivery on Stress Urinary Incontinence and Urgency Urinary Incontinence: A Systematic Review and Meta-analysis. Eur Urol. 2016; 70(1):148-158. PMC: 5009182. DOI: 10.1016/j.eururo.2016.01.037. View

12.

Chang S, Chen K, Lin H, Lin M, Chang T, Lin W . Association of mode of delivery with urinary incontinence and changes in urinary incontinence over the first year postpartum. Obstet Gynecol. 2014; 123(3):568-577. DOI: 10.1097/AOG.0000000000000141. View

13.

Glazener C, Herbison G, MacArthur C, Lancashire R, McGee M, Grant A . New postnatal urinary incontinence: obstetric and other risk factors in primiparae. BJOG. 2006; 113(2):208-17. DOI: 10.1111/j.1471-0528.2005.00840.x. View