Clinical impact of and contributing factors to urinary incontinence in women 5 years after first delivery
International Urogynecology Journal, 07/16/2012
Liang CC et al. – Urinary incontinence (UI) during the first pregnancy and vaginal delivery in primiparous women may predict an increased risk of having UI 5 years after delivery. urge (UUI) UI adversely affected women’s emotional health, especially in those undergoing cesarean section.Methods
- Between 2005 July and 2006 March, primiparous women who delivered at term in a tertiary hospital were recruited into this cohort study.
- Immediately postpartum, the women completed a structured urogynecological questionnaire regarding lower urinary tract symptoms.
- Then the same urogynecological questionnaire, the Incontinence Impact Questionnaire (IIQ–7), and the Urinary Distress Inventory (UDI–6) were mailed to them 5 years later to follow up on UI.
- Three hundred and twelve women responding to the mailed questionnaires were included in the analyses.
- The prevalence 5 years after first delivery of stress (SUI) and urge (UUI) UI were 43.6 % and 19.2 %, respectively.
- Women with UI during their first pregnancy were more likely to develop UI 5 years postpartum than those without it; women who delivered their first child vaginally had a greater incidence of UI than those having cesarean birth; UUI in women following cesarean delivery more negatively impacted emotional health than it did following vaginal birth, whereas the impact of SUI did not significantly differ between delivery groups.