Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas |
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Authors: | Angela D Thomason Janis M Miller John OL DeLancey |
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Institution: | (1) Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA;(2) School of Nursing, University of Michigan, Ann Arbor, MI, USA;(3) L4000 Women’s Hospital, 1500 East Medical Center Drive, Box 0276, Ann Arbor, MI 48109-0276, USA |
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Abstract: | Objective Examine patterns of urinary incontinence during and after pregnancy, as recalled by incontinent and continent primiparas.
Study design Primiparous women reporting no pre-pregnancy incontinence, were recruited 6 to 9 months postpartum. Those reporting current
continence and demonstrating a negative stress test were considered “Primiparous Continent” (PC, n=64). Those reporting current incontinence and demonstrating a positive stress test were considered “Primiparous Incontinent”
(PI, n=57). Subjects self-administered a questionnaire recalling leakage during and after pregnancy.
Results Sixteen percent of PC women leaked during pregnancy. Of these, 70% experienced frequent leakage during pregnancy. Seventy-eight
percent of PI women leaked both during and after pregnancy. Several patterns arose surrounding leakage frequency for PI women:
19% only leaked frequently during pregnancy, 4% only leaked frequently after pregnancy, and 51% leaked frequently both during
and after pregnancy.
Conclusion Nearly five times as many primiparous incontinent women, compared with primiparous continent women, leaked during pregnancy. |
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Keywords: | Pregnancy Urinary incontinence Postpartum incontinence |
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