Natural history of urinary incontinence from first childbirth to 30-months postpartum

Purpose The objectives of this study were to determine the incidence of UI in a large cohort of primiparous women before and during pregnancy and over the course of 30-months postpartum, and to identify risk factors for UI during and after pregnancy. Methods Nulliparous women aged 18–35 years with s...

Full description

Saved in:
Bibliographic Details
Published in:Archives of gynecology and obstetrics 2021-09, Vol.304 (3), p.713-724
Main Authors: Patel, Krishna, Long, Jaime B., Boyd, Sarah S., Kjerulff, Kristen H.
Format: Article
Language:English
Subjects:
Endocrinology
General Gynecology
Gynecology
Human Genetics
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Pregnancy
Urinary incontinence
Womens health
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose The objectives of this study were to determine the incidence of UI in a large cohort of primiparous women before and during pregnancy and over the course of 30-months postpartum, and to identify risk factors for UI during and after pregnancy. Methods Nulliparous women aged 18–35 years with singleton pregnancies were interviewed in their third trimester and asked about urinary incontinence before and during pregnancy ( n  = 3001). After delivery these women were interviewed at 1, 6, 12, 18, 24 and 30-months postpartum and asked about urinary incontinence occurring in the month prior to each interview. Multivariable logistic regression models identified risk factors for UI during pregnancy and during the follow-up period. Results Overall, 4% reported having urinary incontinence before pregnancy and 36.8% during pregnancy. The strongest predictor of urinary incontinence during pregnancy was urinary incontinence before pregnancy (adjusted OR 13.11, 95% CI 7.43–23.13). Among the women with no subsequent pregnancies, the rate of urinary incontinence increased from 12.5% at 6-months postpartum to 27.4% at 30-months postpartum, 52.1% reported UI at one or more postpartum data collection stages, and the strongest predictors of postpartum UI were UI before pregnancy (adjusted OR 3.95 (95% CI 1.60–9.75) and during pregnancy (adjusted OR 4.36, 95% CI 3.24–5.87). Conclusion Our findings suggest that primiparous women who report UI before and during pregnancy should be monitored for the continuation or worsening of UI over the course of the first 2–3 years postpartum, and treatment options discussed.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-021-06134-3