Bothersome lower urinary tract symptoms 1 year after first delivery: prevalence and the effect of childbirth

OBJECTIVE To assess the severity of both stress urinary incontinence (SUI) and overactive bladder (OAB) symptoms during and after the first pregnancy, using a self‐reported health‐related quality‐of‐life questionnaire, and to assess the effect of pregnancy and childbirth on bothersome lower urinary...

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Bibliographic Details
Published in:BJU international 2006-07, Vol.98 (1), p.89-95
Main Authors: VAN BRUMMEN, HENRIETTE J., BRUINSE, HEIN W., VAN DE POL, GEERTE, HEINTZ, A. PETER M., VAN DER VAART, C. HUUB
Format: Article
Language:English
Subjects:
Adult
Age Distribution
Biological and medical sciences
Body Mass Index
bother
Delivery, Obstetric - adverse effects
Delivery, Obstetric - methods
Delivery. Postpartum. Lactation
Female
Gynecology. Andrology. Obstetrics
Humans
LUTS
Maternal Age
Maternal, fetal and perinatal monitoring
Medical sciences
Nephrology. Urinary tract diseases
Pregnancy
Pregnancy Complications
Pregnancy Trimester, First
Prospective Studies
Quality of Life
stress
Time Factors
urge
urinary incontinence
Urinary Incontinence - etiology
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urogenital Distress Inventory
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Summary:OBJECTIVE To assess the severity of both stress urinary incontinence (SUI) and overactive bladder (OAB) symptoms during and after the first pregnancy, using a self‐reported health‐related quality‐of‐life questionnaire, and to assess the effect of pregnancy and childbirth on bothersome lower urinary tract symptoms (LUTS) persisting at 1 year after the first childbirth. PATIENTS AND METHODS In a prospective cohort study, 344 women completed four self‐reported questionnaires. Urogenital symptoms were assessed with the Urogenital Distress Inventory (UDI), assessing if a urogenital symptom is present and the amount of bother it causes, measured on a 4‐point Likert scale, i.e. ‘not at all’, ‘slightly’, ‘moderately’ and ‘greatly bothered’. Bothersome LUTS were defined as reporting moderate or great bother from the symptom, and as not bothersome if it was absent or present with none or only a slight degree of self‐reported bother. In the analysis we used three of the five subscales from the UDI; UI, OAB and obstructive voiding, where each subscale has a range of 0 (no symptom) to 100 (all symptoms present with the highest degree of bother). RESULTS Of the 344 women, 83 (24.2%) reported having a moderate to greatly bothersome frequency symptom at 36 weeks of gestation. After childbirth there was a statistically significant decline in the prevalence of bothersome frequency to 38 (9.6%) women (P 
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2006.06211.x