AUA 2016: Effect of parity and type of delivery on patient-reported urinary outcomes: results from a nationwide sample

The NHANES database was queried for all women who responded to UI questions (during 2005-2011) and where age and BMI was known.  Excluded were women who underwent bot vaginal delivery (VD) and cesarean section (CD), prior hysterectomy, prolapse, had given birth > 20 years from the time of the survey, and had given birth < 2 yrs from time of survey. 

A total of 2282 women met the criteria.  Not surprisingly, women who has a single VD had an increased rate of significant UI (46.2%) and SUI (stress urinary incontinence) (37.6%) but not urgency UI (32.8%) when compared to a single CD.   This was also true for women who had multiple VDs.  Women who had single VD who had significant UI had increased bother than those women who had a single CD.   

Conclusion: type of delivery had a large effect on patient-reported UI rates.

Presented by: Michael Daugherty, Timothy Byler, Natasha Ginzburg at 2016 AUA Annual Meeting - May 6 - 10, 2016 – San Diego, California, USA

Written by:
Diane K. Newman, DNP, Adjunct Professor of Urology in Surgery, Research Investigator Senior and Co-Director, Penn Center for Continence and Pelvic Health
University of Pennsylvania, Division of Urology, 3400 Spruce Street, 3rd Floor Perelman Bldg, Philadelphia, PA. 19104