BACKGROUND AND OBJECTIVE: Urinary incontinence initiated before and right after delivery and persisting 3 months after delivery tends to become chronic.
We intended to estimate the persistence of urinary incontinence 6 months postpartum and to analyse the different factors associated with it.
PATIENTS AND METHODS: Follow-up study 6 months after delivery of women presenting urinary incontinence symptoms in gestation or in the first 2 months of postpartum. The dependent variable was the persistence and the independent variables were grouped in obstetric and non-obstetric. Odds ratio (OR) were calculated with their confidence interval at 95% (IC 95%) in the bivariate analysis. The variables that showed an important risk of persistence of incontinence were used to perform a multivariate model of logistic regression.
RESULTS: The persistence of incontinence 6 months after delivery was 21.4% (CI 95% 16-26.7). The risk of persistence increased with the Kristeller maneuver (OR 7.89, CI 95% 3.04-20.49), not weight recovery (OR 3.64, CI 95% 1.10-12.02), not practising pelvic floor muscle exercises in postpartum (OR 9.36, CI 95% 2.71-32.33), appearance of incontinence after delivery (OR 6.66, CI 95% 2.37-18.68) and the weight of the newborn>3.5kg (OR 6.76, CI 95% 2.54-18.03), all of them explaining 58% of the variability of persistence.
CONCLUSION: 21.4% of women with urinary incontinence caused by pregnancy/delivery will continue to have it 6 months postpartum. An important part of this persistence is associated with some factors easy to modify.
Written by:
Ruiz de Viñaspre Hernández R, Rubio Aranda E, Tomás Aznar C. Are you the author?
Centro de Salud Cascajos, Logroño, La Rioja, España.
Reference: Med Clin (Barc). 2012 Jul 17. Epub ahead of print.
PubMed Abstract
PMID: 22818183
Article in Spanish.
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