L Viktrup1, G Lose. 1. Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Ndr. Ringvej 2600, Copenhagen, Denmark. viktrup@dadlnet.dk
Abstract
OBJECTIVES: We aimed to evaluate the impact of a first pregnancy and delivery on the prevalence of stress incontinence 5 years afterward. STUDY DESIGN: This longitudinal cohort study included 278 women who were questioned after their first delivery and again 5 years later. RESULTS: The prevalence of stress incontinence 5 years after a first delivery was 30%, and the 5-year incidence was 19%. The risk of stress incontinence 5 years after a first delivery was related to the onset and duration of symptoms after the first pregnancy and delivery in a "dose-response-like" manner. The use of vacuum extraction or episiotomy during the first delivery increased the risk. CONCLUSIONS: First pregnancy and delivery may result in stress incontinence 5 years later. Women with incontinence 3 months after a first delivery have a particularly high risk of long-lasting symptoms. Obstetric risk factors are vacuum extraction and episiotomy.
OBJECTIVES: We aimed to evaluate the impact of a first pregnancy and delivery on the prevalence of stress incontinence 5 years afterward. STUDY DESIGN: This longitudinal cohort study included 278 women who were questioned after their first delivery and again 5 years later. RESULTS: The prevalence of stress incontinence 5 years after a first delivery was 30%, and the 5-year incidence was 19%. The risk of stress incontinence 5 years after a first delivery was related to the onset and duration of symptoms after the first pregnancy and delivery in a "dose-response-like" manner. The use of vacuum extraction or episiotomy during the first delivery increased the risk. CONCLUSIONS: First pregnancy and delivery may result in stress incontinence 5 years later. Women with incontinence 3 months after a first delivery have a particularly high risk of long-lasting symptoms. Obstetric risk factors are vacuum extraction and episiotomy.
Authors: Clara Woldringh; Mary van den Wijngaart; Pytha Albers-Heitner; August A B Lycklama à Nijeholt; Toine Lagro-Janssen Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-08-26
Authors: R G Rogers; L M Leeman; N Borders; C Qualls; A M Fullilove; D Teaf; R J Hall; E Bedrick; L L Albers Journal: BJOG Date: 2014-02-19 Impact factor: 6.531