Angela D Thomason1, Janis M Miller, John Ol Delancey. 1. Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI 48109, USA. adt@med.umich.edu
Abstract
OBJECTIVE: Examine patterns of urinary incontinence during and after pregnancy, as recalled by incontinent and continent primiparas. STUDY DESIGN: Primiparous women reporting no pre-pregnancy incontinence, were recruited 6 to 9 months postpartum. Those reporting current continence and demonstrating a negative stress test were considered "Primiparous Continent" (PC, n=64). Those reporting current incontinence and demonstrating a positive stress test were considered "Primiparous Incontinent" (PI, n=57). Subjects self-administered a questionnaire recalling leakage during and after pregnancy. RESULTS: Sixteen percent of PC women leaked during pregnancy. Of these, 70% experienced frequent leakage during pregnancy. Seventy-eight percent of PI women leaked both during and after pregnancy. Several patterns arose surrounding leakage frequency for PI women: 19% only leaked frequently during pregnancy, 4% only leaked frequently after pregnancy, and 51% leaked frequently both during and after pregnancy. CONCLUSION: Nearly five times as many primiparous incontinent women, compared with primiparous continent women, leaked during pregnancy.
OBJECTIVE: Examine patterns of urinary incontinence during and after pregnancy, as recalled by incontinent and continent primiparas. STUDY DESIGN: Primiparous women reporting no pre-pregnancy incontinence, were recruited 6 to 9 months postpartum. Those reporting current continence and demonstrating a negative stress test were considered "Primiparous Continent" (PC, n=64). Those reporting current incontinence and demonstrating a positive stress test were considered "Primiparous Incontinent" (PI, n=57). Subjects self-administered a questionnaire recalling leakage during and after pregnancy. RESULTS: Sixteen percent of PC women leaked during pregnancy. Of these, 70% experienced frequent leakage during pregnancy. Seventy-eight percent of PI women leaked both during and after pregnancy. Several patterns arose surrounding leakage frequency for PI women: 19% only leaked frequently during pregnancy, 4% only leaked frequently after pregnancy, and 51% leaked frequently both during and after pregnancy. CONCLUSION: Nearly five times as many primiparous incontinent women, compared with primiparous continent women, leaked during pregnancy.
Authors: Kathryn L Burgio; Halina Zyczynski; Julie L Locher; Holly E Richter; David T Redden; Kate Clark Wright Journal: Obstet Gynecol Date: 2003-12 Impact factor: 7.661
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