Lars Viktrup1, Guri Rortveit, Gunnar Lose. 1. Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Copenhagen, Denmark.
Abstract
OBJECTIVE: Assess the impact of subsequent urinary incontinence risk factors in women with different urinary incontinence history. STUDY DESIGN: In a cohort study 232 women answered validated questions about urinary incontinence after the first delivery and 12 years later. Women who were continent during the first pregnancy or postpartum period (group 1) or who became incontinent during these periods (group 2) were identified. RESULTS: Urinary incontinence symptoms 12 years after the first delivery were reported by 32.6% (44/135) in group 1 and 66.0% (64/97) in group 2. Overweight and to a minor extent pelvic organ prolapse symptoms or heavy lifting at work was associated with higher relative risk of urinary incontinence in group 1 compared with group 2. Other risk factors such as age, breastfeeding 6 months or longer after both the first and second deliveries, bowel movements or urinary infections were not associated differentially with urinary incontinence in the 2 groups. CONCLUSION: Subsequent risk factors had a more significant impact in women without initial urinary incontinence.
OBJECTIVE: Assess the impact of subsequent urinary incontinence risk factors in women with different urinary incontinence history. STUDY DESIGN: In a cohort study 232 women answered validated questions about urinary incontinence after the first delivery and 12 years later. Women who were continent during the first pregnancy or postpartum period (group 1) or who became incontinent during these periods (group 2) were identified. RESULTS:Urinary incontinence symptoms 12 years after the first delivery were reported by 32.6% (44/135) in group 1 and 66.0% (64/97) in group 2. Overweight and to a minor extent pelvic organ prolapse symptoms or heavy lifting at work was associated with higher relative risk of urinary incontinence in group 1 compared with group 2. Other risk factors such as age, breastfeeding 6 months or longer after both the first and second deliveries, bowel movements or urinary infections were not associated differentially with urinary incontinence in the 2 groups. CONCLUSION: Subsequent risk factors had a more significant impact in women without initial urinary incontinence.
Authors: Ana Paula Magalhães Resende; Carla Dellabarba Petricelli; Bruno Teixeira Bernardes; Sandra Maria Alexandre; Mary Uchiyama Nakamura; Míriam Raquel Diniz Zanetti Journal: Int Urogynecol J Date: 2012-03-14 Impact factor: 2.894
Authors: Gisele Martins; Zaida A S G Soler; José Antônio Cordeiro; João Luiz Amaro; Katherine N Moore Journal: Int Urogynecol J Date: 2010-05-26 Impact factor: 2.894