Literature DB >> 25262291

Urinary incontinence during pregnancy. Is there a difference between first and third trimester?

Eva Martínez Franco1, David Parés2, Núria Lorente Colomé3, Josep Ramon Méndez Paredes4, Lluis Amat Tardiu3.   

Abstract

OBJECTIVE: The aim of this study is to determine the prevalence and severity of urinary incontinence and to see if there are any differences between first and third trimester of pregnancy. STUDY
DESIGN: A cross-sectional study of two groups of women was conducted. All patients attending our hospital for obstetric ultrasound examination during the first trimester (group 1=less than 13 weeks of pregnancy) and third trimester (group 2=up to 28 weeks of pregnancy) were eligible for inclusion. All participating women completed self-reported questionnaires: ICIQ-SF, PFDI-20 (UDI-6, CRADI-8, POPDI-6) and SF-36. The variables studied were biodemographic data and results from questionnaire responses.
RESULTS: From March 2012 to May 2012, 224 consecutive pregnant women were included in this study: group 1 (n=58) and group 2 (n=166). The incidence of urinary incontinence during pregnancy is different in first and third trimester: 18.96% (11 of 58) and 39.76% (66 of 166) (p=0.008). 100% and 84.12% of women with UI in first trimester and third trimester respectively leak a small amount of urine. In 15.87% of group 2 the leakage was a moderate amount of urine. Participants mainly presented Stress UI (78.37%) and urge was only present in 12.16% of them.
CONCLUSIONS: In conclusion, according to the results obtained, the prevalence of urinary incontinence in our population of pregnant women was 34.37%, which means that more than a third of the population of pregnant women is affected, and that this disorder is more common during the third trimester of pregnancy than during the first. The most common form was stress urinary incontinence, affecting 48.05% of the women. In all patients, leakage was slight-moderate that did not severely hamper their everyday life but did affect their physical, mental and social domains of their quality of life. Another problem, even more prevalent than incontinence itself, was the increase in urinary frequency, affecting 41.25% of the pregnant women and causing discomfort/distress in the 68.8%.
Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Entities:  

Keywords:  Pregnancy; Stress urinary incontinence; Urinary incontinence

Mesh:

Year:  2014        PMID: 25262291     DOI: 10.1016/j.ejogrb.2014.08.035

Source DB:  PubMed          Journal:  Eur J Obstet Gynecol Reprod Biol        ISSN: 0301-2115            Impact factor:   2.435


  12 in total

1.  Signs of damage in pelvic floor muscles at the end of pregnancy in rabbits.

Authors:  Octavio Sánchez-García; Laura G Hernández-Aragón; Kenia López-García; Margarita Juárez; Margarita Martínez-Gómez; Francisco Castelán
Journal:  Int Urogynecol J       Date:  2019-02-01       Impact factor: 2.894

2.  Hormonal Influence in Stress Urinary Incontinence During Pregnancy and Postpartum.

Authors:  Cristina Molinet Coll; Eva Martínez Franco; Laura Altimira Queral; Daniel Cuadras; Lluís Amat Tardiu; David Parés
Journal:  Reprod Sci       Date:  2022-04-26       Impact factor: 2.924

3.  Multiparity, age and overweight/obesity as risk factors for urinary incontinence in pregnancy: a systematic review and meta-analysis.

Authors:  Leila Barbosa; Alessandra Boaviagem; Eduarda Moretti; Andrea Lemos
Journal:  Int Urogynecol J       Date:  2018-05-12       Impact factor: 2.894

Review 4.  Prevalence, incidence and bothersomeness of urinary incontinence in pregnancy: a systematic review and meta-analysis.

Authors:  Heidi F A Moossdorff-Steinhauser; Bary C M Berghmans; Marc E A Spaanderman; Esther M J Bols
Journal:  Int Urogynecol J       Date:  2021-01-13       Impact factor: 2.894

Review 5.  Prevalence of perinatal depression among Japanese women: a meta-analysis.

Authors:  Keita Tokumitsu; Norio Sugawara; Kazushi Maruo; Toshihito Suzuki; Kazutaka Shimoda; Norio Yasui-Furukori
Journal:  Ann Gen Psychiatry       Date:  2020-06-26       Impact factor: 3.455

6.  Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine.

Authors:  Jaffar H Saffarini; Qais T Ahmad; Ahmad M Samara; Dima S Jabri; Zaina H Safarini; Yousra M Banijaber; Ahmad Jaradat; Faris Abushamma; Sa'ed H Zyoud
Journal:  BMC Pregnancy Childbirth       Date:  2021-01-26       Impact factor: 3.007

7.  Reduced Pelvic Floor Muscle Tone Predisposes to Persistence of Lower Urinary Tract Symptoms after Puerperium.

Authors:  Chandana Bhat; Mahjabeen Khan; Kirthinath Ballala; Asha Kamath; Deeksha Pandey
Journal:  Scientifica (Cairo)       Date:  2016-03-28

8.  Will future doctors know enough about stress urinary incontinence to provide proper preventive measures and treatment?

Authors:  Joanna Witkoś; Magdalena Hartman-Petrycka
Journal:  Med Educ Online       Date:  2019-12

9.  Urinary incontinence and associated factors among pregnant women attending antenatal care in public health facilities of Mekelle city, Tigray, Ethiopia.

Authors:  Arsema Berhe; Abayneh Alamer; Kiflom Negash; Belete Assefa
Journal:  Womens Health (Lond)       Date:  2020 Jan-Dec

10.  Urinary incontinence in pregnant women and its impact on health-related quality of life.

Authors:  Xiaojuan Wang; Ying Jin; Ping Xu; Suwen Feng
Journal:  Health Qual Life Outcomes       Date:  2022-01-21       Impact factor: 3.186

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