Hege Hølmo Johannessen1, Signe Nilssen Stafne2,3, Ragnhild Sørum Falk4, Arvid Stordahl5, Arne Wibe6,7, Siv Mørkved2,8. 1. Department of Physical Medicine and Rehabilitation, Department of Research, Østfold Hospital Trust, P.O. Box 300, 1714, Grålum, Norway. hege.holmo.johannessen@so-hf.no. 2. Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway. 3. Department of Physiotherapy, St Olavs Hospital Trondheim University Hospital, Trondheim, Norway. 4. Oslo Centre of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway. 5. Department of Surgery, Østfold Hospital Trust, Grålum, Norway. 6. Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway. 7. Department of Surgery, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. 8. Department of Research and Development, St Olavs Hospital Trondheim University Hospital, Trondheim, Norway.
Abstract
INTRODUCTION AND HYPOTHESIS: Urinary (UI) and anal incontinence (AI) are common pelvic floor disorders (PFD), and postpartum women experiencing double incontinence (DI), the combination of UI and AI, tend to have more severe symptoms and a greater impact on quality of life. Our objective was to investigate the prevalence and predictors of postpartum DI and UI alone 1 year after first delivery. METHODS: In this prospective cohort study, 976 women reported the prevalence of DI and UI alone 1 year after their first delivery in one of two hospitals in Norway using the St Marks score and the ICI-Q UI SF. RESULTS: DI was significantly reduced from 13% in late pregnancy to 8% 1 year later, whereas 30% reported UI at both time points. Incontinence in late pregnancy predicted incontinence 1 year after delivery. Higher age was associated with UI alone. Compared with caesarean delivery, normal vaginal or instrumental delivery increased the risk of UI alone more than three and four times respectively. Obstetric anal sphincter injuries showed a four-fold increase in the risk of DI. CONCLUSIONS: Nearly 50% reported incontinence symptoms 1 year after first delivery. Continence status during pregnancy was one of the main predictors of postpartum continence status. Mode of delivery increased the risk of postpartum UI, whereas obstetric anal sphincter injuries increased the risk of postpartum DI.
INTRODUCTION AND HYPOTHESIS: Urinary (UI) and anal incontinence (AI) are common pelvic floor disorders (PFD), and postpartum women experiencing double incontinence (DI), the combination of UI and AI, tend to have more severe symptoms and a greater impact on quality of life. Our objective was to investigate the prevalence and predictors of postpartum DI and UI alone 1 year after first delivery. METHODS: In this prospective cohort study, 976 women reported the prevalence of DI and UI alone 1 year after their first delivery in one of two hospitals in Norway using the St Marks score and the ICI-Q UI SF. RESULTS: DI was significantly reduced from 13% in late pregnancy to 8% 1 year later, whereas 30% reported UI at both time points. Incontinence in late pregnancy predicted incontinence 1 year after delivery. Higher age was associated with UI alone. Compared with caesarean delivery, normal vaginal or instrumental delivery increased the risk of UI alone more than three and four times respectively. Obstetric anal sphincter injuries showed a four-fold increase in the risk of DI. CONCLUSIONS: Nearly 50% reported incontinence symptoms 1 year after first delivery. Continence status during pregnancy was one of the main predictors of postpartum continence status. Mode of delivery increased the risk of postpartum UI, whereas obstetric anal sphincter injuries increased the risk of postpartum DI.
Authors: Holly E Richter; Kathryn L Burgio; Ronald H Clements; Patricia S Goode; David T Redden; R Edward Varner Journal: Obstet Gynecol Date: 2005-12 Impact factor: 7.661
Authors: K N L Avery; J L H R Bosch; M Gotoh; M Naughton; S Jackson; S C Radley; L Valiquette; J Batista; J L Donovan Journal: J Urol Date: 2007-01 Impact factor: 7.450
Authors: Marijke C Ph Slieker-ten Hove; Annelies L Pool-Goudzwaard; Marinus J C Eijkemans; Regine P M Steegers-Theunissen; Curt W Burger; Mark E Vierhout Journal: Neurourol Urodyn Date: 2010-04 Impact factor: 2.696
Authors: Ahmad O Khalifa; Michael Kavran; Amr Mahran; Ilaha Isali; Juliana Woda; Chris A Flask; Marc S Penn; Adonis K Hijaz Journal: Int Urogynecol J Date: 2019-01-21 Impact factor: 2.894
Authors: Kai-Min Guo; Lang-Chi He; Yan Feng; Liu Huang; Abraham Nick Morse; Hui-Shu Liu Journal: Int Urogynecol J Date: 2021-06-16 Impact factor: 1.932
Authors: Heidi F A Moossdorff-Steinhauser; Bary C M Berghmans; Marc E A Spaanderman; Esther M J Bols Journal: Int Urogynecol J Date: 2021-06-17 Impact factor: 2.894
Authors: Aneta Śnieżek; Dorota Czechowska; Marta Curyło; Jacek Głodzik; Paweł Szymanowski; Anna Rojek; Anna Marchewka Journal: Sci Rep Date: 2021-09-10 Impact factor: 4.379