Amal A Alghamdi1, Ghada F Alyousif2, Reham L Alghamdi2, Fai A Almulhim2, Hawra M Alsadah2, Jehan M Almutawaa2, Kalthoom A Alnakhli2, Noura A Almansour3. 1. Women Health Research Group, Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Kingdom of Saudi Arabia. amlalghamdi@iau.edu.sa. 2. Women Health Research Group, Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Kingdom of Saudi Arabia. 3. Women Health Research Group, Department of Obstetrics and Gynaecology, King Fahad Military Medical Complex, Dhahran, Kingdom of Saudi Arabia.
Abstract
OBJECTIVE: To determine the distribution of urinary incontinence (UI) symptoms and their relation to childbirth events. METHODS: This cross-sectional study used a structured self-administered questionnaire that included the Questionnaire for Female Urinary Incontinence Diagnosis and the Urogenital Distress Inventory Short Form. The study included 802 women sampled from four primary health care centers in Dammam, KSA. A chi-square test and adjusted logistic regression models were used to examine the relation between UI symptoms and obstetric events. RESULTS: Of the participants, 56.6% (n = 454) had at least one UI symptom. Symptoms were most commonly associated with grand multiparity (80.47%), a history of abortion (72%), assisted vaginal delivery (70%), an age of ≤ 18 years at first birth (66.67%) and ≥ 35 years at last birth (75.48%), and a history of macrosomia (84.62%) and episiotomy (67.89%). Unlike the risk of urgency UI, the risk of stress UI was statistically significantly linked to obstetric events. Grand multiparity was associated with a higher risk of both stress UI (odds ratio [OR]: 3.75, confidence interval [95% CI]: 1.68-8.40) and urgency UI (OR: 2.87, 95% CI: 1.07-7.73). CONCLUSION: UI symptoms are common among grand multiparas. Unlike urgency UI, stress UI is associated with previous obstetric events.
OBJECTIVE: To determine the distribution of urinary incontinence (UI) symptoms and their relation to childbirth events. METHODS: This cross-sectional study used a structured self-administered questionnaire that included the Questionnaire for Female Urinary Incontinence Diagnosis and the Urogenital Distress Inventory Short Form. The study included 802 women sampled from four primary health care centers in Dammam, KSA. A chi-square test and adjusted logistic regression models were used to examine the relation between UI symptoms and obstetric events. RESULTS: Of the participants, 56.6% (n = 454) had at least one UI symptom. Symptoms were most commonly associated with grand multiparity (80.47%), a history of abortion (72%), assisted vaginal delivery (70%), an age of ≤ 18 years at first birth (66.67%) and ≥ 35 years at last birth (75.48%), and a history of macrosomia (84.62%) and episiotomy (67.89%). Unlike the risk of urgency UI, the risk of stress UI was statistically significantly linked to obstetric events. Grand multiparity was associated with a higher risk of both stress UI (odds ratio [OR]: 3.75, confidence interval [95% CI]: 1.68-8.40) and urgency UI (OR: 2.87, 95% CI: 1.07-7.73). CONCLUSION: UI symptoms are common among grand multiparas. Unlike urgency UI, stress UI is associated with previous obstetric events.
Entities:
Keywords:
Diabetes; Obesity; Obstetric events; Saudi Arabia; Urinary incontinence symptoms