PMID: identifier of
Pubmed reference: |
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 (15453890)  |
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| title: |
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Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey. |
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| author(s): |
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Xavier Fritel ( ) 1, 2, Arnaud Fauconnier1, 2, Caroline Levet2, Jean-Louis Bénifla2 |
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| laboratory: |
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| abstract: |
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BACKGROUND: Our aim was to estimate the prevalence of stress urinary incontinence 4 years after the first delivery and analyze its risk factors. METHODS: A retrospective cohort survey was conducted in a French university hospital. The 669 primiparous women who delivered in our department in 1996 a singleton in a vertex position between 37 and 41 weeks of amenorrhea were included. A mailed questionnaire was sent 4 years after the indexed delivery. The main outcome measure was stress urinary incontinence 4 years after the first delivery. RESULTS: Three hundred and seven women replied, 274 had moved and 88 did not respond. Four years after the first delivery, prevalence of stress urinary incontinence was 29% (89/307). According to multiple logistic regression analysis, the independent risk factors were urine leakage before the first pregnancy [odds ratio (OR) 18.7; 95% confidence interval (CI) 3.6-96.4], urine leakage during the first pregnancy (OR 2.5; 95% CI 1.3-4.8), duration of first labor > or = 8 h (OR 3.1; 95% CI 1.7-5.7), mother's age > 30 years at the first delivery (OR 2.4; 95% CI 1.4-4.2) and cesarean section at the first delivery (OR 0.3; 95% CI 0.1-0.9). CONCLUSION: Our results suggest that stress urinary incontinence after pregnancy arises from a multifactorial condition. The main risk factors are: age, previous incontinence (before or during the first pregnancy), prolonged labor and vaginal delivery. |
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| subject: |
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Life Sciences/Human health and pathology/Obstetrics & Gynecology
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| fulltext language: |
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English |
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| ISSN: |
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0001-6349 |
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| publication format: |
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Article in peer-reviewed journal |
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| DOI: |
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10.1111/j.0001-6349.2004.00457.x |
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| journal: |
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| Acta Obstetricia et Gynecologica Scandinavica (Acta Obstet Gynecol Scand) |
| Publisher |
Wiley-Blackwell |
| ISSN |
0001-6349 (eISSN : 1600-0412) |
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| Audience: |
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international |
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| publication date: |
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2004-10 |
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| volume: |
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83 |
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| issue: |
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10 |
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| page, identifiant, ...: |
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941-5 |
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| MeSH Descriptor(s): |
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Adult – Delivery – Obstetric – Female – France – Humans – Medical Records – Parity – Pregnancy – Pregnancy Complications – Puerperal Disorders – Questionnaires – Retrospective Studies – Risk Factors – Urinary Incontinence – Stress |
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