PMID: identifiant
de la référence Pubmed : |
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 (15453890)  |
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| titre : |
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Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey. |
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| auteur(s) : |
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Xavier Fritel ( ) 1, 2, Arnaud Fauconnier1, 2, Caroline Levet2, Jean-Louis Bénifla2 |
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| laboratoire : |
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| résumé : |
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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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| domaine : |
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Sciences du Vivant/Médecine humaine et pathologie/Gynécologie et obstétrique
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langue du texte
intégral : |
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Anglais |
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| ISSN : |
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0001-6349 |
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| type de publication : |
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Articles dans des revues avec comité de lecture |
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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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internationale |
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| date de publication : |
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10/2004 |
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| volume : |
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83 |
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| numéro : |
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10 |
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| page, identifiant, ... : |
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941-5 |
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| Descripteur(s) MeSH : |
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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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