Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey. - Archive ouverte HAL Access content directly
Journal Articles Acta Obstetricia et Gynecologica Scandinavica Year : 2004

Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey.

(1, 2) , (1, 2) , (2) , (2)
1
2

Abstract

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.
Fichier principal
Vignette du fichier
inserm-00356860_edited.pdf (189.26 Ko) Télécharger le fichier
Vignette du fichier
IU4ANSAGOS_REVISED.pdf (96.44 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Origin : Files produced by the author(s)
Loading...

Dates and versions

inserm-00356860 , version 1 (28-01-2009)

Identifiers

Cite

Xavier * Fritel, Arnaud Fauconnier, Caroline Levet, Jean-Louis Bénifla. Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey.. Acta Obstetricia et Gynecologica Scandinavica, 2004, 83 (10), pp.941-5. ⟨10.1111/j.0001-6349.2004.00457.x⟩. ⟨inserm-00356860⟩
135 View
755 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More