+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Urinary incontinence during pregnancy and 1 year after delivery in primiparous women compared with a control group of nulliparous women



Urinary incontinence during pregnancy and 1 year after delivery in primiparous women compared with a control group of nulliparous women



Neurourology and Urodynamics 31(4): 475-480



To investigate the impact of the first pregnancy and delivery on the prevalence and types of urinary incontinence during pregnancy and 1 year after delivery. The study was a prospective cohort study with a control group. Primiparous women, who delivered in our department from June 2003 to July 2005, participated. The women filled out a questionnaire 2-3 days after the delivery and a new questionnaire after 1 year. The questionnaires comprised basic characteristics and symptoms of urinary incontinence. An attempted age-matched control group of nulliparous women was included, and filled out similar questionnaires. Prevalences and types of urinary incontinence, and a combined severity- and bother-score (ICIQ-SF score) among the incontinent women, were calculated and compared. The two groups differed significantly in age and most basic characteristics. During pregnancy, the prevalence of any type of urinary incontinence in the primiparous group was 32.1%, compared to 13.8% in the control group. Adjusted OR = 3.3 (95%CI = 2.4-4.4). One year after delivery, the prevalence in the primiparous group was 29.3%, compared to 16.6% in the control group. Adjusted OR = 2.5 (95%CI = 1.8-3.5). ICIQ-SF mean scores among the incontinent women varied insignificantly between 5.8 and 6.2. The prevalence of urinary incontinence during pregnancy was 3.3 times higher compared with a control group of nulliparous women. After 1 year, the difference was reduced, but still 2.5 times higher in the primiparous group. The symptoms and impact on quality of life seemed to be mild to moderate in both groups.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036318707

Download citation: RISBibTeXText

PMID: 22267117

DOI: 10.1002/nau.21221


Related references

Prevalence of anal incontinence during pregnancy and 1 year after delivery in a cohort of primiparous women and a control group of nulliparous women. Acta Obstetricia et Gynecologica Scandinavica 95(8): 920-925, 2016

Stress urinary incontinence: Prevalence among nulliparous compared with primiparous and grand multiparous premenopausal women. Neurourology and Urodynamics 18(5): 419-425, 1999

Stress urinary incontinence: prevalence among nulliparous compared with primiparous and grand multiparous pre-menopausal women. Neurourology and Urodynamics 19(2): 209-210, 2000

Risk factors for urinary incontinence 1 year after the first vaginal delivery in a cohort of primiparous Danish women. International Urogynecology Journal 25(1): 47-51, 2014

Effect of mode of delivery on the incidence of urinary incontinence in primiparous women. Obstetrics and Gynecology 113(1): 134-141, 2009

Management of delivery in primiparous women Effect on subsequent urinary incontinence. Neurourology & Urodynamics 16(5): 387-388, 1997

Urinary incontinence in a group of primiparous women in the Czech Republic. Gynecologic and Obstetric Investigation 62(1): 33-37, 2006

Risk of new-onset urinary incontinence after forceps and vacuum delivery in primiparous women. American Journal of Obstetrics and Gynecology 185(6): 1318-23; Discussion 1323-4, 2001

Urinary incontinence in nulliparous women before and during pregnancy: prevalence, incidence, and associated risk factors. International Urogynecology Journal 21(2): 193-202, 2010

Urinary incontinence in nulliparous women before and during pregnancy: prevalence, incidence, type, and risk factors. International Urogynecology Journal 29(3): 353-362, 2018

Differences in urinary incontinence symptoms and pelvic floor structure changes during pregnancy between nulliparous and multiparous women. Peerj 5: E3615, 2017

Pelvic floor muscle strength predicts stress urinary incontinence in primiparous women after vaginal delivery. International Urogynecology Journal 23(7): 899-906, 2012

Anal incontinence, urinary incontinence and sexual problems in primiparous women - a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury. Bmc Women's Health 14: 157, 2014

Difference in quality of life in women with urge urinary incontinence compared to women with stress urinary incontinence. International Urogynecology Journal and Pelvic Floor Dysfunction 20(7): 781-786, 2009

Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus. Clinics 66(8): 1341-1346, 2011