Document Detail


Postpartum urinary incontinence.
MedLine Citation:
PMID:  12780427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of the present study was to identify prepregnancy, pregnancy and delivery correlates of urinary incontinence postpartum (PP UI) as reported by women in a cross-sectional population sample. METHODS: A questionnaire-based cross-sectional survey was carried out in 1998 in a random population sample of 3900 20- to 59-year-old women. The present study includes 376 women who had their last delivery during 1993-96. RESULTS: UI immediately after childbirth and 6 months thereafter was reported by 23.4% and 2.7%, respectively. PP UI was strongly associated with UI both before and during the present pregnancy, explaining 37.5% and 51.7% of postpartum UI, respectively. Eight percent experienced their first UI episode ever immediately after the delivery. Among women undergoing a cesarean section 8.8% reported postpartum UI, as contrasted with 24.9% in other women. Postpartum UI was positively associated with perineal suturing but un-associated with labor augmentation, episiotomy, birth weight, and breast-feeding. CONCLUSION: In the present study, which included a comprehensive causal model, postpartum UI could be explained first of all as the decline of pregnancy UI, secondly as a manifestation of a pre-existing tendency to react by UI, and finally as a consequence of the birth process itself.
Authors:
Lone Hvidman; Anders Foldspang; Søren Mommsen; John Bugge Nielsen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  82     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-03     Completed Date:  2003-07-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Unknown    
Other Details:
Languages:  eng     Pagination:  556-63     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Social Medicine, University of Aarhus, Skejby, Denmark. lh@soci.au.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Breast Feeding
Cesarean Section / adverse effects
Cross-Sectional Studies
Episiotomy / adverse effects
Female
Humans
Incidence
Infant, Newborn
Labor, Obstetric*
Middle Aged
Models, Theoretical*
Obstetric Labor Complications
Postpartum Period*
Pregnancy
Risk Factors
Urinary Incontinence / epidemiology*,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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