Document Detail

Urinary incontinence and weight change during pregnancy and postpartum: a cohort study.
MedLine Citation:
PMID:  20729349     Owner:  NLM     Status:  MEDLINE    
Weight gain during pregnancy may contribute to increased urinary incontinence (UI) during and after pregnancy, but scientific support is lacking. The effect of weight loss on UI postpartum is unclear. From 1999 to 2006, investigators in the Norwegian Mother and Child Cohort Study recruited pregnant women during pregnancy. This study was based on 12,679 primiparous women who were continent before pregnancy. Data were obtained from questionnaires answered at weeks 15 and 30 of pregnancy and 6 months postpartum. Weight gain greater than the 50th percentile during weeks 0-15 of pregnancy was weakly associated with higher incidence of UI at week 30 compared with weight gain less than or equal to the 50th percentile. Weight gain greater than the 50th percentile during pregnancy was not associated with increased prevalence of UI 6 months postpartum. For each kilogram of weight loss from delivery to 6 months postpartum among women who were incontinent during pregnancy, the relative risk for UI decreased 2.1% (relative risk = 0.98, 95% confidence interval: 0.97, 0.99). Weight gain during pregnancy does not seem to be a risk factor for increased incidence or prevalence of UI during pregnancy or postpartum. However, weight loss postpartum may be important for avoiding incontinence and regaining continence 6 months postpartum.
Stian Langeland Wesnes; Steinar Hunskaar; Kari Bo; Guri Rortveit
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-08-20
Journal Detail:
Title:  American journal of epidemiology     Volume:  172     ISSN:  1476-6256     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-25     Completed Date:  2010-11-16     Revised Date:  2013-05-28    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1034-44     Citation Subset:  IM    
Department of Public Health and Primary Health Care, University of Bergen, Norway.
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MeSH Terms
Body Mass Index
Cohort Studies
Confidence Intervals
Norway / epidemiology
Postpartum Period*
Pregnancy Complications / epidemiology*,  etiology*
Risk Factors
Urinary Incontinence / epidemiology*,  etiology*
Weight Gain*
Weight Loss*
Grant Support
1 UO1 NS 047537-01/NS/NINDS NIH HHS; N01-ES-85433/ES/NIEHS NIH HHS

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