Postpartum urinary symptoms: Prevalence and risk factors

Roberto Pregazzi, Andrea Sartore, Luigi Troiano, Eva Grimaldi, Paolo Bortoli, Salvatore Siracusano, Secondo Guaschino

Research output: Contribution to journalArticle

Abstract

Objectives: To assess the prevalence of urinary symptoms, the relationship between urinary symptoms and vaginal descent, and the association between urinary symptoms and obstetric factors. Study design: Five hundred and thirty-seven women were interviewed and underwent a urogynaecological evaluation 3 months after vaginal delivery. Quantitative-type variables were subjected to Student's t test. Simple logistic regression analyses were carried out on the symptoms studied as a function of risk factors. Results: 8.2% of primiparae showed stress urinary incontinence and multiparae in 20% (P=0.0001); urge incontinence was present in 5.5% of primiparae and in 13% of multiparae (P=0.004). Significant correlations were found among operative vaginal delivery, dysuria (P=0.048) and frequency (P=0.036). Urinary incontinence appeared associated with induced labour with prostaglandins (P=0.018) and with general maternal factors, such as parity (P=0.001) and elevated weight at the beginning of pregnancy (P=0.019). Conclusions: It is likely that the pathogenesis of postpartum urinary incontinence includes not only the effects of pelvic floor trauma on urethrovesical mobility under stress, but also a deficiency in urethral resistance caused by drugs, such as prostaglandins.

Original languageEnglish
Pages (from-to)179-182
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume103
Issue number2
DOIs
Publication statusPublished - Jul 10 2002

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Keywords

  • Prostaglandins
  • Puerperium
  • Urinary incontinence
  • Vaginal prolapse

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Pregazzi, R., Sartore, A., Troiano, L., Grimaldi, E., Bortoli, P., Siracusano, S., & Guaschino, S. (2002). Postpartum urinary symptoms: Prevalence and risk factors. European Journal of Obstetrics and Gynecology and Reproductive Biology, 103(2), 179-182. https://doi.org/10.1016/S0301-2115(02)00045-3