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

55 Citations (Scopus)

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

Fingerprint

Urinary Incontinence
Postpartum Period
Prostaglandins
Induced Labor
Urge Urinary Incontinence
Dysuria
Pelvic Floor
Stress Urinary Incontinence
Parity
Drug Resistance
Obstetrics
Logistic Models
Regression Analysis
Mothers
Students
Weights and Measures
Pregnancy
Wounds and Injuries

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

Postpartum urinary symptoms : Prevalence and risk factors. / Pregazzi, Roberto; Sartore, Andrea; Troiano, Luigi; Grimaldi, Eva; Bortoli, Paolo; Siracusano, Salvatore; Guaschino, Secondo.

In: European Journal of Obstetrics and Gynecology and Reproductive Biology, Vol. 103, No. 2, 10.07.2002, p. 179-182.

Research output: Contribution to journalArticle

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, vol. 103, no. 2, pp. 179-182. https://doi.org/10.1016/S0301-2115(02)00045-3
Pregazzi, Roberto ; Sartore, Andrea ; Troiano, Luigi ; Grimaldi, Eva ; Bortoli, Paolo ; Siracusano, Salvatore ; Guaschino, Secondo. / Postpartum urinary symptoms : Prevalence and risk factors. In: European Journal of Obstetrics and Gynecology and Reproductive Biology. 2002 ; Vol. 103, No. 2. pp. 179-182.
@article{bae8d18a1f9b4aca9979234ada7cd409,
title = "Postpartum urinary symptoms: Prevalence and risk factors",
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.",
keywords = "Prostaglandins, Puerperium, Urinary incontinence, Vaginal prolapse",
author = "Roberto Pregazzi and Andrea Sartore and Luigi Troiano and Eva Grimaldi and Paolo Bortoli and Salvatore Siracusano and Secondo Guaschino",
year = "2002",
month = "7",
day = "10",
doi = "10.1016/S0301-2115(02)00045-3",
language = "English",
volume = "103",
pages = "179--182",
journal = "European Journal of Obstetrics, Gynecology and Reproductive Biology",
issn = "0028-2243",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

TY - JOUR

T1 - Postpartum urinary symptoms

T2 - Prevalence and risk factors

AU - Pregazzi, Roberto

AU - Sartore, Andrea

AU - Troiano, Luigi

AU - Grimaldi, Eva

AU - Bortoli, Paolo

AU - Siracusano, Salvatore

AU - Guaschino, Secondo

PY - 2002/7/10

Y1 - 2002/7/10

N2 - 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.

AB - 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.

KW - Prostaglandins

KW - Puerperium

KW - Urinary incontinence

KW - Vaginal prolapse

UR - http://www.scopus.com/inward/record.url?scp=0037054730&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037054730&partnerID=8YFLogxK

U2 - 10.1016/S0301-2115(02)00045-3

DO - 10.1016/S0301-2115(02)00045-3

M3 - Article

C2 - 12069744

AN - SCOPUS:0037054730

VL - 103

SP - 179

EP - 182

JO - European Journal of Obstetrics, Gynecology and Reproductive Biology

JF - European Journal of Obstetrics, Gynecology and Reproductive Biology

SN - 0028-2243

IS - 2

ER -