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 language | English |
|---|---|
| Pages (from-to) | 179-182 |
| Number of pages | 4 |
| Journal | European Journal of Obstetrics and Gynecology and Reproductive Biology |
| Volume | 103 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 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
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 journal › Article
}
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 -