A1 Journal article (refereed)
Maternal risk factors of urinary incontinence during pregnancy and postpartum : a prospective cohort study (2022)
Rajavuori, A., Repo, J. P., Häkkinen, A., Palonen, P., Multanen, J., & Aukee, P. (2022). Maternal risk factors of urinary incontinence during pregnancy and postpartum : a prospective cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 13, Article 100138. https://doi.org/10.1016/j.eurox.2021.100138
JYU authors or editors
Publication details
All authors or editors: Rajavuori, Anna; Repo, Jussi P.; Häkkinen, Arja; Palonen, Pirkko; Multanen, Juhani; Aukee, Pauliina
Journal or series: European Journal of Obstetrics & Gynecology and Reproductive Biology: X
ISSN: 2590-1613
eISSN: 2590-1613
Publication year: 2022
Volume: 13
Article number: 100138
Publisher: Elsevier
Publication country: Netherlands
Publication language: English
DOI: https://doi.org/10.1016/j.eurox.2021.100138
Publication open access: Openly available
Publication channel open access: Open Access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/78707
Abstract
Urinary incontinence (UI) during pregnancy is a common health problem. Vaginal delivery in particular affects the pelvic floor and increases the risk of pelvic floor dysfunctions. This prospective cohort study was conducted to investigate the incidence of UI during pregnancy and three months postpartum and determine the risk factors underlying UI.
Methods
In total, 547 volunteer women were recruited from the maternity clinic of a tertiary hospital. The participants filled out a questionnaire twice, one in the second trimester and the other three months after delivery. A multivariate logistic regression model with forward stepwise selection was used to analyze known risk factors for UI.
Results
The prevalence of UI during pregnancy was 39.5% and three months after childbirth 16.1%. Twenty-two percent of participants had pre-existing UI compared to 41.0% of the 88 women with UI three months postpartum. UI before pregnancy (OR 2.2), during pregnancy (OR 3.8) and primiparity (OR 2.3) were significantly associated with postpartum UI.
Conclusions
Women with UI before or during pregnancy and who are primiparous are at increased risk for postpartum UI. To prevent and reduce the risk factors contributing to UI, pregnant women should be routinely counseled.
Keywords: urinary incontinence; pregnancy; delivery (birth); risk factors; primigravida
Free keywords: pregnancy; primiparity; urinary incontinence
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
Preliminary JUFO rating: 1
