Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum: a prospective cohort.
BJOG
; 123(7): 1203-11, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-26179947
ABSTRACT
OBJECTIVES:
To investigate frequency, severity and risk factors for urinary incontinence and faecal incontinence 4 years after a first birth.DESIGN:
Prospective pregnancy cohort study.SETTING:
Melbourne, Australia. SAMPLE A total of 1011 nulliparous women recruited in early pregnancy.METHODS:
Participants were followed up at 32 weeks of gestation; then at 3, 6, 9 and 12 months and 4 years postpartum. MAIN OUTCOMEMEASURES:
Frequency and severity of urinary and faecal incontinence.RESULTS:
At 4 years, 29.6% of women reported urinary incontinence and 7.1% reported faecal incontinence. Compared with women having only spontaneous vaginal births, women who delivered exclusively by caesarean section were less likely to have urinary incontinence at 4 years postpartum (adjusted odds ratio 0.4, 95% confidence interval 0.3-0.6). Women who reported urinary incontinence before or during the index pregnancy, and those experiencing symptoms in the first year postpartum had increased odds of incontinence at 4 years, with the highest odds (6-12 times higher) among women who had previously reported moderate or severe symptoms. The odds of reporting faecal incontinence at 4 years were two to six times higher for women experiencing symptoms in pregnancy, and around four to eight times higher for those with symptoms in the first year postpartum.CONCLUSION:
Urinary and faecal incontinence are prevalent conditions 4 years after a first birth. Women reporting urinary or faecal incontinence during pregnancy had markedly higher odds of reporting symptoms at 4 years postpartum, suggesting a need for further investigation and elucidation of aetiological pathways involving nonbirth-related risk factors. TWEETABLE ABSTRACT Moderate/severe incontinence prevalent 4 years after first birth in population cohort. Prior symptoms are biggest predictor.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Complicaciones del Embarazo
/
Incontinencia Urinaria
/
Incontinencia Fecal
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
/
Middle aged
/
Pregnancy
País/Región como asunto:
Oceania
Idioma:
En
Revista:
BJOG
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2016
Tipo del documento:
Article
País de afiliación:
Australia