RESUMEN
PURPOSE OF INVESTIGATION: The authors studied whether family history of urinary incontinence (UI) is associated with pre- and postpartum UI. MATERIALS AND METHODS: In 2010, Dutch postpartum women at three months were approached to fill in a Web-based questionnaire on UI and risk factors (body mass index, BMI), parity, pelvic organ prolapse, and family history. Results were analyzed with Chi-square and logistic regression analyses. RESULTS: 162 (61%) questionnaires were analyzed, 76 (47%) women reported UI before, during and/or after pregnancy, of which 34% also reported a UI family history. Sixteen (19%) out of 84 women without UI reported UI family history (p = 0.05). BMI was associated with prepartum UI (p = 0.035), but the association disappears when adding family history. Women with unknown UI family history had higher risk for postpartum U. CONCLUSION: UI family history is associated with UI during pregnancy. More awareness and research is needed whether adding family history questions on UI in prepartum consultations improves timely prevention.
Asunto(s)
Internet , Prolapso de Órgano Pélvico/genética , Complicaciones del Embarazo/genética , Incontinencia Urinaria/genética , Adolescente , Adulto , Índice de Masa Corporal , Cesárea/estadística & datos numéricos , Femenino , Humanos , Persona de Mediana Edad , Obesidad/epidemiología , Paridad , Periodo Posparto , Embarazo , Factores de Riesgo , Encuestas y Cuestionarios , Incontinencia Urinaria/epidemiología , Adulto JovenRESUMEN
BACKGROUND: Urinary incontinence (UI) is a widespread problem, affecting quality of life and leading to high costs, mainly caused by incontinence pads. It seems that, despite guidelines, many UI patients get pads from their general practitioner (GP) without adequate diagnostics or treatment. OBJECTIVES: To assess what further treatment UI patients receive from their GP next to pads and to measure patient satisfaction with care. METHODS: A postal survey among UI patients who started pad use in the past 12 months. MAIN OUTCOME: Satisfaction with UI care. RESULTS: We analysed 208 questionnaires. 29.3% of pad users had no direct contact with their GP for a pad prescription. Of 147 UI patients who visited their GP 50.3% only got pads. 25% of patients was not satisfied with the information on UI received from their GP, especially younger patients, women, less healthy patients and patients with urgency UI. CONCLUSIONS: Dutch UI patients using pads experience suboptimal GP care and management. Factors identified through patient feedback should be used to improve quality of care for UI in primary care.
