International Urogynecology Journal

, Volume 18, Issue 2, pp 147–151

Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas

  • Angela D. Thomason
  • Janis M. Miller
  • John OL DeLancey
Original Article

DOI: 10.1007/s00192-006-0124-8

Cite this article as:
Thomason, A.D., Miller, J.M. & DeLancey, J.O. Int Urogynecol J (2007) 18: 147. doi:10.1007/s00192-006-0124-8

Abstract

Objective

Examine patterns of urinary incontinence during and after pregnancy, as recalled by incontinent and continent primiparas.

Study design

Primiparous women reporting no pre-pregnancy incontinence, were recruited 6 to 9 months postpartum. Those reporting current continence and demonstrating a negative stress test were considered “Primiparous Continent” (PC, n=64). Those reporting current incontinence and demonstrating a positive stress test were considered “Primiparous Incontinent” (PI, n=57). Subjects self-administered a questionnaire recalling leakage during and after pregnancy.

Results

Sixteen percent of PC women leaked during pregnancy. Of these, 70% experienced frequent leakage during pregnancy. Seventy-eight percent of PI women leaked both during and after pregnancy. Several patterns arose surrounding leakage frequency for PI women: 19% only leaked frequently during pregnancy, 4% only leaked frequently after pregnancy, and 51% leaked frequently both during and after pregnancy.

Conclusion

Nearly five times as many primiparous incontinent women, compared with primiparous continent women, leaked during pregnancy.

Keywords

PregnancyUrinary incontinencePostpartum incontinence

Copyright information

© International Urogynecology Journal 2006

Authors and Affiliations

  • Angela D. Thomason
    • 1
  • Janis M. Miller
    • 1
    • 2
  • John OL DeLancey
    • 1
  1. 1.Division of Gynecology, Department of Obstetrics and GynecologyUniversity of Michigan Medical SchoolAnn ArborUSA
  2. 2.School of NursingUniversity of MichiganAnn ArborUSA
  3. 3.L4000 Women’s HospitalAnn ArborUSA