International Urogynecology Journal

, Volume 21, Issue 4, pp 439–445

Factors involved in stress urinary incontinence 1 year after first delivery

Authors

    • Department of Obstetrics and Gynaecology, Edificio Materno-InfantilHospital Donostia
  • Miren Arrue
    • Department of Obstetrics and Gynaecology, Edificio Materno-InfantilHospital Donostia
  • Larraitz Ibañez
    • Department of Obstetrics and Gynaecology, Edificio Materno-InfantilHospital Donostia
  • Arantzazu Murgiondo
    • Department of Obstetrics and Gynaecology, Edificio Materno-InfantilHospital Donostia
  • Jone Paredes
    • Department of Obstetrics and Gynaecology, Edificio Materno-InfantilHospital Donostia
  • Cristina Sarasqueta
    • Department of EpidemiologyHospital Donostia
    • CIBERESP
Original Article

DOI: 10.1007/s00192-009-1055-y

Cite this article as:
Diez-Itza, I., Arrue, M., Ibañez, L. et al. Int Urogynecol J (2010) 21: 439. doi:10.1007/s00192-009-1055-y

Abstract

Introduction and hypothesis

The aim of the study was to investigate the risk factors involved in stress urinary incontinence (SUI) 1 year after first delivery.

Methods

This was a longitudinal study of 352 primigravid women who gave birth at Donostia Hospital during 2007. Urinary symptoms were investigated (Abrams et al., Neurourol Urodyn 21:167–178, 2002) on inclusion and 1 year after delivery, and the incontinence severity index (ISI) was calculated. Incontinent women answered the International Consultation on Incontinence short form questionnaire. Pelvic floor muscle strength and joint hypermobility were evaluated.

Results

SUI affected 40 (11.4%) women 1 year after first delivery. The ISI distribution was: 62.5% slight, 32.5% moderate, 2.5% severe and 2.5% very severe. The only factor independently associated with SUI after delivery was the development of SUI during pregnancy (OR, 5.79; 95% CI, 2.79–12.00).

Conclusions

The new onset of SUI during pregnancy is an independent risk factor for SUI in the postpartum period.

Keywords

ParityPregnancyLabourDeliveryStress urinary incontinenceRisk factors

Copyright information

© The International Urogynecological Association 2009