International Urogynecology Journal

, Volume 20, Issue 3, pp 281–288

Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity

  • Viviane Herrmann
  • Katia Scarpa
  • Paulo Cesar Rodrigues Palma
  • Cassio Zanettini Riccetto
Original Article

DOI: 10.1007/s00192-008-0767-8

Cite this article as:
Herrmann, V., Scarpa, K., Palma, P.C.R. et al. Int Urogynecol J (2009) 20: 281. doi:10.1007/s00192-008-0767-8

Abstract

The aim was to estimate the incidence of stress urinary incontinence 3 years after delivery and its correlation to mode of delivery and parity. A longitudinal cohort study was conducted with 120 women at the Antenatal Clinic at the State University of Campinas. There was a significant difference in the incidence of postpartum stress urinary incontinence (SUI) among patients with SUI during pregnancy (p > 0.0001). Women that were asymptomatic during pregnancy and had vaginal delivery developed SUI 2.4 times more frequently than after c-section (19.2% and 8.0%, respectively). The incidence of SUI after delivery dropped significantly in the primiparous (p = 0.0073) and multiparous 2–3 (p < 0.0001), but not in the multiparous with four or more deliveries (66.7% to 60.0%) (p = 0.5637). A significant correlation has been observed between parity and SUI (p = 0.0299). Pregnancy possibly predisposes to SUI 3 years after delivery as well as parity. No significant correlation has been demonstrated between mode of delivery and SUI.

Keywords

Mode of delivery Parity Pregnancy Stress urinary incontinence 

Abbreviations

SUI

Stress urinary incontinence

LUTS

Low urinary tract symptoms

US

United States

ICS

International Continence Society

RR

Risk ratio

Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • Viviane Herrmann
    • 1
  • Katia Scarpa
    • 1
  • Paulo Cesar Rodrigues Palma
    • 2
  • Cassio Zanettini Riccetto
    • 2
  1. 1.Department of Obstetrics and GynecologyState University of CampinasCampinasSão PauloBrazil
  2. 2.Department of UrologyState University of CampinasSão PauloBrazil

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