International Urogynecology Journal

, Volume 22, Issue 6, pp 651–655

Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency

  • Sedighgeh Hantoushzadeh
  • Pouya Javadian
  • Mamak Shariat
  • Bahram Salmanian
  • Shirin Ghazizadeh
  • Malekmansour Aghssa
Original Article

Abstract

Introduction and hypothesis

We aimed to determine the prevalence of mild stress urinary incontinence (SUI) 1 year postpartum in relation to mode of delivery and pre-pregnancy SUI.

Methods

This cohort study was performed on 618 primiparous women who delivered by elective cesarean section and NVD. Development of SUI during pregnancy till 12 months after delivery was studied. Frequency of mild SUI among patients with and without pre-pregnancy SUI was compared at the ante-partum (RR, 5.75), 40 days postpartum (RR, 9.3), 3 months postpartum (RR, 10.1), 6 months postpartum (RR, 10.1), and 12 months postpartum (RR, 16.8).

Results

Regarding the mode of delivery, incidence of SUI showed significant difference at 40 days, 3 and 6 months postpartum in both patients with and without pre-pregnancy history of SUI (P < 0.05, all groups).

Conclusion

The mode of delivery had significant effect on the persistency of SUI up to 6 months postpartum, while pre-pregnancy SUI revealed such effect till 1 year.

Keywords

Cesarean section Mode of delivery Pre-pregnancy SUI 

Abbreviations

UI

Urinary incontinence

SUI

Stress urinary incontinence

CS

Cesarean section

NVD

Natural vaginal delivery

UTI

Urinary tract infection

TUMS

Tehran University of Medical Sciences

Copyright information

© The International Urogynecological Association 2010

Authors and Affiliations

  • Sedighgeh Hantoushzadeh
    • 1
    • 3
  • Pouya Javadian
    • 2
  • Mamak Shariat
    • 3
  • Bahram Salmanian
    • 2
  • Shirin Ghazizadeh
    • 4
  • Malekmansour Aghssa
    • 4
  1. 1.Vali-asr Reproductive Health Research Center and Maternal-Fetal &Neonatal Research CenterTehran University of Medical SciencesTehranIran
  2. 2.School of MedicineTehran University of Medical SciencesTehranIran
  3. 3.Maternal–Fetal and Neonatal Research Center, Breastfeeding Research CenterTehran University of Medical SciencesTehranIran
  4. 4.Vali-asr Reproductive Health Research CenterTehran University of Medical SciencesTehranIran

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