Advertisement

Archives of Gynecology and Obstetrics

, Volume 279, Issue 4, pp 499–503 | Cite as

Prevalence and frequency of severity of urinary incontinence symptoms in late pregnancy: a prospective study in the north of Jordan

  • Lama M. M. Al-MehaisenEmail author
  • Oqba Al-Kuran
  • Isam M. Lataifeh
  • Suha Betawie
  • Amer Sindiyani
  • Omar F. Al-ttal
  • Fayrooz Naser
Original Article

Abstract

Objective

To determine the frequency of urinary urge, stress incontinence and bothersome urinary symptoms in late pregnancy in Jordan.

Method

Women admitted in spontaneous labor to labor suite at three covering hospitals in the north of Jordan and at least 36 weeks gestational age were eligible for survey to ascertain data on current pregnancies and past pregnancy. Data analyzed for 181 women.

Result

Mean gestational age was 39.5 weeks. 85% had normal vaginal delivery. 35% of women reported symptoms of urgency, 30% of whom described symptoms frequency as moderate or severe, and 45% reported stress incontinence, 29% of whom described symptoms frequency as moderate or severe during the current pregnancy. Symptoms in previous pregnancies were reported by 20 and 30% of women for urge and stress incontinence, respectively. Urgency and urge incontinence increased in relation to parity.

Conclusion

The frequency of urinary incontinence and bothersome symptoms was relatively similar compared to other countries.

Keywords

Urinary urge Incontinence Pregnancy Parity Jordan 

References

  1. 1.
    Wesnes SL, Rortveit G, Bø K, Hunskaar S (2007) Urinary incontinence during pregnancy. Obstet Gynecol 109:922–928PubMedGoogle Scholar
  2. 2.
    Chen FY, Dai YT (2007) Perception of nocturia and medical consulting behavior among community-dwelling women. Int Urogynecol J Pelvic Floor Dysfunct 18:431–436. doi: 10.1007/s00192-006-0167-x PubMedCrossRefGoogle Scholar
  3. 3.
    Eason E, Labrecque M, Marcoux S, Mondor M (2004) Effects of carrying a pregnancy and method of delivery on urinary incontinence: a prospective cohort study. BMC Pregnancy Childbirth 4:4. doi: 10.1186/1471-2393-4-4 PubMedCrossRefGoogle Scholar
  4. 4.
    Thorp JM Jr, Norton PA, Wall LL, Kuller JA, Eucker B, Wells E (1999) Urinary incontinence in pregnancy and the puerperium: a prospective study. Am J Obstet Gynecol 181:266–273. doi: 10.1016/S0002-9378(99)70546-6 PubMedCrossRefGoogle Scholar
  5. 5.
    Connolly TJ, Litman HJ, Tennstedt SL, Link CL, McKinlay JB (2007) The effect of mode of delivery, parity, and birth weight on risk of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18:1033–1042. doi: 10.1007/s00192-006-0286-4 PubMedCrossRefGoogle Scholar
  6. 6.
    D’Alfonso A, Iovenitti P, Carta G (2006) Urinary disorders during pregnancy and postpartum: our experience. Clin Exp Obstet Gynecol 33:23–25PubMedGoogle Scholar
  7. 7.
    Højberg KE, Salvig JD, Winsløw NA, Lose G, Secher NJ (1999) Urinary incontinence: prevalence and risk factors at 16 weeks of gestation. Br J Obstet Gynaecol 106:842–850PubMedGoogle Scholar
  8. 8.
    van Kerrebroeck P, Abrams P, Chaikin D, Donovan J, Fonda D, Jackson S et al (2002) The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21:179–183. doi: 10.1002/nau.10053 PubMedCrossRefGoogle Scholar
  9. 9.
    Diokno AC (1990) Diagnostic categories of incontinence and the role of urodynamic testing. J Am Geriatr Soc 38:300–305PubMedGoogle Scholar
  10. 10.
    Wijma J, Weis Potters AE, de Wolf BT, Tinga DJ, Aarnoudse JG (2001) Anatomical and functional changes in the lower urinary tract during pregnancy. BJOG 108:727–732CrossRefGoogle Scholar
  11. 11.
    Thomason AD, Miller JM, Delancey JO (2007) Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas. Int Urogynecol J Pelvic Floor Dysfunct 18:147–151. doi: 10.1007/s00192-006-0124-8 PubMedGoogle Scholar
  12. 12.
    Sottner O, Zahumensky J, Kremar M, Brtnickna H, Kolarik D, Driak D et al (2006) Urinary incontinence in a group of primiparous women in the Czech Republic. Gynecol Obstet Invest 62:33–37. doi: 10.1159/000091820 PubMedCrossRefGoogle Scholar
  13. 13.
    Viktrup L, Lose G, Rolff M, Barfoed K (1992) The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol 79:945–949PubMedGoogle Scholar
  14. 14.
    Mason L, Glenns S, Walton I, Appleton C (1999) The prevalence of stress incontinence during pregnancy and following delivery. Midwifery 15:120–128. doi: 10.1016/S0266-6138(99)90008-6 PubMedCrossRefGoogle Scholar
  15. 15.
    Scarpa KP, Herrmann V, Palma PC, Riccetto CL, Morais SS (2006) Prevalence and correlates of stress urinary incontinence during pregnancy: a survey at UNICAMP Medical School, São Paulo, Brazil. Int Urogynecol J Pelvic Floor Dysfunct 17:219–223. doi: 10.1007/s00192-005-1361-y PubMedCrossRefGoogle Scholar
  16. 16.
    van Brummen HJ, Bruinse HW, van der Bom JG, Heinstz AP, van der Vaart CH (2006) How do the prevalences of urogenital symptoms change during pregnancy? Neurourol Urodyn 25:135–139. doi: 10.1002/nau.20149 PubMedCrossRefGoogle Scholar
  17. 17.
    Marshall K, Thompson KA, Walsh DM, Baxter GD (1998) Incidence of urinary incontinence and constipation during pregnancy and postpartum: survey of current findings at the Rotunda Lying-in Hospital. Br J Obstet Gynaecol 105:400–402PubMedGoogle Scholar
  18. 18.
    Stainton MC, Strahle A, Fethney J (2005) Leaking urine prior to pregnancy: a risk factor for postnatal incontinence. Aust N Z J Obstet Gynaecol 45:295–299. doi: 10.1111/j.1479-828X.2005.00414.x PubMedCrossRefGoogle Scholar
  19. 19.
    Kristiansson P, Samuelsson E, von Schoultz B, Svärdsudd K (2001) Reproductive hormones and stress urinary incontinence in pregnancy. Acta Obstet Gynecol Scand 80:1125–1130. doi: 10.1034/j.1600-0412.2001.801209.x PubMedCrossRefGoogle Scholar
  20. 20.
    Rortveit G, Hannesstad YS, Daltviet AK, Hunskaar S (2001) Age- and type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT study. Obstet Gynecol 98:1004–1010. doi: 10.1016/S0029-7844(01)01566-6 PubMedCrossRefGoogle Scholar
  21. 21.
    Viktrup L, Lose G (2001) Do fertile women remember the onset of stress incontinence? Recall bias 5 years after 1st delivery. Acta Obstet Gynecol Scand 80:952–955PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Lama M. M. Al-Mehaisen
    • 1
    Email author
  • Oqba Al-Kuran
    • 1
  • Isam M. Lataifeh
    • 1
  • Suha Betawie
    • 1
  • Amer Sindiyani
    • 1
  • Omar F. Al-ttal
    • 1
  • Fayrooz Naser
    • 1
  1. 1.King Abdulla University HospitalJordan University of Science and TechnologyIrbidJordan

Personalised recommendations