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Childbirth method has an effect on non-fistulous urinary incontinence amongst sub-Saharan African women: fact or fallacy?

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Abstract

Introduction and Hypothesis

The association of mode of childbirth and non-fistulous urinary incontinence has been largely explored among Caucasians with little or no information from black female population living in developing countries. The aim of this study is to address this gap in knowledge.

Methods

A Household Survey of Urinary Incontinence was conducted in 2009. Of the 5,001 eligible respondents, 4,944 had information on childbirth. The relationships between mode of delivery (vaginal, caesarean and assisted—forceps and vacuum) and UI was explored using bivariate and multivariable analysis at 95% confidence level.

Results

Of significant factors on bivariate analysis, only mode of childbirth was significant on regression analysis. Women with history of assisted delivery were about 4.7 times more likely than those who delivered through other means and over seven times more likely than nulliparous women to report urine leakage.

Conclusion

The outcome shows a linkage of childbirth methods with non-fistulous UI in a black population.

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Abbreviations

CS:

Caesarean Section

EA:

Enumeration areas

IUHIS:

Ibadan Urinary Incontinence Household Survey

LGA:

Local Government Authority

UI:

Urinary incontinence

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Acknowledgements

We thank the staff of the National Population Commission of Oyo state, Nigeria, for their technical support during the planning and delineation of Enumeration areas.

Funding

This study received support from the Gates Institute, Bloomberg School of Public Health Johns Hopkins University through the Center for Population and Reproductive Health, College of Medicine University of Ibadan, Nigeria.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, College of Medicine/University College Hospital, University of Ibadan, Ibadan, Oyo State, Nigeria

    Oladosu A. Ojengbede, Imran O. Morhason-Bello, Charles O Kolade & Ngozi S. Okonkwo

  2. Department of Epidemiology, Medical Statistics, and Environmental Health, College of Medicine, Ibadan, Oyo State, Nigeria

    Babatunde O. Adedokun

Authors
  1. Oladosu A. Ojengbede
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  2. Babatunde O. Adedokun
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  3. Imran O. Morhason-Bello
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  4. Charles O Kolade
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  5. Ngozi S. Okonkwo
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Corresponding author

Correspondence to Imran O. Morhason-Bello.

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Ojengbede, O.A., Adedokun, B.O., Morhason-Bello, I.O. et al. Childbirth method has an effect on non-fistulous urinary incontinence amongst sub-Saharan African women: fact or fallacy?. Int Urogynecol J 21, 1391–1395 (2010). https://doi.org/10.1007/s00192-010-1193-2

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  • DOI: https://doi.org/10.1007/s00192-010-1193-2

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