Abstract
An anonymous 77-item urogenital symptom questionnaire was administered to 769 women with a history of previous multifetal gestation and delivery, including long forms of the Incontinence Impact Questionnaire (IIQ) and Urogenital Distress Inventory (UDI). IIQ and UDI scores were analyzed using univariate and multivariate regression to determine the impact of incontinence on quality of life (QOL). Mean age was 37 years (22–75), and nearly half [49.8% (365)] reported at least one type of incontinence. Higher mean UDI scores were reported by women with stress incontinence (SI) (12.3 vs 4.7, p=0.0001), urge incontinence (UI) (14.9 vs 5.7, p=0.0001), and mixed incontinence (15.1 vs 6.2, p=0.0001) compared to continent women. Similarly, higher mean IIQ scores were associated with SI (6.9 vs 1.9, p=0.0001), UI (9.4 vs 2.2, p=0.0001), and mixed incontinence (9.3 vs 2.7, p=0.0001). In conclusion, among “mothers of multiples,” stress and urge urinary incontinence were associated with strongly adverse effects on QOL at a young age.
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Conde-Agudelo A, Belizan JM, Lindmark G (2000) Maternal morbidity and mortality associated with multiple gestations. Obstet Gynecol 95:899–904
Goldberg RP, Kwon C, Gandhi S, Atkuru LV, Sorensen M, Sand PK (2003) Urinary incontinence among ‘mothers of multiples’: the protective effect of cesarean delivery. Am J Obstet Gynecol 188:1447–1450
Viktrup L, Lose G (2001) The risk of stress incontinence 5 years after first delivery. Am J Obstet Gynecol 185:82–87
Buchsbaum GM, Chin M, Glantz C, Guzick D (2002) Prevalence of urinary incontinence and associated risk factors in a cohort of nuns. Obstet Gynecol 100:226–229
Stewart WF, Van Rooyen JB, Cundiff GW, Abrams P, Herzog AR, Corey R, Hunt TL, Wein AJ (2003) Prevalence and burden of overactive bladder in the United States. World J Urol 20:327–336
Yalcin I, Bump RC (2003) Validation of two global impression questionnaires for incontinence. Am J Obstet Gynecol 189:98–101
Chiaffarino F, Parazzini F, Lavezzari M, Giambanco V, Gruppo Interdisciplinare di Studio Incontinenza Urinaria (GISIU) (2003) Impact of urinary incontinence and overactive bladder on quality of life. Eur Urol 43:535–538
van der Vaart CH, de Leeuw JR, Roovers JP, Heintz AP (2002) The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women. BJU Int 90:544–549
Hagglund D, Walker-Engstrom ML, Larsson G, Leppert J (2001) Quality of life and seeking help in women with urinary incontinence. Acta Obstet Gynecol Scand 80:1051–1055
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Goldberg, R.P., Kwon, C., Gandhi, S. et al. Urinary incontinence after multiple gestation and delivery: impact on quality of life. Int Urogynecol J 16, 334–336 (2005). https://doi.org/10.1007/s00192-004-1252-7
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DOI: https://doi.org/10.1007/s00192-004-1252-7