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Related Experiment Videos

Pregnancy and delivery: a urodynamic viewpoint.

C Chaliha1, J M Bland, A Monga

  • 1Department of Obstetrics and Gynaecology, St George's Hospital Medical School, London, UK.

BJOG : an International Journal of Obstetrics and Gynaecology
|December 16, 2000
PubMed
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Pregnancy and childbirth did not consistently affect objective bladder function, despite high reported rates of incontinence. Postpartum bladder function depended on antenatal measurements, not obstetric factors.

Area of Science:

  • Urogynecology
  • Obstetrics
  • Female Pelvic Medicine

Background:

  • Urinary incontinence is frequently reported during and after pregnancy.
  • Objective data on bladder function changes due to pregnancy and delivery are limited.

Purpose of the Study:

  • To prospectively determine the prevalence of objective bladder dysfunction before and after childbirth using urodynamic investigations.
  • To evaluate the influence of obstetric variables on bladder function.

Main Methods:

  • Prospective longitudinal study involving 286 nulliparous women.
  • Urodynamic investigations, including subtracted cystometry and cough stress tests, were performed antenatally and three months postpartum.

Main Results:

Related Experiment Videos

  • Mean urodynamic values were lower during pregnancy and postpartum compared to non-pregnant populations.
  • Prevalence of genuine stress incontinence and detrusor instability decreased postpartum.
  • Obstetric and neonatal factors did not correlate with urodynamic variables.

    • Conclusions:

    • Pregnancy and delivery did not demonstrate consistent effects on objective bladder function.
    • Postpartum urodynamic measurements were influenced by antenatal values, not by obstetric or neonatal variables.