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Lower urinary tract symptoms 5 years after the first delivery
1Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Denmark.
International Urogynecology Journal and Pelvic Floor Dysfunction
|January 9, 2001
Summary
First-time mothers experienced a significant increase in lower urinary tract symptoms, particularly stress or urge incontinence, five years after delivery. Early onset during pregnancy or postpartum indicates a higher risk for later incontinence.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Women's Health
Background:
- Lower urinary tract symptoms (LUTS) are common postpartum issues.
- Long-term data on LUTS after first delivery are limited.
Purpose of the Study:
- To estimate the prevalence and 5-year incidence of LUTS after first delivery.
- To identify risk factors for persistent LUTS.
Main Methods:
- A cohort of 278 primiparae were surveyed regarding LUTS.
- Data collection occurred after first pregnancy/puerperium and again at 5 years postpartum.
Main Results:
- LUTS prevalence significantly increased over the 5-year observation period.
- Stress or urge incontinence was significantly higher at 5 years in women with earlier onset.
- Urgency and frequent voiding at 5 years were not predicted by earlier onset.
Conclusions:
- Onset of stress or urge incontinence during first pregnancy/puerperium predicts increased risk 5 years later.
- Urgency and diurnal frequent voiding onset during this period do not predict later symptoms.