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Postpartum urinary symptoms: prevalence and risk factors
Roberto Pregazzi1, Andrea Sartore, Luigi Troiano
1Department of Obstetrics and Gynecology, I.R.C.C.S. Burlo Garofolo, University of Trieste, Via dell'Istria 65/1, 34137, Trieste, Italy. pregazzi@burlo.trieste.it
Summary
Postpartum urinary incontinence is more common in women who have had multiple births. Factors like operative vaginal delivery and prostaglandin use may contribute to urinary symptoms after childbirth.
Area of Science:
- Urogynecology
- Obstetrics
- Pelvic Floor Disorders
Background:
- Urinary symptoms are a common concern for women postpartum.
- Understanding the link between childbirth and urinary dysfunction is crucial for maternal health.
Purpose of the Study:
- To determine the prevalence of urinary symptoms after vaginal delivery.
- To investigate the relationship between urinary symptoms and vaginal descent.
- To analyze the association between urinary symptoms and obstetric factors.
Main Methods:
- A cohort of 537 women was evaluated 3 months postpartum.
- Urogynaecological examinations and interviews were conducted.
- Statistical analyses included Student's t test and logistic regression.
Main Results:
- Stress urinary incontinence was more prevalent in multiparous women (20%) compared to primiparous women (8.2%).
- Urge incontinence was also higher in multiparous women (13%) versus primiparous women (5.5%).
- Operative vaginal delivery correlated with dysuria and urinary frequency; prostaglandin-induced labor and higher pre-pregnancy weight were associated with incontinence.
Conclusions:
- Postpartum urinary incontinence may result from pelvic floor trauma affecting urethrovesical mobility.
- Drug effects, such as from prostaglandins, might contribute to urethral resistance deficiency.
- Parity and pre-pregnancy weight are significant maternal factors associated with postpartum urinary symptoms.