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Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity

Viviane Herrmann1, Katia Scarpa, Paulo Cesar Rodrigues Palma

  • 1Department of Obstetrics and Gynecology, State University of Campinas, Campinas, São Paulo, Brazil. vherrmann@uol.com.br

International Urogynecology Journal and Pelvic Floor Dysfunction
|November 21, 2008
PubMed

The aim was to estimate the incidence of stress urinary incontinence 3 years after delivery and its correlation to mode of delivery and parity. A longitudinal cohort study was conducted with 120 women at the Antenatal Clinic at the State University of Campinas. There was a significant difference in the incidence of postpartum stress urinary incontinence (SUI) among patients with SUI during pregnancy (p > 0.0001). Women that were asymptomatic during pregnancy and had vaginal delivery developed SUI 2.4 times more frequently than after c-section (19.2% and 8.0%, respectively). The incidence of SUI after delivery dropped significantly in the primiparous (p = 0.0073) and multiparous 2-3 (p < 0.0001), but not in the multiparous with four or more deliveries (66.7% to 60.0%) (p = 0.5637). A significant correlation has been observed between parity and SUI (p = 0.0299). Pregnancy possibly predisposes to SUI 3 years after delivery as well as parity. No significant correlation has been demonstrated between mode of delivery and SUI.

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