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[Urinary disorders during pregnancy and post-partum].

G Mellier1, M A Delille

  • 1Clinique obstétricale, Hôpital Edouard-Herriot, Lyon.

Revue Francaise De Gynecologie Et D'Obstetrique
|October 1, 1990
PubMed
Summary

Urinary incontinence affects nearly half of pregnant individuals, with postpartum rates around 21.5%. While often temporary, persistent pelvic floor issues may arise, with forceps use linked to wind incontinence.

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Area of Science:

  • Obstetrics and Gynecology
  • Pelvic Floor Disorders

Context:

  • Urinary incontinence is a common issue during and after pregnancy.
  • Previous literature indicates high prevalence rates.

Purpose:

  • To investigate the prevalence and risk factors of urinary and fecal incontinence in postpartum patients.
  • To assess the impact of delivery methods and anesthesia on these conditions.

Summary:

  • A study of 265 postpartum patients found 46.4% experienced incontinence during pregnancy and 21.5% postpartum.
  • Postpartum incontinence rates were not significantly increased by forceps use but were rare after cesarean section.
  • Incontinence typically resolves in 60-80% of cases, though potential long-term pelvic alterations warrant consideration.
  • Difficulty retaining flatus was observed in 26.7% of cases, significantly correlated with forceps use.

Impact:

  • Findings highlight the high incidence of postpartum incontinence and its typical, though not universal, resolution.
  • Identifies forceps use as a potential risk factor for fecal incontinence.
  • Suggests the need for further investigation into cumulative pelvic alterations from childbirth.

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