Urinary incontinence during pregnancy. Is there a difference between first and third trimester?

Area of Science:

• Obstetrics and Gynecology
• Urology
• Women's Health

Background:

• Urinary incontinence (UI) is a common condition affecting women during pregnancy.
• Pregnancy involves significant physiological changes that can impact pelvic floor function and urinary control.

Purpose of the Study:

• To determine the prevalence and severity of urinary incontinence in pregnant women.
• To compare the incidence and characteristics of UI between the first and third trimesters of pregnancy.

Main Methods:

• A cross-sectional study involving 224 pregnant women across their first and third trimesters.
• Utilized validated questionnaires including ICIQ-SF, PFDI-20, and SF-36 to assess UI and quality of life.

Main Results:

• The overall prevalence of UI was 34.37%, significantly higher in the third trimester (39.76%) compared to the first (18.96%).
• Stress urinary incontinence was the predominant type (78.37%), with most leakage described as slight-moderate.
• Increased urinary frequency affected 41.25% of pregnant women, causing distress in 68.8%.

Conclusions:

• Urinary incontinence is highly prevalent in pregnant women, particularly in the third trimester.
• Stress urinary incontinence is the most common form, with leakage generally mild but impacting quality of life.
• Urinary frequency is also a significant issue, contributing to discomfort and distress during pregnancy.