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Risk Factors for Urinary Incontinence in Pregnancy: A Case Control Study
Fernanda Borsatto Caruso1, Lucas Schreiner1, Alexandra Damasio Todescatto1
1Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Urinary incontinence (UI) affects 18.3% of nullipara pregnant women. Tobacco use is a significant risk factor for developing UI during pregnancy, highlighting the importance of smoking cessation.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Public Health
Background:
- Urinary incontinence (UI) is a prevalent condition affecting women across life stages, including pregnancy.
- Pregnancy-related UI can negatively impact quality of life and the maternal-fetal relationship.
Purpose of the Study:
- To determine the prevalence of UI in nullipara pregnant women.
- To identify risk factors associated with UI in this specific population.
Main Methods:
- A case-control study involving nullipara pregnant women (12-20 weeks gestation).
- Data collection included questionnaires, 3-day bladder diaries, and urogynecological evaluations (POP-Q, ESST, pelvic floor muscle assessment).
Main Results:
- The prevalence of UI was found to be 18.3% among the study participants.
- Tobacco use emerged as an independent risk factor for UI in pregnant women (OR 8.0).
- No other analyzed factors showed a significant association with UI during pregnancy.
Conclusions:
- Urinary incontinence presents a significant challenge during pregnancy.
- Identifying tobacco use as a risk factor underscores the critical need for smoking cessation interventions in pregnant women to mitigate UI risk.
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