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Updated: May 24, 2025

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Urge Urinary Incontinence and Pregnancy: A Systematic Review.

Joshua Winograd1, Ananth Punyala2, Christina Sze1

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Summary
This summary is machine-generated.

Several factors increase the risk of urge urinary incontinence (UUI) during and after pregnancy. These include body mass index, gestational diabetes, maternal age, parity, and instrumental deliveries.

Keywords:
Lower urinary tract symptoms (LUTS)Post-partum incontinenceUrge urinary incontinence (UUI)

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Area of Science:

  • Obstetrics and Gynecology
  • Urology
  • Women's Health

Background:

  • Urge urinary incontinence (UUI) is a common condition affecting women, particularly during the prenatal and postpartum periods.
  • Understanding risk factors is crucial for developing effective prevention and management strategies.

Purpose of the Study:

  • To identify risk factors associated with urge urinary incontinence (UUI) during pregnancy and the postpartum period.
  • To characterize the prevalence of UUI and examine interventions during this critical timeframe.

Main Methods:

  • A comprehensive literature search was conducted, identifying 1850 studies.
  • After rigorous screening, 37 relevant articles published between 1993 and 2020 were included in the review.
  • Data from over 25,000 women were analyzed to identify risk factors and intervention patterns.

Main Results:

  • Key risk factors identified for UUI include elevated body mass index, gestational diabetes mellitus, advanced maternal age, parity, a history of incontinence, and instrumental vaginal deliveries.
  • The majority of studies focused on symptom-based questionnaires, with less emphasis on quality of life, sexual function, or mental health impacts.
  • Interventional and non-interventional factors contributing to UUI onset or exacerbation were analyzed.

Conclusions:

  • Specific maternal characteristics and delivery methods significantly contribute to the development or worsening of UUI in the perinatal period.
  • There is a notable gap in research concerning the broader impact of UUI on women's quality of life, sexual health, and mental well-being.
  • Further research should address these under-explored areas to provide comprehensive care for women experiencing UUI.