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Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency

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Abstract

Introduction and hypothesis

We aimed to determine the prevalence of mild stress urinary incontinence (SUI) 1 year postpartum in relation to mode of delivery and pre-pregnancy SUI.

Methods

This cohort study was performed on 618 primiparous women who delivered by elective cesarean section and NVD. Development of SUI during pregnancy till 12 months after delivery was studied. Frequency of mild SUI among patients with and without pre-pregnancy SUI was compared at the ante-partum (RR, 5.75), 40 days postpartum (RR, 9.3), 3 months postpartum (RR, 10.1), 6 months postpartum (RR, 10.1), and 12 months postpartum (RR, 16.8).

Results

Regarding the mode of delivery, incidence of SUI showed significant difference at 40 days, 3 and 6 months postpartum in both patients with and without pre-pregnancy history of SUI (P < 0.05, all groups).

Conclusion

The mode of delivery had significant effect on the persistency of SUI up to 6 months postpartum, while pre-pregnancy SUI revealed such effect till 1 year.

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Abbreviations

UI:

Urinary incontinence

SUI:

Stress urinary incontinence

CS:

Cesarean section

NVD:

Natural vaginal delivery

UTI:

Urinary tract infection

TUMS:

Tehran University of Medical Sciences

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Authors and Affiliations

  1. Vali-asr Reproductive Health Research Center and Maternal-Fetal &Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Sedighgeh Hantoushzadeh

  2. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

    Pouya Javadian & Bahram Salmanian

  3. Maternal–Fetal and Neonatal Research Center, Breastfeeding Research Center, Tehran University of Medical Sciences, Keshavarz Blvd, Tehran, Iran

    Sedighgeh Hantoushzadeh & Mamak Shariat

  4. Vali-asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran

    Shirin Ghazizadeh & Malekmansour Aghssa

Authors
  1. Sedighgeh Hantoushzadeh
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  2. Pouya Javadian
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  3. Mamak Shariat
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  4. Bahram Salmanian
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  5. Shirin Ghazizadeh
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  6. Malekmansour Aghssa
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Correspondence to Sedighgeh Hantoushzadeh.

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Hantoushzadeh, S., Javadian, P., Shariat, M. et al. Stress urinary incontinence: pre-pregnancy history and effects of mode of delivery on its postpartum persistency. Int Urogynecol J 22, 651–655 (2011). https://doi.org/10.1007/s00192-010-1335-6

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  • DOI: https://doi.org/10.1007/s00192-010-1335-6

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