Transactions of the 67th Annual Meeting of the South Atlantic Association of Obstetricians and GynecologistsThe effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence
Section snippets
Material and methods
Data were collected from 1004 women enrolled over an 18-month period as part of the Pelvic Organ Support Study Project, a multicenter study involving 6 outpatient gynecology clinics in the US.8 The study was approved by local IRBs at each site, and before participation each subject signed an informed consent. Demographic data were collected and included; age, height, and weight. In addition, detailed information regarding the subjects' obstetric history was collected and included; gravity,
Results
The mean age of subjects was 42.7 ± 13.9 (± SD) years. Racial distribution was 43% Caucasian, 24% African American, 29% Hispanic, 2% Asian, 2% other. Of the 1004 subjects in the study, 978 had complete data on gravidity (G), parity (P), and normal spontaneous vaginal delivery (NSVD), and fully answered the questionnaire. They are the basis of this report. There were 174 nulliparous women (P = 0), 91 parous women with no vaginal deliveries (P ≥1 and vaginal delivery = 0), and 712 parous women with
Comment
There is a developing consensus of opinion in obstetrics and gynecology that pregnancy and a vaginal delivery contributes to the eventual development of urinary and fecal incontinence. This relationship has biologic plausibility and stems from research that established a relationship between vaginal delivery, pudendal neuropathy, and urinary and fecal incontinence. Also, there is a growing controversy that cesarean delivery protects against this injury, and should be offered to patients who are
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The neglected secret: Association of abdominal striae with stress urinary incontinence in primigravid pregnant women
2022, European Journal of Obstetrics and Gynecology and Reproductive BiologyMaternal risk factors of urinary incontinence during pregnancy and postpartum: A prospective cohort study
2022, European Journal of Obstetrics and Gynecology and Reproductive Biology: XCitation Excerpt :In women in early adulthood, UI is a less common problem that nevertheless affects 25% of this population segment [1,2]. Aging aside, pregnancy and childbirth are also known risk factors of UI [3]. In nulliparous women, the most common risk factors are obesity, childhood enuresis and high-impact exercise [4].
Birthweight and urinary incontinence after childbirth: a systematic review and meta-analysis
2020, European Journal of Obstetrics and Gynecology and Reproductive Biology: XPregnancy-specific urinary incontinence in women with gestational hyperglycaemia worsens the occurrence and severity of urinary incontinence and quality of life over the first year post partum
2020, European Journal of Obstetrics and Gynecology and Reproductive BiologyThe effect of childbirth on urinary incontinence: a matched cohort study in women aged 40–64 years
2019, American Journal of Obstetrics and GynecologyUrinary incontinence in nulliparous women aged 25-64 years: a national survey
2017, American Journal of Obstetrics and Gynecology
Presented at the Sixty-Seventh Annual Meeting of the South Atlantic Association of Obstetricians and Gynecologists, January 22-25, 2005, White Sulphur Springs, WVa.