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Factors involved in stress urinary incontinence 1 year after first delivery

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Abstract

Introduction and hypothesis

The aim of the study was to investigate the risk factors involved in stress urinary incontinence (SUI) 1 year after first delivery.

Methods

This was a longitudinal study of 352 primigravid women who gave birth at Donostia Hospital during 2007. Urinary symptoms were investigated (Abrams et al., Neurourol Urodyn 21:167–178, 2002) on inclusion and 1 year after delivery, and the incontinence severity index (ISI) was calculated. Incontinent women answered the International Consultation on Incontinence short form questionnaire. Pelvic floor muscle strength and joint hypermobility were evaluated.

Results

SUI affected 40 (11.4%) women 1 year after first delivery. The ISI distribution was: 62.5% slight, 32.5% moderate, 2.5% severe and 2.5% very severe. The only factor independently associated with SUI after delivery was the development of SUI during pregnancy (OR, 5.79; 95% CI, 2.79–12.00).

Conclusions

The new onset of SUI during pregnancy is an independent risk factor for SUI in the postpartum period.

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Acknowledgements

This study is part of a research project supported by The Spanish Health Department, Fondo de Investigación Sanitaria del Instituto de Salud Carlos III (PI070261).

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Edificio Materno-Infantil, Hospital Donostia, Paseo Beguiristain, 107–115, 20014, San Sebastián, Guipúzcoa, Spain

    Irene Diez-Itza, Miren Arrue, Larraitz Ibañez, Arantzazu Murgiondo & Jone Paredes

  2. Department of Epidemiology, Hospital Donostia, Paseo Beguiristain, 107–115, 20014, San Sebastián, Guipúzcoa, Spain

    Cristina Sarasqueta

  3. CIBERESP, Barcelona, Spain

    Cristina Sarasqueta

  4. Camino de Marbil Nº 22, 4º D, 20008, San Sebastián, Guipúzcoa, Spain

    Irene Diez-Itza

Authors
  1. Irene Diez-Itza
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  2. Miren Arrue
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  3. Larraitz Ibañez
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  4. Arantzazu Murgiondo
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  5. Jone Paredes
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  6. Cristina Sarasqueta
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Corresponding author

Correspondence to Irene Diez-Itza.

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Diez-Itza, I., Arrue, M., Ibañez, L. et al. Factors involved in stress urinary incontinence 1 year after first delivery. Int Urogynecol J 21, 439–445 (2010). https://doi.org/10.1007/s00192-009-1055-y

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  • DOI: https://doi.org/10.1007/s00192-009-1055-y

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