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2000
Volume 21, Issue 3
  • ISSN: 1573-4048
  • E-ISSN: 1875-6581

Abstract

Introduction

Urine incontinence is the involuntary leakage of urine. Its actual prevalence is underestimated. There is a general belief that vaginal delivery is a major risk. Elective cesarean delivery is increasing worldwide; one reason is to protect against pelvic floor disorders, including urine incontinence. Previous studies included small samples with controversial results. This study aimed to compare the risk of urine incontinence in women who had cesarean delivery with those who had vaginal delivery.

Methods

It was a retrospective study on 1751 women delivered in a university hospital over a 5-year period. Data collected on number of deliveries, age at first and last delivery, mode of each delivery, gestational age, birth weight, indication of cesarean section, induction of labor, episiotomy, perineal tears, smoking, chronic cough, chronic constipation, presence and severity of urine incontinence using ICIQ score. Patients were categorized into 2 groups: all cesarean section deliveries and at least one vaginal delivery.

Results

A total of 600 respondents delivered only by cesarean section, and 1151 had at least one vaginal delivery. Urine incontinence prevalence in the cesarean group was 5.8%, and 6.9% in the vaginal group. Age, perineal tear, chronic cough, and chronic constipation were found to be significantly associated with urinary incontinence. After adjusting for all other variables, vaginal delivery was not found to be significantly associated with incontinence compared to cesarean.

Conclusion

Vaginal and cesarean deliveries have a comparable incidence of urinary incontinence. It is difficult to get a firm conclusion on whether cesarean is protective. Chronic constipation and cough are important factors regardless of delivery mode.

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2024-01-30
2024-12-23
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References

  1. BiswasB. BhattacharyyaA. DasguptaA. KarmakarA. MallickN. SembiahS. Urinary incontinence, its risk factors, and quality of life: A study among women aged 50 years and above in a rural health facility of West Bengal.J Midlife Health20178313013610.4103/jmh.JMH_62_1728983160
    [Google Scholar]
  2. RamírezJ.A. TiradoP.O. SamurC.S. GamboaC.V. OliveresX.C. Health-related quality of life in women aged 20-64 years with urinary incontinence.Int. Urogynecol. J. Pelvic Floor Dysfunct.20223471405141410.1007/s00192‑022‑05365‑536166062
    [Google Scholar]
  3. HaylenB. T. de RidderD. FreemanR. M. SwiftS. E. BerghmansB. LeeJ. MongaA. PetriE. RizkD. E. SandP. K. SchaerG. N. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction.Neurourol Urodyn200929142010.1002/nau.20798
    [Google Scholar]
  4. MostafaeiH. Sadeghi-BazarganiH. HajebrahimiS. Salehi-PourmehrH. GhojazadehM. OnurR. Al MousaR.T. OelkeM. Prevalence of female urinary incontinence in the developing world: A systematic review and meta-analysis—A Report from the Developing World Committee of the International Continence Society and Iranian Research Center for Evidence Based Medicine.Neurourol. Urodyn.20203941063108610.1002/nau.2434232243626
    [Google Scholar]
  5. SeratiM. GhezziF. The epidemiology of urinary incontinence: A case still open.Ann. Transl. Med.20164612310.21037/atm.2016.03.1627127776
    [Google Scholar]
  6. WiklundI. AndolfE. LiljaH. HildingssonI. Indications for cesarean section on maternal request – Guidelines for counseling and treatment.Sex. Reprod. Healthc.2012339910610.1016/j.srhc.2012.06.00322980734
    [Google Scholar]
  7. KocO. DuranB. Role of elective cesarean section in prevention of pelvic floor disorders.Curr. Opin. Obstet. Gynecol.201224531832310.1097/GCO.0b013e3283573fcb22814811
    [Google Scholar]
  8. GyhagenM. ÅkervallS. MilsomI. Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth.Int. Urogynecol. J. Pelvic Floor Dysfunct.20152681115112110.1007/s00192‑015‑2663‑325708677
    [Google Scholar]
  9. LalM. Prevention of urinary and anal incontinence: Role of elective cesarean delivery.Curr. Opin. Obstet. Gynecol.200315543944810.1097/00001703‑200310000‑0001414501249
    [Google Scholar]
  10. McKinnieV. SwiftS.E. WangW. WoodmanP. O’BoyleA. KahnM. ValleyM. BlandD. SchafferJ. The effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence.Am. J. Obstet. Gynecol.2005193251251710.1016/j.ajog.2005.03.05616098879
    [Google Scholar]
  11. SaadiaZ. Relationship between mode of delivery and development of urinary incontinence: A possible link is demonstrated.Int. J. Health Sci.20159443944410.12816/003123526715925
    [Google Scholar]
  12. BlomquistJ.L. MuñozA. CarrollM. HandaV.L. Association of delivery mode with pelvic floor disorders after childbirth.JAMA2018320232438244710.1001/jama.2018.1831530561480
    [Google Scholar]
  13. BlomquistJ.L. CarrollM. MuñozA. HandaV.L. Pelvic floor muscle strength and the incidence of pelvic floor disorders after vaginal and cesarean delivery.Am. J. Obstet. Gynecol.2020222162.e162.e810.1016/j.ajog.2019.08.00331422064
    [Google Scholar]
  14. WangX. JinY. XuP. FengS. Urinary incontinence in pregnant women and its impact on health-related quality of life.Health Qual. Life Outcomes20222011310.1186/s12955‑022‑01920‑235062969
    [Google Scholar]
  15. Di̇nçA. Prevalence of urinary incontinence during pregnancy and associated risk factors.Low. Urin. Tract Symptoms201810330330710.1111/luts.1218228675636
    [Google Scholar]
  16. KlovningA. AveryK. SandvikH. HunskaarS. Comparison of two questionnaires for assessing the severity of urinary incontinence: The ICIQ-UI SF versus the incontinence severity index.Neurourol. Urodyn.200928541141510.1002/nau.2067419214996
    [Google Scholar]
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