Abstract
Objective
To investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.
Design
Twelve-year longitudinal cohort study.
Setting
Maternity units in Aberdeen, Birmingham, and Dunedin.
Population
Women who returned questionnaires 3 months and 12 years after index birth.
Methods
Data on all births over a period of 12 months were obtained from the units and then women were contacted by post.
Main outcome measure
Persistent UI reported at 12 years, with one or more previous contact.
Results
Of 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33–0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78–1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.
Conclusions
This study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.
| Original language | English |
|---|---|
| Pages (from-to) | 1022-1029 |
| Number of pages | 8 |
| Journal | BJOG: An International Journal of Obstetrics and Gynaecology |
| Volume | 123 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - May 2016 |
Fingerprint
Keywords
- long term
- postpartum
- risk factors
- urinary incontinence
Cite this
}
Urinary incontinence persisting after childbirth: extent, delivery history and effects in a 12 year longitudinal cohort study. / MacArthur, C; Wilson, D; Herbison, P; Lancashire, R J; Hagen, S; Toozs-Hobson, P; Dean, N; Glazener, C.
In: BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 123, No. 6, 05.2016, p. 1022-1029.Research output: Contribution to journal › Article
TY - JOUR
T1 - Urinary incontinence persisting after childbirth: extent, delivery history and effects in a 12 year longitudinal cohort study
AU - MacArthur, C
AU - Wilson, D
AU - Herbison, P
AU - Lancashire, R J
AU - Hagen, S
AU - Toozs-Hobson, P
AU - Dean, N
AU - Glazener, C
N1 - Non-REF scope: accepted 2015. 17/5/19 DC. Acceptance from webpage 08/09/19 EL.
PY - 2016/5
Y1 - 2016/5
N2 - AbstractObjectiveTo investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.DesignTwelve-year longitudinal cohort study.SettingMaternity units in Aberdeen, Birmingham, and Dunedin.PopulationWomen who returned questionnaires 3 months and 12 years after index birth.MethodsData on all births over a period of 12 months were obtained from the units and then women were contacted by post.Main outcome measurePersistent UI reported at 12 years, with one or more previous contact.ResultsOf 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33–0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78–1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.ConclusionsThis study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.
AB - AbstractObjectiveTo investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.DesignTwelve-year longitudinal cohort study.SettingMaternity units in Aberdeen, Birmingham, and Dunedin.PopulationWomen who returned questionnaires 3 months and 12 years after index birth.MethodsData on all births over a period of 12 months were obtained from the units and then women were contacted by post.Main outcome measurePersistent UI reported at 12 years, with one or more previous contact.ResultsOf 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33–0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78–1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.ConclusionsThis study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.
KW - long term
KW - postpartum
KW - risk factors
KW - urinary incontinence
U2 - 10.1111/1471-0528.13395
DO - 10.1111/1471-0528.13395
M3 - Article
VL - 123
SP - 1022
EP - 1029
JO - BJOG: An International Journal of Obstetrics and Gynaecology
JF - BJOG: An International Journal of Obstetrics and Gynaecology
SN - 1470-0328
IS - 6
ER -