Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas.
OBJECTIVE
Examine patterns of urinary incontinence during and after pregnancy, as recalled by incontinent and continent primiparas.


METHODS
Primiparous women reporting no pre-pregnancy incontinence, were recruited 6 to 9 months postpartum. Those reporting current continence and demonstrating a negative stress test were considered "Primiparous Continent" (PC, n=64). Those reporting current incontinence and demonstrating a positive stress test were considered "Primiparous Incontinent" (PI, n=57). Subjects self-administered a questionnaire recalling leakage during and after pregnancy.


RESULTS
Sixteen percent of PC women leaked during pregnancy. Of these, 70% experienced frequent leakage during pregnancy. Seventy-eight percent of PI women leaked both during and after pregnancy. Several patterns arose surrounding leakage frequency for PI women: 19% only leaked frequently during pregnancy, 4% only leaked frequently after pregnancy, and 51% leaked frequently both during and after pregnancy.


CONCLUSIONS
Nearly five times as many primiparous incontinent women, compared with primiparous continent women, leaked during pregnancy.
Thomason
Angela D
AD
Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI 48109, USA. adt@med.umich.edu
Miller
Janis M
JM
Delancey
John Ol
JO
D000328:Adult; D015992:Body Mass Index; D005260:Female; D006801:Humans; D010298:Parity; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000503:physiopathology*; D014563:Urodynamics