[Urinary incontinence in pregnancy and in puerperium: 3 months follow-up after delivery].
OBJECTIVE
The aim of this clinic prospective study was to point out the predisposing risk factors for the development of urinary incontinence during pregnancy and postpartum and to understand how to prevent the symptomatology.


METHODS
Sixty seven primipara women at 32 weeks of pregnancy and 3 months after the delivery, were studied through an urogynecological work-up and a questionnaire on the main urinary symptoms.


RESULTS
At 32 weeks of pregnancy, 27 patients (40.29%) were affected by stress urinary incontinence (SUI) of type I and 22 (32.83%) by urge incontinence. Three months after delivery, it was observed SUI of type I in 8 patients (15.68%), SUI of type II in 9 patients (17.64%), SUI of type II and II degree cystouretrocele in 3 patients (5.8%) and urge incontinence in 14 patients (27.45%). The most frequent risk factors that were tracked down were: a vaginal delivery, with a prolonged labour, and the episiotomy. We didn't find either substantial changes in the weight between patients continent and incontinent or correlations with the patients' age or with the weight of the foetus and the symptomatology reported.


CONCLUSIONS
It is important to understand the beginning of the urinary symptoms in the pregnant women, to prevent the worsening of it. It is required, however, a long term follow-up on our patients to verify if the urinary incontinence persists or disappears by the time is needed.
Granese
R
R
Dipartimento di Ginecologia Ostetricia, Fisiopatologia della Riproduzione Umana e Neonatologia , Policlinico Universitario G. Martino, Messina, Italy. robertagr74@gmail.com
Adile
B
B
D000328:Adult; D004841:Episiotomy / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007744:Obstetric Labor Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology; D011446:Prospective Studies; D011644:Puerperal Disorders / Q000175:diagnosis / Q000209:etiology; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000209:etiology; D053202:Urinary Incontinence, Urge / Q000175:diagnosis / Q000209:etiology