title: Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity.
abstract: The aim was to estimate the incidence of stress urinary incontinence 3 years after delivery and its correlation to mode of delivery and parity. A longitudinal cohort study was conducted with 120 women at the Antenatal Clinic at the State University of Campinas. There was a significant difference in the incidence of postpartum stress urinary incontinence (SUI) among patients with SUI during pregnancy (p > 0.0001). Women that were asymptomatic during pregnancy and had vaginal delivery developed SUI 2.4 times more frequently than after c-section (19.2% and 8.0%, respectively). The incidence of SUI after delivery dropped significantly in the primiparous (p = 0.0073) and multiparous 2-3 (p < 0.0001), but not in the multiparous with four or more deliveries (66.7% to 60.0%) (p = 0.5637). A significant correlation has been observed between parity and SUI (p = 0.0299). Pregnancy possibly predisposes to SUI 3 years after delivery as well as parity. No significant correlation has been demonstrated between mode of delivery and SUI.
authors.affiliation: Department of Obstetrics and Gynecology, State University of Campinas, Campinas, São Paulo, Brazil. vherrmann@uol.com.br
authors.forename: Viviane
authors.initials: V
authors.lastname: Herrmann
authors.forename: Katia
authors.initials: K
authors.lastname: Scarpa
authors.forename: Paulo Cesar Rodrigues
authors.initials: PC
authors.lastname: Palma
authors.forename: Cassio Zanettini
authors.initials: CZ
authors.lastname: Riccetto
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects* / Q000379:methods*; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000209:etiology