title: [Urinary incontinence 6 months after childbirth].
abstract: OBJECTIVE
  Urinary incontinence initiated before and right after delivery and persisting 3 months after delivery tends to become chronic. We intended to estimate the persistence of urinary incontinence 6 months postpartum and to analyse the different factors associated with it.
  
  
  METHODS
  Follow-up study 6 months after delivery of women presenting urinary incontinence symptoms in gestation or in the first 2 months of postpartum. The dependent variable was the persistence and the independent variables were grouped in obstetric and non-obstetric. Odds ratio (OR) were calculated with their confidence interval at 95% (IC 95%) in the bivariate analysis. The variables that showed an important risk of persistence of incontinence were used to perform a multivariate model of logistic regression.
  
  
  RESULTS
  The persistence of incontinence 6 months after delivery was 21.4% (CI 95% 16-26.7). The risk of persistence increased with the Kristeller maneuver (OR 7.89, CI 95% 3.04-20.49), not weight recovery (OR 3.64, CI 95% 1.10-12.02), not practising pelvic floor muscle exercises in postpartum (OR 9.36, CI 95% 2.71-32.33), appearance of incontinence after delivery (OR 6.66, CI 95% 2.37-18.68) and the weight of the newborn>3.5 kg (OR 6.76, CI 95% 2.54-18.03), all of them explaining 58% of the variability of persistence.
  
  
  CONCLUSIONS
  21.4% of women with urinary incontinence caused by pregnancy/delivery will continue to have it 6 months postpartum. An important part of this persistence is associated with some factors easy to modify.
authors: Centro de Salud Cascajos, Logroño, La Rioja, España. 1965rrhernandez@gmail.com
authors: Regina
authors: R
authors: Ruiz de Viñaspre Hernández
authors: Encarnación
authors: E
authors: Rubio Aranda
authors: Concepción
authors: C
authors: Tomás Aznar
mesh_terms: D000328:Adult; D001724:Birth Weight; D015992:Body Mass Index; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D010298:Parity; D059952:Pelvic Floor Disorders / Q000453:epidemiology / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011644:Puerperal Disorders / Q000453:epidemiology / Q000209:etiology; D012307:Risk Factors; D012959:Socioeconomic Factors; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000209:etiology