title: [Pregnancy and postpartum of women with mid-urethral sling procedure: a review of the literature].
abstract: OBJECTIVE
  To realize a review of literature to observe the impact of pregnancy and delivery in patients who underwent mid-urethral sling procedure for stress urinary incontinence (SUI), in order to provide recommendations on the route of delivery.
  
  
  METHODS
  Literature review from 1995 to 2012 on the database Pubmed/Medline including only studies involving pregnant women with mid-urethral sling procedure.
  
  
  RESULTS
  Of the 35 published cases, 14 % of patients had a recurrence of SUI symptoms during pregnancy. Nineteen percent of patients who underwent a c-section had SUI symptoms in the immediate postpartum period, against 33 % of patients with vaginal deliveries (P=0.56). In the follow-up of delivery (>3 months), there was a persistent SUI in 20 % (7/34) of patients: 12.5 % (2/16) of women who underwent a c-section and 27.7 % (5/18) of women who had a vaginal delivery (P=0.75).
  
  
  CONCLUSIONS
  Although c-section seems to slightly decrease the risk of recurrence of SUI comparing to the vaginal route, we do not recommend to propose a systematic elective c-section in these patients because of its morbidity and mortality and the possibility of repeat mid-urethral sling procedure.
authors.affiliation: Service de gynécologie-obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France; Service de gynécologie-obstétrique et médecine de la reproduction, CHR de Metz-Thionville, 57045 Metz cedex 01, France.
authors.forename: G
authors.initials: G
authors.lastname: Demoulin
authors.forename: T
authors.initials: T
authors.lastname: Thubert
authors.forename: E
authors.initials: E
authors.lastname: Faivre
authors.forename: C
authors.initials: C
authors.lastname: Trichot
authors.forename: X
authors.initials: X
authors.lastname: Deffieux
mesh_terms: D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006801:Humans; D016239:MEDLINE; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications; D012008:Recurrence; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000453:epidemiology / Q000601:surgery