Urinary incontinence in nulliparous women before and during pregnancy: prevalence, incidence, and associated risk factors

作者：Brown Stephanie J^*; Donath Susan; MacArthur Christine; McDonald Ellie A; Krastev Ann H

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2010, 21(2): 193-202.

DOI：10.1007/s00192-009-1011-x

• Childhood enuresis
• Nulliparous
• Pregnancy
• Prospective cohort study
• Urinary incontinence

Few studies have examined associations of prepregnancy urinary incontinence (UI).
Multicentre prospective pregnancy cohort study (n = 1,507) using standardised measures to assess frequency and severity of UI.
Prevalence of UI increased from 10.8% in the 12 months before the index pregnancy to 55.9% in the third trimester. Stress incontinence (36.9%) and mixed incontinence (13.1%) were more common during pregnancy than urge incontinence alone (5.9%). UI before pregnancy was associated with childhood enuresis (adjusted odds ratio (AdjOR) = 2.4, 95% confidence interval (CI) 1.6-3.4), higher maternal body mass index (AdjOR = 2.3, 95% CI 1.4-3.8), and previous miscarriages or terminations (AdjOR = 1.6, 95% CI 1.1-2.3). The strongest predictor of incident UI in pregnancy was occasional leakage (less than once a month) before pregnancy (AdjOR = 3.6, 95% CI 2.8-4.7).
Further research is needed to elucidate the complex interplay of prepregnancy and pregnancy-related factors in the aetiology of UI in nulliparous women.

• 出版日期2010-2