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摘要
ObjectiveTo investigate the extent of persistent urinary incontinence (UI) 12years after birth, and association with delivery-mode history and other factors. DesignTwelve-year longitudinal cohort study. SettingMaternity units in Aberdeen, Birmingham, and Dunedin. PopulationWomen who returned questionnaires 3months and 12years after index birth. MethodsData on all births over a period of 12months were obtained from the units and then women were contacted by post. Main outcome measurePersistent UI reported at 12years, with one or more previous contact. ResultsOf 7879 women recruited at 3months, 3763 (48%) responded at 12years, with 2944 also having responded at 6years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3months, 76.4% reported it at 12years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR0.42, 95%CI 0.33-0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR1.01, 95%CI 0.78-1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI. ConclusionsThis study, demonstrating that UI persists to 12years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications. Tweetable abstractA longitudinal study of 3763 women showed a prevalence of persistent UI 12years after birth of 37.9%. Tweetable abstract A longitudinal study of 3763 women showed a prevalence of persistent UI 12years after birth of 37.9%.
- 出版日期2016-5
