The prevalence of urinary incontinence in pregnancy among a multi-ethnic population resident in Norway

Norwegian School of Sport Sciences, Department of Sports Medicine, Oslo, Norway Department of Clinical Medicine, University of Oslo, Oslo, Norway Department of Endocrinology, Oslo University Hospital, Aker, Norway Department of General Practice, Institute of Health and Society, University of Oslo, Norway Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
BJOG An International Journal of Obstetrics & Gynaecology (Impact Factor: 3.86). 07/2012; 119(11):1354-60. DOI: 10.1111/j.1471-0528.2012.03435.x
Source: PubMed

ABSTRACT Please cite this paper as: Bø K, Pauck Øglund G, Sletner L, Mørkrid K, Jenum A. The prevalence of urinary incontinence in pregnancy among a multi-ethnic population resident in Norway. BJOG 2012;119:1354-1360. Objectives  To investigate prevalence of urinary incontinence (UI) in a multi-ethnic population of pregnant women, and to analyse for possible associations of the known risk factors for UI in such a population. Design  Population-based cross-sectional study. Setting  All pregnant women in three administrative city districts attending the Child Health Clinics. Population and sample  Out of 823 women identified in first trimester, 722 (74%) agreed to participate in the study at 28 weeks of gestation. Inclusion criteria were: healthy women at 20 weeks of gestation or less and able to communicate in Norwegian, Arabic, English, Sorani, Somali, Tamil, Turkish, Urdu or Vietnamese. Methods  Differences between ethnic groups were tested by simple descriptive statistics. Associations were estimated by logistic regression analysis and presented as crude (cOR) and adjusted (aOR) odds ratios. Main outcome measures  Prevalence of UI as ascertained using the International Consultation on Incontinence Questionnaire-urinary incontinence-short form. Results  Prevalence rates of UI at 28 weeks of gestation were 26% for women of African origin, 36% for women of Middle Eastern origin, 40% for women of East Asian origin, 43% for women of South Asian origin and 45% for women of European/North American origin. The difference was significant between women of African and European/North American origins (P = 0.011) and between women of African and South Asian origins (P = 0.035). Age (aOR 1.05; 95% CI 1.01-1.09) and parity (aOR 2.34; 95% CI 1.66-3.28) were positively associated with the prevalence of UI in pregnancy. Women of African origin had significantly reduced odds for UI (aOR 0.42; 95% CI 0.20-0.87). East Asian and African women reported the highest perceived impact of UI in pregnancy. Conclusions  A high prevalence of UI was found in a multi-ethnic pregnant population.

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    ABSTRACT: To examine the association between vaginal or cesarean delivery and urinary incontinence (UI) and identify the trend in the change in UI within the first 12 months postpartum. This was a prospective longitudinal study of 330 of 749 women who completed a UI questionnaire and a personal characteristics questionnaire over five visits in a medical center. The vaginal delivery group had a significant higher prevalence of any UI at 4-6 weeks and at 3, 6, and 12 months (29.1-40.2% vaginal compared with 14.2-25.5% cesarean); stress urinary incontinence (SUI) at 4-6 weeks and 3 and 12 months (15.9-25.4% vaginal compared with 6.4-15.6% cesarean); and moderate or severe UI at 3-5 days, 4-6 weeks, and 6 months (7.9-18.5% vaginal compared with 4.3-11.3% cesarean); and a significant higher score for interference in daily life at 3-5 days and 4-6 weeks (1.0, 0.7 vaginal compared with 0.7, 0.4 cesarean) compared with those in the cesarean delivery group. Prevalence increased for any UI, SUI, and slight UI (all P<.02) and daily life interference score decreased (P=.02) for women who had a vaginal delivery through 1 year postpartum. Vaginal delivery was associated with higher UI prevalence that persisted for 1 year postpartum, but there was no association with interference in daily life after 6 weeks postpartum. Variation was observed in UI changes within the first year in the vaginal delivery and cesarean delivery groups. LEVEL OF EVIDENCE:: II.
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    Revista da Escola de Enfermagem da U S P 08/2014; 48(spe):32-38. DOI:10.1590/S0080-623420140000600005 · 0.50 Impact Factor


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Jun 4, 2014