Urinary incontinence after vaginal delivery or cesarean section
Abstract
Background: Urinary incontinence is a major problem faced by many mothers and has been traditionally linked to diverse ways of delivery. However, there is still a lack of clinical data, which can corroborate this notion.
Aim: To assess the prevalence of stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence among Syrian women residing in Lattakia (Syria), and the relation between the type of incontinence and the obstetric history of these women.
Materials and Methods: This was a cross – sectional community – based study . A total of 450 women were interviewed, they were seen for whatever reason at the Outpatient Department in Tishreen University Hospital ,Lattakia, Syria, from September 2019 – September 2020. A pre-tested questionnaire was administered. Statistical analysis was carried out using the χ2 test and odds ratio (95%CI).
Results: Urinary incontinence was a complaint for 24.4% of the women interviewed. Stress urinary incontinence prevailed (50%), followed by mixed urinary incontinence (32.7%) and urge urinary incontinence (17.3%). Being in the age group of 31-60 years, having a body mass index of ≥ 30 kg/m2 and having had only vaginal delivery, or cesarean section with uterine contraction, regardless of the number of pregnancies, were factors associated with stress urinary incontinence. However, being in the age group of ≥ 41, having a body mass index of ≥ 30 kg/m2 and having had three or more pregnancies, only with vaginal deliveries, were factors associated with mixed urinary incontinence.
Conclusion: 24.4% of the interviewees complained of some type of urinary incontinence, and half of them presented stress urinary incontinence. Cesarean section, only when not preceded by contractions, was not associated with stress urinary incontinence. The body mass index is only relevant when the stress factor is present.
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