Urinary incontinence in women and its relation with pregnancy, mode of delivery, connective tissue disease and other factors

Adv Clin Exp Med. Mar-Apr 2012;21(2):207-13.

Abstract

Objectives: The aim of this study was to determine the relationship between urinary incontinence (UI) and parameters such as pregnancy, mode of delivery and other factors.

Material and methods: The study was based on a questionnaire administered to 761 patients. After their age, menopausal status, number of pregnancies, number of deliveries and history of connective tissue disease (CTD) were recorded, the data were analyzed using a chi2 test.

Results: In patients who are post-menopausal and over 40, both stress incontinence (SI) and urge incontinence (URI) were found to be significantly higher. It was also established that both SI and URI increased with the number of pregnancies. As the number of normal vaginal deliveries increased, the rate of both SI and URI increased, while increases in the number of cesarean sections affected neither SI nor URI. Among women who had had abortions, the rate of SI was higher, and it increased as the number of abortions increase. Neither the occurrence of abortions nor increased numbers of abortions influenced the rate of URI. In patients with CTD, both SI and URI increase.

Conclusions: Urinary incontinence in women seems to be influenced by the mode of delivery, menopause, age and CTD.

MeSH terms

  • Adult
  • Age Factors
  • Cesarean Section / adverse effects
  • Chi-Square Distribution
  • Connective Tissue Diseases / epidemiology*
  • Delivery, Obstetric / adverse effects*
  • Female
  • Humans
  • Incidence
  • Parity
  • Poland / epidemiology
  • Postmenopause
  • Pregnancy
  • Pregnancy Complications / epidemiology*
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires
  • Urinary Incontinence, Stress / epidemiology*
  • Urinary Incontinence, Urge / epidemiology*
  • Young Adult