Abstract
Objective
The aim of this study is to determine the prevalence and severity of urinary incontinence
and to see if there are any differences between first and third trimester of pregnancy.
Study design
A cross-sectional study of two groups of women was conducted. All patients attending
our hospital for obstetric ultrasound examination during the first trimester (group
1 = less than 13 weeks of pregnancy) and third trimester (group 2 = up to 28 weeks of pregnancy) were eligible for inclusion. All participating women
completed self-reported questionnaires: ICIQ-SF, PFDI-20 (UDI-6, CRADI-8, POPDI-6)
and SF-36. The variables studied were biodemographic data and results from questionnaire
responses.
Results
From March 2012 to May 2012, 224 consecutive pregnant women were included in this
study: group 1 (n = 58) and group 2 (n = 166).
The incidence of urinary incontinence during pregnancy is different in first and third
trimester: 18.96% (11 of 58) and 39.76% (66 of 166) (p = 0.008).
100% and 84.12% of women with UI in first trimester and third trimester respectively
leak a small amount of urine. In 15.87% of group 2 the leakage was a moderate amount
of urine.
Participants mainly presented Stress UI (78.37%) and urge was only present in 12.16%
of them.
Conclusions
In conclusion, according to the results obtained, the prevalence of urinary incontinence
in our population of pregnant women was 34.37%, which means that more than a third
of the population of pregnant women is affected, and that this disorder is more common
during the third trimester of pregnancy than during the first. The most common form
was stress urinary incontinence, affecting 48.05% of the women. In all patients, leakage
was slight-moderate that did not severely hamper their everyday life but did affect
their physical, mental and social domains of their quality of life. Another problem,
even more prevalent than incontinence itself, was the increase in urinary frequency,
affecting 41.25% of the pregnant women and causing discomfort/distress in the 68.8%.
Keywords
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Article info
Publication history
Published online: September 02, 2014
Accepted:
August 26,
2014
Received in revised form:
July 9,
2014
Received:
March 4,
2014
Identification
Copyright
© 2014 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
