Research Article
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Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life

Year 2022, Volume: 5 Issue: 1, 31 - 38, 01.01.2022
https://doi.org/10.19127/bshealthscience.1003721

Abstract

This research was performed to determine the risk factors causing stress urinary incontinence (SUI) and its effect on quality of life during pregnancy in primigravidae. The study is a cross-sectional study conducted with 324 primigravidae who were followed up in the antenatal outpatient clinics. Incontinence quality of life scale (I-QoL) questionnaire exploring the risk factors for SUI was used as the principle data collection tool. The prevalence of SUI during pregnancy was 38.6% (125/324). Multivariate analysis; maternal UI (OR = 2.9, 95% CI:1.5-5.5), sister having UI (OR = 5.6, 95% CI:1.5-20), gestational DM (OR = 3.3, 95% CI:1.2-8.6), pre-pregnancy BMI (OR = 1.08, 95% CI:1.0-1.1), smoking (OR = 4.3, 95% CI:1.8-10.2), constipation (often) (OR = 6.2, 95% CI:2.2-17) were determined as risk factors for SUI. It was determined that SUI during pregnancy affects the quality of life of women slightly. According to the results of this study, SUI is a common condition during pregnancy in primigravida. The findings will increase the awareness of healthcare professionals about SUI and contribute to the design of programs for the prevention of urinary incontinence during antenatal period.

References

  • Abdullah B, Ayub SH, Mohd Zahid AZ, et al. 2016. Urinary incontinence in primigravida: the neglected pregnancy predicament. European Journal of Obstetrics and Gynecology and Reproductive Biology, 198,110-15.
  • Adaji SE, Shittu OS, Bature BS, Nasir S, Olatunji O. 2010. Suffering in silence: pregnant women’s experience of urinary incontinence in Zaria, Nigeria. European Journal of Obstetrics & Gynecology and Reproductive Biology, 150:19-23.
  • Ahmed HM, Osman VA, Al-Alaf SK, Al-Tawil NG. 2013. Prevalence of Urinary Incontinence and Probable Risk Factors in A Sample of Kurdish Women. Sultan Qaboos Univ Med J, 13:269-74.
  • Allahdin S, Kambhampati L. 2012. Stress urinary incontinence in continent primigravidas. J Obstet Gynaecol, 32:2-5.
  • Balık G, Güven ES, Tekin YB, et al. 2016. Lower urinary tract symptoms and urinary incontinence during pregnancy. Lower Urinary Tract Symptoms, 8:120-4.
  • Demir, S, Kızılkaya Beji N. 2015. Quality of life and health seeking behaviors of women with urinary incontinence. Florence Nightingale Journal of Nursing, 23:23-31.
  • Demircan N, Özmen Ü, Köktürk F, et al. 2016. What are the probable predictors of urinary incontinence during pregnancy? Peer J, 4:e2283.
  • Dereli Yilmaz S, Demirgöz Bal M, Celik S, et al. 2016. Lower Urinary Tract Symptoms in Women With Type 2 Diabetes Mellitus. J Wound Ostomy Continence Nurs, 43:523-8.
  • Diez-Itza I, Ibañez L, Arrue M, et al. 2009. Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women. Int Urogynecol J Pelvic Floor Dysfunct, 20:1259-63.
  • Dinç A, Kızılkaya Beji N, Yalçın O. 2009. Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. Int Urogynecol J Pelvic Floor Dysfunct, 20:1223-31.
  • Dinç A. 2018. Prevalence of urinary incontinence during pregnancy and associated risk factors. Lower Urinary Tract Symptoms, 10:303-7.
  • Dolan LM, Walsh D, Hamilton S, et al. 2004. A study of quality of life in primigravidae with urinary incontinence. Int Urogynecol J, 15:160-64.
  • Fitzgerald MP, Graziano, S. 2007. Anatomical and functional changes of the lower urinary tract during pregnancy. Urol Clin N Am, 34(1):7-12.
  • Franco EM, Parés D, Colomé NL, et al. 2014. Urinary incontinence during pregnancy: Is there a difference between first and third trimester? Eur J Obstet Gynecol Reprod Biol, 182:86-90.
  • Gökalp C, Okumuş H, Bi̇lgi̇ç D. 2020. Urinary incontinence and quality of life according to trimesters in pregnancy. Cukurova Medical Journal. 45:954-62.
  • Izci Y, Topsever P, Filiz TM, Cinar ND, Uludağ C, Lagro-Janssen T. 2009. The association between diabetes mellitus and urinary incontinence in adult women. Int Urogynecol J Pelvic Floor Dysfunct, 20:947-52.
  • Jain P, Parsons M. 2011. The effects of obesity on the pelvic floor. Obs. Gynae, 13:133-42.
  • Kocaöz S, Talas MS, Atabekoğlu CS. 2010. Urinary incontinence in pregnant women and their quality of life. J Clin Nurs, 19:3314-23.
  • Kök G, Seven M, Guvenc G, Akyuz A. 2016. Urinary ıncontinence in pregnant women: prevalence, associated factors, and ıts effects on health-related quality of life. J Wound Ostomy Continence Nurs, 43:511-6.
  • Liang CC, Chang SD, Lin SJ, Lin YJ. 2012. Lower urinary tract symptoms in primiparous women before and during pregnancy. Arch Gynecol Obstet, 285:1205-10.
  • Liu B, Wang L, Huang SS, Wu Q, Wu DL. 2014. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med, 7:686-96.
  • Martins G, Soler ZA, Cordeiro JA, Amaro JL, Moore KN. 2010. Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women. Int Urogynecol J.;21:1271-7.
  • Özdemir K, Şahin S, Özerdoğan N, Ünsal A. 2018. Evaluation of urinary incontinence and quality of life in married women aged between 20 and 49 years (Sakarya, Turkey). Turk J Med Sci, 23;48:100-9.
  • Özerdoğan N, Kızılkaya Beji N. 2003. The prevalence and risk factors of urinary incontinence and its influence on the quality of life in 20 years or older of women in Eskişehir, Afyon, Kütahya, Bilecik cities. Florence Nightingale Journal of Nursing, 13:37-50.
  • Patrick DL, Martin ML, Bushnell DM, et al. 1999. Cultural adaptation of a quality-of-life measure for urinary incontinence. European Urology, 36:427-435.
  • Sangsawang B, Sangsawang, N. 2013. Stress Urinary Incontinence in Pregnant Women: A Review of Prevalence, Pathophysiology, and Treatment. Int Urogynecol J, 24:901-12.
  • Sangsawang B. 2014. Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: a review of the literature. Eur J Obstet Gynecol Reprod Biol, 178:27-34.
  • Wanger TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP. 1996. Quality of life in persons with urinary incontinence: development of a new measure. Urology, 47:67-72.
  • Weidner AC, South, MM, Sanders DB, Stinnett SS. 2009. Change in urethral sphincter neuromuscular function during pregnancy persists after delivery. Am J Obstet Gynecol, 201(5):529.e521-26.
  • Wesnes SL, Rortveit G, Bø K, Hunskaar S. 2007. Urinary incontinence during pregnancy. Obstet Gynecol, 109:922-8.
  • Zhu L, Li L, Lang JH, Xu T. 2012. Prevalence and risk factors for peri and postpartum urinary incontinence in primiparous women in China: a prospective longitudinal study. Int Urogynecol J, 23:563-72.
Year 2022, Volume: 5 Issue: 1, 31 - 38, 01.01.2022
https://doi.org/10.19127/bshealthscience.1003721

Abstract

References

  • Abdullah B, Ayub SH, Mohd Zahid AZ, et al. 2016. Urinary incontinence in primigravida: the neglected pregnancy predicament. European Journal of Obstetrics and Gynecology and Reproductive Biology, 198,110-15.
  • Adaji SE, Shittu OS, Bature BS, Nasir S, Olatunji O. 2010. Suffering in silence: pregnant women’s experience of urinary incontinence in Zaria, Nigeria. European Journal of Obstetrics & Gynecology and Reproductive Biology, 150:19-23.
  • Ahmed HM, Osman VA, Al-Alaf SK, Al-Tawil NG. 2013. Prevalence of Urinary Incontinence and Probable Risk Factors in A Sample of Kurdish Women. Sultan Qaboos Univ Med J, 13:269-74.
  • Allahdin S, Kambhampati L. 2012. Stress urinary incontinence in continent primigravidas. J Obstet Gynaecol, 32:2-5.
  • Balık G, Güven ES, Tekin YB, et al. 2016. Lower urinary tract symptoms and urinary incontinence during pregnancy. Lower Urinary Tract Symptoms, 8:120-4.
  • Demir, S, Kızılkaya Beji N. 2015. Quality of life and health seeking behaviors of women with urinary incontinence. Florence Nightingale Journal of Nursing, 23:23-31.
  • Demircan N, Özmen Ü, Köktürk F, et al. 2016. What are the probable predictors of urinary incontinence during pregnancy? Peer J, 4:e2283.
  • Dereli Yilmaz S, Demirgöz Bal M, Celik S, et al. 2016. Lower Urinary Tract Symptoms in Women With Type 2 Diabetes Mellitus. J Wound Ostomy Continence Nurs, 43:523-8.
  • Diez-Itza I, Ibañez L, Arrue M, et al. 2009. Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women. Int Urogynecol J Pelvic Floor Dysfunct, 20:1259-63.
  • Dinç A, Kızılkaya Beji N, Yalçın O. 2009. Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. Int Urogynecol J Pelvic Floor Dysfunct, 20:1223-31.
  • Dinç A. 2018. Prevalence of urinary incontinence during pregnancy and associated risk factors. Lower Urinary Tract Symptoms, 10:303-7.
  • Dolan LM, Walsh D, Hamilton S, et al. 2004. A study of quality of life in primigravidae with urinary incontinence. Int Urogynecol J, 15:160-64.
  • Fitzgerald MP, Graziano, S. 2007. Anatomical and functional changes of the lower urinary tract during pregnancy. Urol Clin N Am, 34(1):7-12.
  • Franco EM, Parés D, Colomé NL, et al. 2014. Urinary incontinence during pregnancy: Is there a difference between first and third trimester? Eur J Obstet Gynecol Reprod Biol, 182:86-90.
  • Gökalp C, Okumuş H, Bi̇lgi̇ç D. 2020. Urinary incontinence and quality of life according to trimesters in pregnancy. Cukurova Medical Journal. 45:954-62.
  • Izci Y, Topsever P, Filiz TM, Cinar ND, Uludağ C, Lagro-Janssen T. 2009. The association between diabetes mellitus and urinary incontinence in adult women. Int Urogynecol J Pelvic Floor Dysfunct, 20:947-52.
  • Jain P, Parsons M. 2011. The effects of obesity on the pelvic floor. Obs. Gynae, 13:133-42.
  • Kocaöz S, Talas MS, Atabekoğlu CS. 2010. Urinary incontinence in pregnant women and their quality of life. J Clin Nurs, 19:3314-23.
  • Kök G, Seven M, Guvenc G, Akyuz A. 2016. Urinary ıncontinence in pregnant women: prevalence, associated factors, and ıts effects on health-related quality of life. J Wound Ostomy Continence Nurs, 43:511-6.
  • Liang CC, Chang SD, Lin SJ, Lin YJ. 2012. Lower urinary tract symptoms in primiparous women before and during pregnancy. Arch Gynecol Obstet, 285:1205-10.
  • Liu B, Wang L, Huang SS, Wu Q, Wu DL. 2014. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med, 7:686-96.
  • Martins G, Soler ZA, Cordeiro JA, Amaro JL, Moore KN. 2010. Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women. Int Urogynecol J.;21:1271-7.
  • Özdemir K, Şahin S, Özerdoğan N, Ünsal A. 2018. Evaluation of urinary incontinence and quality of life in married women aged between 20 and 49 years (Sakarya, Turkey). Turk J Med Sci, 23;48:100-9.
  • Özerdoğan N, Kızılkaya Beji N. 2003. The prevalence and risk factors of urinary incontinence and its influence on the quality of life in 20 years or older of women in Eskişehir, Afyon, Kütahya, Bilecik cities. Florence Nightingale Journal of Nursing, 13:37-50.
  • Patrick DL, Martin ML, Bushnell DM, et al. 1999. Cultural adaptation of a quality-of-life measure for urinary incontinence. European Urology, 36:427-435.
  • Sangsawang B, Sangsawang, N. 2013. Stress Urinary Incontinence in Pregnant Women: A Review of Prevalence, Pathophysiology, and Treatment. Int Urogynecol J, 24:901-12.
  • Sangsawang B. 2014. Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: a review of the literature. Eur J Obstet Gynecol Reprod Biol, 178:27-34.
  • Wanger TH, Patrick DL, Bavendam TG, Martin ML, Buesching DP. 1996. Quality of life in persons with urinary incontinence: development of a new measure. Urology, 47:67-72.
  • Weidner AC, South, MM, Sanders DB, Stinnett SS. 2009. Change in urethral sphincter neuromuscular function during pregnancy persists after delivery. Am J Obstet Gynecol, 201(5):529.e521-26.
  • Wesnes SL, Rortveit G, Bø K, Hunskaar S. 2007. Urinary incontinence during pregnancy. Obstet Gynecol, 109:922-8.
  • Zhu L, Li L, Lang JH, Xu T. 2012. Prevalence and risk factors for peri and postpartum urinary incontinence in primiparous women in China: a prospective longitudinal study. Int Urogynecol J, 23:563-72.
There are 31 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Gizem Bora Alkan 0000-0003-4187-4823

Ayten Dinç 0000-0002-8903-675X

Publication Date January 1, 2022
Submission Date October 5, 2021
Acceptance Date November 4, 2021
Published in Issue Year 2022 Volume: 5 Issue: 1

Cite

APA Bora Alkan, G., & Dinç, A. (2022). Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life. Black Sea Journal of Health Science, 5(1), 31-38. https://doi.org/10.19127/bshealthscience.1003721
AMA Bora Alkan G, Dinç A. Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life. BSJ Health Sci. January 2022;5(1):31-38. doi:10.19127/bshealthscience.1003721
Chicago Bora Alkan, Gizem, and Ayten Dinç. “Stress Urinary Incontinence During Pregnancy in Primigravidae and Their Quality of Life”. Black Sea Journal of Health Science 5, no. 1 (January 2022): 31-38. https://doi.org/10.19127/bshealthscience.1003721.
EndNote Bora Alkan G, Dinç A (January 1, 2022) Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life. Black Sea Journal of Health Science 5 1 31–38.
IEEE G. Bora Alkan and A. Dinç, “Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life”, BSJ Health Sci., vol. 5, no. 1, pp. 31–38, 2022, doi: 10.19127/bshealthscience.1003721.
ISNAD Bora Alkan, Gizem - Dinç, Ayten. “Stress Urinary Incontinence During Pregnancy in Primigravidae and Their Quality of Life”. Black Sea Journal of Health Science 5/1 (January 2022), 31-38. https://doi.org/10.19127/bshealthscience.1003721.
JAMA Bora Alkan G, Dinç A. Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life. BSJ Health Sci. 2022;5:31–38.
MLA Bora Alkan, Gizem and Ayten Dinç. “Stress Urinary Incontinence During Pregnancy in Primigravidae and Their Quality of Life”. Black Sea Journal of Health Science, vol. 5, no. 1, 2022, pp. 31-38, doi:10.19127/bshealthscience.1003721.
Vancouver Bora Alkan G, Dinç A. Stress Urinary Incontinence during Pregnancy in Primigravidae and Their Quality of Life. BSJ Health Sci. 2022;5(1):31-8.