Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum: a prospective cohort

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Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum : a prospective cohort. / Gartland, D; MacArthur, C; Woolhouse, H; McDonald, E; Brown, S J.

In: BJOG: An International Journal of Obstetrics & Gynaecology, 14.07.2015.

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@article{b0c04079c98741588f8fd7af401f6f1f,
title = "Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum: a prospective cohort",
abstract = "OBJECTIVES: To investigate frequency, severity and risk factors for urinary incontinence and faecal incontinence 4 years after a first birth.DESIGN: Prospective pregnancy cohort study.SETTING: Melbourne, Australia.SAMPLE: A total of 1011 nulliparous women recruited in early pregnancy.METHODS: Participants were followed up at 32 weeks of gestation; then at 3, 6, 9 and 12 months and 4 years postpartum.MAIN OUTCOME MEASURES: Frequency and severity of urinary and faecal incontinence.RESULTS: At 4 years, 29.6% of women reported urinary incontinence and 7.1% reported faecal incontinence. Compared with women having only spontaneous vaginal births, women who delivered exclusively by caesarean section were less likely to have urinary incontinence at 4 years postpartum (adjusted odds ratio 0.4, 95% confidence interval 0.3-0.6). Women who reported urinary incontinence before or during the index pregnancy, and those experiencing symptoms in the first year postpartum had increased odds of incontinence at 4 years, with the highest odds (6-12 times higher) among women who had previously reported moderate or severe symptoms. The odds of reporting faecal incontinence at 4 years were two to six times higher for women experiencing symptoms in pregnancy, and around four to eight times higher for those with symptoms in the first year postpartum.CONCLUSION: Urinary and faecal incontinence are prevalent conditions 4 years after a first birth. Women reporting urinary or faecal incontinence during pregnancy had markedly higher odds of reporting symptoms at 4 years postpartum, suggesting a need for further investigation and elucidation of aetiological pathways involving nonbirth-related risk factors.",
author = "D Gartland and C MacArthur and H Woolhouse and E McDonald and Brown, {S J}",
note = "{\textcopyright} 2015 Royal College of Obstetricians and Gynaecologists.",
year = "2015",
month = jul,
day = "14",
doi = "10.1111/1471-0528.13522",
language = "English",
journal = "BJOG: An International Journal of Obstetrics & Gynaecology",
issn = "1470-0328",
publisher = "Wiley",

}

RIS

TY - JOUR

T1 - Frequency, severity and risk factors for urinary and faecal incontinence at 4 years postpartum

T2 - a prospective cohort

AU - Gartland, D

AU - MacArthur, C

AU - Woolhouse, H

AU - McDonald, E

AU - Brown, S J

N1 - © 2015 Royal College of Obstetricians and Gynaecologists.

PY - 2015/7/14

Y1 - 2015/7/14

N2 - OBJECTIVES: To investigate frequency, severity and risk factors for urinary incontinence and faecal incontinence 4 years after a first birth.DESIGN: Prospective pregnancy cohort study.SETTING: Melbourne, Australia.SAMPLE: A total of 1011 nulliparous women recruited in early pregnancy.METHODS: Participants were followed up at 32 weeks of gestation; then at 3, 6, 9 and 12 months and 4 years postpartum.MAIN OUTCOME MEASURES: Frequency and severity of urinary and faecal incontinence.RESULTS: At 4 years, 29.6% of women reported urinary incontinence and 7.1% reported faecal incontinence. Compared with women having only spontaneous vaginal births, women who delivered exclusively by caesarean section were less likely to have urinary incontinence at 4 years postpartum (adjusted odds ratio 0.4, 95% confidence interval 0.3-0.6). Women who reported urinary incontinence before or during the index pregnancy, and those experiencing symptoms in the first year postpartum had increased odds of incontinence at 4 years, with the highest odds (6-12 times higher) among women who had previously reported moderate or severe symptoms. The odds of reporting faecal incontinence at 4 years were two to six times higher for women experiencing symptoms in pregnancy, and around four to eight times higher for those with symptoms in the first year postpartum.CONCLUSION: Urinary and faecal incontinence are prevalent conditions 4 years after a first birth. Women reporting urinary or faecal incontinence during pregnancy had markedly higher odds of reporting symptoms at 4 years postpartum, suggesting a need for further investigation and elucidation of aetiological pathways involving nonbirth-related risk factors.

AB - OBJECTIVES: To investigate frequency, severity and risk factors for urinary incontinence and faecal incontinence 4 years after a first birth.DESIGN: Prospective pregnancy cohort study.SETTING: Melbourne, Australia.SAMPLE: A total of 1011 nulliparous women recruited in early pregnancy.METHODS: Participants were followed up at 32 weeks of gestation; then at 3, 6, 9 and 12 months and 4 years postpartum.MAIN OUTCOME MEASURES: Frequency and severity of urinary and faecal incontinence.RESULTS: At 4 years, 29.6% of women reported urinary incontinence and 7.1% reported faecal incontinence. Compared with women having only spontaneous vaginal births, women who delivered exclusively by caesarean section were less likely to have urinary incontinence at 4 years postpartum (adjusted odds ratio 0.4, 95% confidence interval 0.3-0.6). Women who reported urinary incontinence before or during the index pregnancy, and those experiencing symptoms in the first year postpartum had increased odds of incontinence at 4 years, with the highest odds (6-12 times higher) among women who had previously reported moderate or severe symptoms. The odds of reporting faecal incontinence at 4 years were two to six times higher for women experiencing symptoms in pregnancy, and around four to eight times higher for those with symptoms in the first year postpartum.CONCLUSION: Urinary and faecal incontinence are prevalent conditions 4 years after a first birth. Women reporting urinary or faecal incontinence during pregnancy had markedly higher odds of reporting symptoms at 4 years postpartum, suggesting a need for further investigation and elucidation of aetiological pathways involving nonbirth-related risk factors.

U2 - 10.1111/1471-0528.13522

DO - 10.1111/1471-0528.13522

M3 - Article

C2 - 26179947

JO - BJOG: An International Journal of Obstetrics & Gynaecology

JF - BJOG: An International Journal of Obstetrics & Gynaecology

SN - 1470-0328

ER -