Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12-year longitudinal cohort study

C MacArthur; D Wilson; P Herbison; R J Lancashire; S Hagen; P Toozs-Hobson; N Dean; C Glazener; ProLong Study Group

doi:10.1111/1471-0528.13395

Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12-year longitudinal cohort study

C MacArthur, D Wilson, P Herbison, R J Lancashire, S Hagen, P Toozs-Hobson, N Dean, C Glazener, ProLong Study Group

Research output: Contribution to journal › Article › peer-review

49 Citations (Scopus)

Abstract

OBJECTIVE: To investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.

DESIGN: Twelve-year longitudinal cohort study.

SETTING: Maternity units in Aberdeen, Birmingham, and Dunedin.

POPULATION: Women who returned questionnaires 3 months and 12 years after index birth.

METHODS: Data on all births over a period of 12 months were obtained from the units and then women were contacted by post.

MAIN OUTCOME MEASURE: Persistent UI reported at 12 years, with one or more previous contact.

RESULTS: Of 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33-0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78-1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.

CONCLUSIONS: This study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.

Original language	English
Journal	BJOG: An International Journal of Obstetrics & Gynaecology
DOIs	https://doi.org/10.1111/1471-0528.13395
Publication status	Published - 2 Apr 2015

Bibliographical note

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/1471-0528.13395

Cite this

MacArthur, C., Wilson, D., Herbison, P., Lancashire, R. J., Hagen, S., Toozs-Hobson, P., Dean, N., Glazener, C., & ProLong Study Group (2015). Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12-year longitudinal cohort study. BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/1471-0528.13395

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title = "Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12-year longitudinal cohort study",

abstract = "OBJECTIVE: To investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.DESIGN: Twelve-year longitudinal cohort study.SETTING: Maternity units in Aberdeen, Birmingham, and Dunedin.POPULATION: Women who returned questionnaires 3 months and 12 years after index birth.METHODS: Data on all births over a period of 12 months were obtained from the units and then women were contacted by post.MAIN OUTCOME MEASURE: Persistent UI reported at 12 years, with one or more previous contact.RESULTS: Of 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33-0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78-1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.CONCLUSIONS: This study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.",

author = "C MacArthur and D Wilson and P Herbison and Lancashire, {R J} and S Hagen and P Toozs-Hobson and N Dean and C Glazener and {ProLong Study Group}",

note = "{\textcopyright} 2015 Royal College of Obstetricians and Gynaecologists.",

year = "2015",

month = apr,

day = "2",

doi = "10.1111/1471-0528.13395",

language = "English",

journal = "BJOG: An International Journal of Obstetrics & Gynaecology",

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T1 - Urinary incontinence persisting after childbirth

T2 - extent, delivery history, and effects in a 12-year longitudinal cohort study

AU - MacArthur, C

AU - Wilson, D

AU - Herbison, P

AU - Lancashire, R J

AU - Hagen, S

AU - Toozs-Hobson, P

AU - Dean, N

AU - Glazener, C

AU - ProLong Study Group

PY - 2015/4/2

Y1 - 2015/4/2

N2 - OBJECTIVE: To investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.DESIGN: Twelve-year longitudinal cohort study.SETTING: Maternity units in Aberdeen, Birmingham, and Dunedin.POPULATION: Women who returned questionnaires 3 months and 12 years after index birth.METHODS: Data on all births over a period of 12 months were obtained from the units and then women were contacted by post.MAIN OUTCOME MEASURE: Persistent UI reported at 12 years, with one or more previous contact.RESULTS: Of 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33-0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78-1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.CONCLUSIONS: This study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.

AB - OBJECTIVE: To investigate the extent of persistent urinary incontinence (UI) 12 years after birth, and association with delivery-mode history and other factors.DESIGN: Twelve-year longitudinal cohort study.SETTING: Maternity units in Aberdeen, Birmingham, and Dunedin.POPULATION: Women who returned questionnaires 3 months and 12 years after index birth.METHODS: Data on all births over a period of 12 months were obtained from the units and then women were contacted by post.MAIN OUTCOME MEASURE: Persistent UI reported at 12 years, with one or more previous contact.RESULTS: Of 7879 women recruited at 3 months, 3763 (48%) responded at 12 years, with 2944 also having responded at 6 years; non-responders had similar obstetric characteristics. The prevalence of persistent UI was 37.9% (1429/3763). Among those who had reported UI at 3 months, 76.4% reported it at 12 years. Women with persistent UI had lower SF12 quality of life scores. Compared with having only spontaneous vaginal deliveries (SVDs), women who delivered exclusively by caesarean section were less likely to have persistent UI (odds ratio, OR 0.42, 95% CI 0.33-0.54). This was not the case in women who had a combination of caesarean section and SVD births (OR 1.01, 95% CI 0.78-1.30). Older age at first birth, greater parity, and overweight/obesity were associated with persistent UI. Of 54 index primiparae with UI before pregnancy, 46 (85.2%) had persistent UI.CONCLUSIONS: This study, demonstrating that UI persists to 12 years in about three-quarters of women, and that risk was only reduced with caesarean section if women had no other delivery mode, has practice implications.

U2 - 10.1111/1471-0528.13395

DO - 10.1111/1471-0528.13395

M3 - Article

C2 - 25846816

SN - 1470-0328

JO - BJOG: An International Journal of Obstetrics & Gynaecology

JF - BJOG: An International Journal of Obstetrics & Gynaecology

ER -

Urinary incontinence persisting after childbirth: extent, delivery history, and effects in a 12-year longitudinal cohort study

Abstract

Bibliographical note

UN SDGs

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