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Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study

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Abstract

Introduction and hypothesis

The objective of this study was to evaluate the prevalence of urinary incontinence (UI), the pelvic floor, and the quality of life during pregnancy and in the postpartum.

Methods

Three hundred and forty-three women in the third trimester of pregnancy were submitted to physiotherapeutic evaluation for UI and evaluation of pelvic floor muscle function and were asked to fill out the King’s Health Questionnaire (KHQ). Of these, 236 returned for postpartum evaluation (65.31 ± 22.63 days).

Results

The prevalence of UI was 30.61% during pregnancy and 6.78% postpartum (p < 0.001), with mean vaginal pressure of 3.60 ± 5.35 and 2.56 ± 3.24 mmHg, respectively (p = 0.008). UI was associated with multiparity (p = 0.028). No associations were found between intrapartum variables and UI.

Conclusions

UI and vaginal pressure decreased in the postpartum. UI was found to be associated with multiparity. Results of the KHQ indicated impaired quality of life in the symptoms and domains evaluated.

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Abbreviations

UI:

Urinary incontinence

KHQ:

King’s Health Questionnaire

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Authors and Affiliations

  1. Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil

    Caroline Tarazi Valeton & Vivian Ferreira do Amaral

  2. Department of Obstetrics and Gynecology, Federal University of Paraná, Curitiba, Paraná, Brazil

    Vivian Ferreira do Amaral

  3. Center for Health and Biological Sciences, Pontificia Universidade Católica do Paraná (PUCPR), Rua Imaculada Conceição, 1155, Prado Velho, 80.215-901, Curitiba, Paraná, Brazil

    Vivian Ferreira do Amaral

Authors
  1. Caroline Tarazi Valeton
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Correspondence to Vivian Ferreira do Amaral.

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Valeton, C.T., do Amaral, V.F. Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study. Int Urogynecol J 22, 813–818 (2011). https://doi.org/10.1007/s00192-011-1365-8

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  • DOI: https://doi.org/10.1007/s00192-011-1365-8

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