Profese online 2020, 13(1):38-45 | DOI: 10.5507/pol.2020.002

Prevalence and risk factors for urinary incontinence in pregnancy

Erika Maskálová1, Eva Urbanová1, Sabína Krchová1
1 Ústav pôrodnej asistencie, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Slovenská republika

Background: Urinary incontinence is a common symptom in pregnancy that can negatively affect a woman's quality of life.

Aim: to determine the prevalence and incidence of risk factors urinary incontinence in pregnancy.

Methods: The study group was consisted of women aged 18-45 years. Data were collected from 133 women in the third trimester of pregnancy using the Slovak validated version of the International Consultation on Incontinence Questionnaire - Short Form. The research was conducted at the hospital in Myjava, Slovakia between December 2013 - January 2014.

Results: Of the total number of respondents (n = 133), 64.66% of the women enrolled in the study reported the presence of urinary incontinence during pregnancy. The most common type was stress urinary incontinence (73.26%). The incidence of urinary incontinence was higher in the group secundi and multipara, as well as in women with a history of vaginal delivery.

Conclusion: The study demonstrates the high prevalence of urinary incontinence in pregnant women. The incidence of urinary incontinence in pregnancy and parity may be potential risk factors for urinary incontinence in the future. Adequate attention needs to be paid to this issue. In clinical practice, pregnant women also need to be informed about prevention, risk factors, and treatment options depending on the type of urinary incontinence.

Keywords: urinary incontinence, pregnancy, risk factors

Received: November 2019; Accepted: May 2020; Published: July 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Maskálová, E., Urbanová, E., & Krchová, S. (2020). Prevalence and risk factors for urinary incontinence in pregnancy. Profese Online13(1), 38-45. doi: 10.5507/pol.2020.002
Download citation

References

  1. Odborné usmernenie Ministerstva zdravotníctva Slovenskej republiky pre riešenie inkontinencie moču číslo: 04555 -61/2009 - OZS, 2009.
  2. Vašek P, et al. Močová inkontinence v těhotenství. Čes. Gynek. 2019; 84(1): 73-76.
  3. Kračmář M. Stresová inkontinence moči u žen po porodu. Sestra. 2010; 20(11): 46-47.
  4. Huvar I. Močová inkontinence v těhotenství. Urol. Praxi. 2014; 15(4): 152-154.
  5. Martínez FE, Parés D, Colomé LN, et al. Urinary incontinence during pregnancy: Is there a difference between first and third trimester. Eur J Obstet Gynecol Reprod Biol. [Internet]. 2014 Nov [cited 2020 Feb 14]; 182: [86-90 p.]. Available from: https://www.ejog.org/article/S0301-2115(14)00468-0/fulltext Go to original source... Go to PubMed...
  6. Vargončák, M. Inkontinencia moču - diagnostika a liečba. Via pract. [Internet]. 2005 [cited 2020 Feb 14]; 2(19):394-397p. Available from: http://kategorizacia.mzsr.sk/Pomocky/Download/RequestAttachment/78393
  7. Sochorová N. Inkontinence moči a jednorázové absorpční pomůcky. Urol. Prax. [Internet]. 2008 [cited 2020 Feb 14]; 9(2):[92-95 p.]. Available from: http://www.solen.sk/pdf/3a79fdf1e99e9f26aa13519a7e9f7f92.pdf
  8. Havalda A. Inkontinencia moču - úskalia správnej diagnostiky a význam hormonálnej liečby. Via pract. [Internet]. 2008 [cited 2020 Feb 14]; 15(4):[150-158 p.]. Available from: http://www.solen.sk/pdf/3a79fdf1e99e9f26aa13519a7e9f7f92.pdf
  9. Hájek Z., et al. Porodnictví. 3. zcela přepracované a doplněné vydání. Praha: Grada; 2014.
  10. Hudáková Z, Kamenišťáková J. Kvalita života žien so stresovou inkontinenciou. MOLISA. [Internet]. 2010 [cited 2020 Feb 14]; 7:[37-43 p.]. Available from: https://www.unipo.sk/public/media/12634/Hud%C3%A1kov%C3%A1%20Z.,%20Kameni%C5%A1%C5%A5%C3%A1kov%C3%A1%20J.,-Kvalita%20%C5%BEivota%20%C5%BEien%20so%20stresovou%20inkonticenciou%20mo%C4%8Du.pdf
  11. Chen L, Luo D, Yu X, et al. Predicting stress urinary incontinence during pregnancy: combination of pelvic floor ultrasound parameters and clinical factors. Acta Obstet Gynecol Scand. [Internet]. 2018 May 12 [cited 2020 Feb 14]. Epub 2018 May 12. Available from: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/aogs.13368 Go to original source... Go to PubMed...
  12. Mazúchová L, Kelčíková S, Dubovická Z. Meranie kvality života žien počas tehotenstva. Kontakt. 2018; 20(1): 32-37. Go to original source...
  13. Marenčák J. Stresová inkontinencia moču u postmenopauzálnych žien. Via pract. [Internet]. 2009 [cited 2020 Feb 14]; 6(9):[358-363 p.]. Available from: http://www.solen.sk/pdf/5cdad3ffdd7be1491bc7e1368bc77e03.pdf
  14. Lachváč Ľ. Inkontinencia moču v ambulancii praktického lekára. Via pract. [Internet]. 2010 [cited 2020 Feb 14]; 7(2):[73-79 p.]. Available from: http://www.viapractica.sk/index.php?page=pdf_view&pdf_id=4384&magazine_id=1
  15. Švihra J, Avery K, Sopilko L, Kliment J. Slovak version of a new questionnaire for urinary incontinence: the international consultation on incontinence questionnaire short form ICIQ-SF. Urologia. 2004; 10(2): 34.
  16. Hladík M, et al. Inkontinencia moču - súčasné diagnostické a liečebné postupy. Via pract. [Internet]. 2007 [cited 2020 Feb 14]; 4(9):[408-411 p.]. Available from: http://www.solen.sk/pdf/e7d14a6638eb86e252b087f4e7d7a0ba.pdf
  17. Dinç A. Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors. Low Urin Tract Symptoms. [Internet]. 2018 Sep [cited 2020 Feb 14]; 10(3):[303-307 p.]. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/luts.12182 Go to original source... Go to PubMed...
  18. Rocha J, Brandão P, Melo A, et al. Assessment of Urinary Incontinence in Pregnancy and Postpartum: Observational Study. Acta Med Port. [Internet]. 2017 Aug 31 [cited 2020 Feb 14]; 30(7-8):[568-572 p.]. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7371 Go to original source... Go to PubMed...
  19. Martín - Martín S, Pascual-Férnandez MA, Álvarez-Colomo C, et al. Urinary incontinence during pregnancy and postpartum associated risk factors and infulence of pelvic floor exercises. Arch. Esp. Urol. [Internet]. 2014 May [cited 2020 Jan 10]; 67(4):[323-330 p.]. Available from: https://aeurologia.com/article_detail.php?aid=f71230528b83f6a98d5b49746dfcb250097bd0b4 Go to PubMed...
  20. Lewicky-Gaupp C, Cao DC, Culbertson S. Urinary and anal incontinence in African American teenaged gravidas during pregnancy and the puerperium. J Pediatr Adolesc Gynecol. [Internet]. 2008 Feb [cited 2020 Jan 10]; 21(1):[21-26 p.]. Available from: https://www.jpagonline.org/article/S1083-3188(07)00210-0/abstract Go to original source... Go to PubMed...
  21. Abrams D, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol. [Internet]. 2002 Jul [cited 2020 Jan 10]; 187(1):[116-126 p.]. Available from: https://www.ajog.org/article/S0002-9378(02)00092-3/fulltext Go to original source... Go to PubMed...
  22. Okunola OT, Olubiyi OA, Omoya S, et al. Prevalence and risk factors for urinary incontinence in pregnancy in Ikere-Ekiti, Nigeria. Neurourol Urodyn. [Internet]. 2018 Nov [cited 2020 Jan 10]; 37(8):[2710-2716 p.]. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23726 Go to original source... Go to PubMed...
  23. Demircan N, Özmen Ü, Köktürk F, et al. What are the probable predictors of urinary incontinence during pregnancy? PeerJ. [Internet]. 2016 Jul 27 [cited 2020 Jan 10]; 4:[e2283 p.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4974920/pdf/peerj-04-2283.pdf Go to original source...
  24. Duncová Z. Kvalita života ženy so stresovou inkontinenciou. In: Gerlichová K, et al. 1. trenčiansky ošetrovateľský deň. Trenčín: Fakulta zdravotníctva Trenčianska univerzita A. Dubčeka v Trenčíne; 2007. p.18 - 37.
  25. Kelčíková S, Mazúchová L, Kaisová L. Examining the determinants of intimate hygiene for young women with an emphasis on behavior related to risk of vulvovaginal infections. Cent Eur J Nurs Midw. 2017;8(2):641-649. Go to original source...
  26. Marenčák J. Stresová inkontinencia moču u žien, diagnostika a možnosti jej liečby. Súč Klin Pr. [Internet]. 2005 [cited 2020 Jan 10]; (2):[13-19 p.]. Available from: http://www.skp-casopis.sk/obsah/2005-02/stresova-inkontinencia-mocu-u-zien-diagnostika-a-moznosti-jej‑liecby
  27. Liu B, Wang L, Huang SS, et al. Prevalence and risk factors of urinary incontinence among Chinese women in Shanghai. Int J Clin Exp Med. [Internet]. 2014 Mar 15 [cited 2020 Jan 10]; 7(3):[686-696 p.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992409/
  28. Urbanová E, et al. Reprodukčné a sexuálne zdravie v dimenziách ošetrovateľstva a pôrodnej asistencie. Martin: Osveta; 2010.
  29. Martins G, Soler Z, Cordeiro J, et al. Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women. Int Urogynecol J. [Internet]. 2010 Oct [cited 2020 Jan 10]; 21(10):[1271-1277 p.]. Available from: https://link.springer.com/article/10.1007%2Fs00192-010-1185-2 Go to original source... Go to PubMed...
  30. Bašková M, et al. Výchova k zdraviu. Martin: Osveta; 2009.
  31. Dias A, Santini ACM, Vianna LS, et al. Gestational Diabetes Mellitus and Risk Factors Associated with Urinary Incontinence in Pregnancy. Int J Epidemiol. [Internet]. 2015 [cited 2020 Jan 10]; 44(1):[suppl. i70 p.]. Available from: https://academic.oup.com/ije/article/44/suppl_1/i70/2573859 Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.