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. 2014 Nov;33(8):1229-34.
doi: 10.1002/nau.22498. Epub 2013 Oct 16.

Urinary incontinence 4 and 12 years after first delivery: risk factors associated with prevalence, incidence, remission, and persistence in a cohort of 236 women

Anne-Cécile Pizzoferrato  1 , Arnaud Fauconnier, Emeline Quiboeuf, Karine Morel, Jean-Patrick Schaal, Xavier Fritel
Affiliations
Free PMC article

Urinary incontinence 4 and 12 years after first delivery: risk factors associated with prevalence, incidence, remission, and persistence in a cohort of 236 women

Anne-Cécile Pizzoferrato et al. Neurourol Urodyn. 2014 Nov.
Free PMC article

Abstract

Aims: Our aim was to study risk factors associated with prevalence, incidence, and remission of UI 4 and 12 years after first delivery.

Methods: Seven hundred seventy-four nulliparous women who gave birth in 1996 in two French maternity units at term received a questionnaire about their urinary symptoms in 2000 and again in 2008. Two hundred thirty-six women returned a questionnaire about UI 4 and 12 years after first delivery. Four groups of women were built: (A) women continent 4 and 12 years after first delivery; (B) women continent at 4 and incontinent at 12 years; (C) women incontinent at 4 and continent at 12 years; and (D) women incontinent at 4 and 12 years. Multivariate logistic regressions were used to determine risk factors of UI prevalence (groups B + D vs. A + C), incidence (B vs. A), remission (C vs. D), and onset of UI (D vs.

B) results: Factors associated with UI 12 years after first pregnancy were: BMI (OR = 1.17 [95%CI: 1.04-1.32], by 1 kg/m(2) ) and increasing BMI (1.43 [1.19-1.73]), first child's weight (1.08 [1.001-1.16], by 100 g) and UI during first pregnancy (3.77 [1.83-7.76]). Factors associated with UI incidence were age at first delivery (0.86 [0.75-0.98]) and high BMI (1.24 [1.05-1.45]). Increasing BMI, UI during first pregnancy, and heavy first child reduce the likelihood of UI remission (0.37 [0.20-0.68], 0.11 [0.02-0.63], and 0.73[0.59-0.91], respectively).

Conclusions: UI during first pregnancy could be indicative of individual susceptibility to UI. Obesity appears to be a modifiable factor for remission of UI in women.

Keywords: age; body mass index; mode of delivery; parity; urinary incontinence.

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Figures

Figure 1
Figure 1. Flowchart
Figure 2
Figure 2. Continence status 4–12 years after 1st delivery
Group A) women who were continent at baseline (in 2000) and follow-up (in 2008); B) women continent at baseline who became incontinent at follow-up; C) women incontinent at baseline who became continent at follow-up; and D) women incontinent at baseline and follow-up.
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