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. 2023 Jan 27;102(4):e32738.
doi: 10.1097/MD.0000000000032738.

Risk factors for urinary incontinence during pregnancy among nulliparous women in the United Arab Emirates

Hassan M Elbiss  1 , Nawal Osman  1 , Fikri M Abu-Zidan  2
Affiliations

Risk factors for urinary incontinence during pregnancy among nulliparous women in the United Arab Emirates

Hassan M Elbiss et al. Medicine (Baltimore). .

Abstract

Urinary incontinence (UI), which affects the quality of life, is associated with different risk factors during pregnancy. We aimed to study the risk factors related to UI during pregnancy among nulliparous women in the UAE. This is a prospective descriptive survey, which included all nulliparous women after the first 24 weeks' gestation from 2012 to 2014 in a teaching hospital in the UAE. Participants were interviewed face-to-face, using a structured and pre-tested questionnaire and divided into 2 groups: those with UI and those without it. Factors which were statistically significant (P < .05) between the 2 groups were entered into an logistic regression backward logistic regression model to define the factors predicting UI. Five hundred one participants were interviewed. UI occurred in 106/501 (21.2%). The 2-sample comparison analysis showed that urinary tract infection (UTI) (47.2% vs 34.4%, P = .018) and its number of attacks (P = .007), chronic cough (28.3% vs 13.9%, P < .001) and chronic constipation (34.9% vs 19%, P < .001) were statistically significant between those who had UI and those who did not. The logistic regression backward logistic regression model showed that the risk factors which predicted UI were chronic constipation (P = .003), chronic cough (P = .008), and the number of UTI attacks (P = .036). UI affects one-fifth of nulliparous women in the UAE. Chronic cough, constipation, and repeated UTI infection, significantly increase the odds of UI during pregnancy. Addressing these risk factors may reduce the risk of UI.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

References

    1. Hage-Fransen MA, Wiezer M, Otto A, et al. Pregnancy-and obstetric-related risk factors for urinary incontinence, fecal incontinence, or pelvic organ prolapse later in life: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021;100:373–82. - PubMed
    1. Abrams P, Andersson K-E, Apostolidis A, et al. 6th International Consultation on Incontinence. Recommendations of the International Scientific Committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence. Neurourol Urodyn. 2018;37:2271–2. - PubMed
    1. Aoki Y, Brown HW, Brubaker L, et al. Urinary incontinence in women. Nat Rev Dis Primers. 2017;3:1–20. - PubMed
    1. Gul T, Naqvi SF, Obaid S, et al. Frequency of stress urinary incontinence in pregnant females. J Islamabad Med Dental College. 2021;10:216–20.
    1. Marcelissen T, Anding R, Averbeck M, et al. Exploring the relation between obesity and urinary incontinence: Pathophysiology, clinical implications, and the effect of weight reduction, ICI-RS 2018. Neurourol Urodyn. 2019;38:S18–24. - PubMed