Prevalence and associated risk factors of urinary incontinence and dyspareunia during pregnancy and after delivery
European Journal of Obstetrics & Gynecology and Reproductive Biology Dec 06, 2019
Novo R, et al. - Researchers investigated dyspareunia and stress urinary incontinence (SUI) prevalence both before and during pregnancy and after delivery. In addition, they sought for possible associated risk factors. They conducted a cross-sectional study in 2016 including women who had given birth within the previous 12 months (n = 6,436) in Galicia (Spain). Among participants, SUI and dyspareunia were prevalent after delivery in 20.4% (CI95%: 19.2-22.0) and 23.4% (22.3-24.8), respectively. The presence of dyspareunia after delivery was observed to be correlated with following variables such as the presence of dyspareunia during pregnancy (adjusted prevalence ratio PR 2.1), breastfeeding (PR 1.2), and having a history of episiotomy (PR 1.3). The mother's history of SUI before pregnancy (PR 2.4) and during pregnancy (PR 2.0), as well as having undergone vaginal delivery (PR 2.0) was related to SUI after delivery. These findings may assist in recognizing susceptible or "at risk" patients. They recommend including these variables in the clinical history of every pregnant woman.
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