AURA Takes you to the home page
 

Aberdeen University Research Archive >
6 - All research >
All research >

Please use this identifier to cite or link to this item: http://hdl.handle.net/2164/140

This item has been viewed 7 times in the last year. View Statistics

Files in This Item:

File Description SizeFormat
Macarthur 2006.pdf206.37 kBAdobe PDFView/Open
Title: Persistent urinary incontinence and delivery mode history: a six-year longitudinal study.
Authors: MacArthur, C
Glazener, Cathryn Margaret Anne
Wilson, P.D
Lancashire, R
Herbison, G.P
Grant, Adrian Maxwell
Keywords: Delivery, Obstetric
Urinary Incontinence
Pregnancy Complications
Issue Date: Feb-2006
Publisher: Blackwell Publishing
Citation: MacArthur, C., Glazener, C.M.A., Wilson, P.D., Lancashire, R.J., Herbison, G.P, and Grant, A.M. (2006) Persistent urinary incontinence and delivery mode history: a six-year longitudinal study. BJOG: An International Journal of Obstetrics & Gynaecology, 113(2), pp. 218-24.
Abstract: Objective: To investigate the prevalence of persistent and long term postpartum urinary incontinence and associations with mode of first and subsequent delivery. Setting: Maternity units in Aberdeen (Scotland), Birmingham (England) and Dunedin (New Zealand). Design: Longitudinal study Population: 4214 women who returned postal questionnaires 3 months and 6 years after the index birth. Methods: Symptom data were obtained from both questionnaires and obstetric data from case-notes for the index birth and the second questionnaire for subsequent births. Logistic regression investigated the independent effects of mode of first delivery and delivery mode history. Main outcome measures: Urinary incontinence – persistent (at 3 months and 6 years after index birth) and long-term (at 6 years after index birth). Results: The prevalence of persistent urinary incontinence was 24%. Delivering exclusively by Caesarean section was associated with both less persistent (OR= 0.46, 95% CI 0.32 to 0.68) and long term urinary incontinence (OR=0.50, 95% CI 0.40 to 0.63). Caesarean section birth in addition to vaginal delivery however was not associated with significantly less persistent incontinence (OR 0.93, 95%CI 0.67 to 1.29). There were no significant associations between persistent or long-term urinary incontinence and forceps or vacuum extraction delivery. Other significantly associated factors were increasing number of births and older maternal age. Conclusions: The risk of persistent and long term urinary incontinence is significantly lower following Caesarean section deliveries but not if there is another vaginal birth. Even when delivering exclusively by Caesarean section, the prevalence of persistent symptoms (14%) is still high.
URI: http://hdl.handle.net/2164/140
ISSN: 1470-0328
Appears in Collections:Applied Health Sciences research
All research

SFX Query

Items in AURA are protected by copyright, with all rights reserved, unless otherwise indicated.

 


The University of Aberdeen
King's College
Aberdeen
AB24 3FX
Tel: +44 (0)1224-272000