Effect of mode of delivery on the incidence of urinary incontinence in primiparous women

Sarah Hamilton Boyles, Hong Li, Motomi (Tomi) Mori, Patricia Osterweil, Jeanne-Marie Guise

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

Objective: To estimate the effect of mode of delivery on the incidence of urinary incontinence in primiparous women. Methods: A population-based survey was mailed to all Oregon women who delivered a liveborn neonate in a 1-year period. Data were collected on urinary incontinence, childbirth experience, and other risk factors for incontinence at 3-6 months postpartum. Univariable analyses were conducted using t tests and Wilcoxon rank-sum tests for continuous variables and χ tests for categorical variables. Logistic regression analyses were used to estimate odds ratios and 95% confidence intervals for demographic and clinical risk factors. Results: A total of 15,787 women completed the survey, for a response rate of 39%. Of these women, 5,599 were primiparous, completed the survey in the desired timeframe, submitted information on their urinary continence, and did not have incontinence before pregnancy. A total of 955 (17.1%) reported leakage of urine. Women who had vaginal deliveries were more likely to have urinary incontinence than women who had cesarean deliveries (odds ratio 4.96 [95% confidence interval 3.82-6.44], P

Original languageEnglish (US)
Pages (from-to)134-141
Number of pages8
JournalObstetrics and Gynecology
Volume113
Issue number1
DOIs
StatePublished - Jan 2009

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Urinary Incontinence
Incidence
Nonparametric Statistics
Odds Ratio
Confidence Intervals
Postpartum Period
Logistic Models
Regression Analysis
Demography
Urine
Parturition
Newborn Infant
Pregnancy
Population
Surveys and Questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Effect of mode of delivery on the incidence of urinary incontinence in primiparous women. / Boyles, Sarah Hamilton; Li, Hong; Mori, Motomi (Tomi); Osterweil, Patricia; Guise, Jeanne-Marie.

In: Obstetrics and Gynecology, Vol. 113, No. 1, 01.2009, p. 134-141.

Research output: Contribution to journalArticle

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