Mode of delivery and severe stress incontinence. A cross‐sectional study among 2625 perimenopausal women

作者：Xavier Fritel, Virginie Ringa, Noëlle Varnoux, Arnaud Fauconnier, Stéphanie Piault, Gérard Bréart · 发表于：BJOG An International Journal of Obstetrics & Gynaecology · 年份：2005 · DOI：10.1111/j.1471-0528.2005.00763.x · 被引用次数：102 · 研究领域：Pelvic floor disorders treatments、Maternal and Perinatal Health Interventions、Pressure Ulcer Prevention and Management

OBJECTIVE: To estimate the prevalence of severe stress urinary incontinence (SUI) among perimenopausal women and to examine potential obstetric risk factors. DESIGN: Mail survey of female volunteers for epidemiological research. SETTING: Postal questionnaire on SUI. POPULATION: Three thousand one hundred and fourteen women aged 49-61 years who comprised the GAZEL cohort. METHODS: Logistic regression using data from the entire cohort to estimate the impact of risk factors. A second logistic regression using data from women who had given birth included obstetric history. MAIN OUTCOME MEASURE: Prevalence of severe SUI defined by the response 'often' or 'all the time' to the question 'Does urine leak when you are physically active, cough or sneeze?' RESULTS: Two thousand six hundred and twenty-five women (85%) completed and returned the questionnaire The frequency of SUI reported in the preceding four weeks was as follows: 'never' 32%, 'occasionally' 28%, 'sometimes' 26%, 'often' 10% and 'all the time' 5%. Prevalence of severe SUI was lowest among nulliparous women (7%), but it was similar among parous women regardless of birth number (14-17%). The prevalence of severe SUI was not associated with mode of delivery (14% for women delivered by caesarean only vs 16% for vaginal births). Significant risk factors for severe SUI were high body mass index (BMI >30), diabetes mellitus, previous incontinence surgery, parity and first delivery under the age of 22 years. CONCLUSION: Previous...