open access

Vol 94, No 11 (2023)
Research paper
Published online: 2023-04-25
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Postpartum stress urinary incontinence: a clinical study of 6,302 cases in Jiangsu Province

Xiao-Xia Chang1, Ling Ling2, Hong-Ju Gao3, Yu-Mei Jiang4, Mei-Qin Jiang5, Yu-Rong Hua6, Ai-Hua Huang7, Jie Peng8, Ya-Jun Lu1, Rui-Jia Yang9, Jie Wu1
·
Pubmed: 37162140
·
Ginekol Pol 2023;94(11):889-896.
Affiliations
  1. The State Key Laboratory of Reproductive Medicine, Department of Obstetrics and Gynecology, Women’s Rehabilitation Medical Center, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Women and Children Health Hospital, Nanjing Medical University, China
  2. Department of Obstetrics and Gynecology, Nanjing Jiangning Hospital, China
  3. Department of Pelvic Floor Rehabilitation, Nantong Maternal and Child Health Hospital, China
  4. Department of Pelvic Floor Rehabilitation, Nanjing Jiangning Maternal and Child Health and Family Planning Service Center, China
  5. Department of Obstetrics, Jiangyin People’s Hospital, China
  6. Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, China
  7. Department of Gynaecology, Jiangsu Taizhou People’s Hospital, China
  8. Department of Gynaecology, Suzhou Wuzhong People’s Hospital, China
  9. Medlander Medical Technology Inc., China

open access

Vol 94, No 11 (2023)
ORIGINAL PAPERS Gynecology
Published online: 2023-04-25

Abstract

Objectives: To investigate the prevalence and influencing factors of stress urinary incontinence (SUI) within 6–8 weeks postpartum in Jiangsu Province.

Material and methods: We designed a multi-center cross-sectional study involving seven hospitals in Jiangsu province, and enrolled women who underwent postpartum examination at 6–8 weeks in these hospitals between July 2019 and June 2021. According to the presence or absence of SUI, the enrolled patients were divided into two groups: the SUI group and the non-SUI group, respectively. We assessed the general health status, noted the details of delivery, and checked the pelvic floor electromyographic parameters of the postpartum women in both groups.

Results: Among 6,302 cases of postpartum women in Jiangsu province, there were 1,579 cases of SUI, with a prevalence of 25.06%. The prevalence of SUI increased significantly with age, BMI, increasing parity, coexisting constipation, organ prolapse, and diastasis recti abdominis. Compared to the non-SUI group, the SUI group had a lower mean value of the pre-baseline rest phase, shorter rise and fall times of fast muscle contractions, and a lower mean value of the endurance contraction phase. Multiple regression analysis revealed associations with weight (especially overweight and obesity), coexisting organ prolapse, constipation, parity, gestational week of delivery, mode of delivery, and mean value of endurance contraction phase.

Conclusions: The prevalence of postpartum stress urinary incontinence in Jiangsu Province was 25.06%, and was linked to being overweight, parity > 2, coexisting organ prolapse, constipation, and a decrease in the mean value of the endurance contraction phase of the electromyograph. In this report, we offer a theoretical basis for the effective prevention of postpartum SUI clinically.

Abstract

Objectives: To investigate the prevalence and influencing factors of stress urinary incontinence (SUI) within 6–8 weeks postpartum in Jiangsu Province.

Material and methods: We designed a multi-center cross-sectional study involving seven hospitals in Jiangsu province, and enrolled women who underwent postpartum examination at 6–8 weeks in these hospitals between July 2019 and June 2021. According to the presence or absence of SUI, the enrolled patients were divided into two groups: the SUI group and the non-SUI group, respectively. We assessed the general health status, noted the details of delivery, and checked the pelvic floor electromyographic parameters of the postpartum women in both groups.

Results: Among 6,302 cases of postpartum women in Jiangsu province, there were 1,579 cases of SUI, with a prevalence of 25.06%. The prevalence of SUI increased significantly with age, BMI, increasing parity, coexisting constipation, organ prolapse, and diastasis recti abdominis. Compared to the non-SUI group, the SUI group had a lower mean value of the pre-baseline rest phase, shorter rise and fall times of fast muscle contractions, and a lower mean value of the endurance contraction phase. Multiple regression analysis revealed associations with weight (especially overweight and obesity), coexisting organ prolapse, constipation, parity, gestational week of delivery, mode of delivery, and mean value of endurance contraction phase.

Conclusions: The prevalence of postpartum stress urinary incontinence in Jiangsu Province was 25.06%, and was linked to being overweight, parity > 2, coexisting organ prolapse, constipation, and a decrease in the mean value of the endurance contraction phase of the electromyograph. In this report, we offer a theoretical basis for the effective prevention of postpartum SUI clinically.

Get Citation

Keywords

clinical study; Glazer Protocol; influencing factors; postpartum; stress urinary incontinence

About this article
Title

Postpartum stress urinary incontinence: a clinical study of 6,302 cases in Jiangsu Province

Journal

Ginekologia Polska

Issue

Vol 94, No 11 (2023)

Article type

Research paper

Pages

889-896

Published online

2023-04-25

Page views

594

Article views/downloads

426

DOI

10.5603/GP.a2023.0042

Pubmed

37162140

Bibliographic record

Ginekol Pol 2023;94(11):889-896.

Keywords

clinical study
Glazer Protocol
influencing factors
postpartum
stress urinary incontinence

Authors

Xiao-Xia Chang
Ling Ling
Hong-Ju Gao
Yu-Mei Jiang
Mei-Qin Jiang
Yu-Rong Hua
Ai-Hua Huang
Jie Peng
Ya-Jun Lu
Rui-Jia Yang
Jie Wu

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