Prevalence and risk factors of urinary incontinence in pregnant Korean women.

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology Science Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI:10.5468/ogs.24156

Hwisu Jung, Dong Won Hwang, Kyoung-Chul Chun, Young Ah Kim, Jae Whoan Koh, Jung Yeol Han, Hae Do Jung, Dal Soo Hong, Jeong Sup Yun

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引用次数: 0

Abstract

Objective: This study aimed to evaluate the prevalence of urinary incontinence (UI) and its associated risk factors among pregnant Korean women, as UI significantly impacts their quality of life.

Methods: A cross-sectional study involving singleton pregnant women was conducted between April and December 2023. Data were collected using a questionnaire assessing demographic information and UI symptoms. The International Consultation on Incontinence Questionnaire-UI short form was used to diagnose UI.

Results: A total of 824 pregnant women from three centers participated, with an overall prenatal UI prevalence of 40.2% (331/824). Stress UI was most common (77.1%), followed by mixed UI (16.9%), and urgency UI (6.0%). Risk factors for UI included prior delivery mode, specifically vaginal delivery (adjusted odds ratio [aOR], 5.61; 95% confidence interval [CI], 1.40-22.50; P=0.015) and combined vaginal and cesarean delivery (aOR, 23.14; 95% CI, 1.77-302.74; P=0.017). Additionally, second trimester (aOR, 1.99; 95% CI, 1.19-3.32; P=0.009) and third trimester (aOR, 4.44; 95% CI, 2.65-7.40; P<0.001) were associated with increased UI risk. Conversely, drinking alcohol before pregnancy was a protective factor (aOR, 0.72; 95% CI, 0.53-0.99; P=0.046).

Conclusion: Approximately 40% of Korean pregnant women experience prenatal UI. Prior delivery mode and advanced gastrointestinal age are significant risk factors. Further research with postpartum and long-term follow-ups is needed.

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韩国孕妇尿失禁的患病率和风险因素。

摘要本研究旨在评估韩国孕妇尿失禁（UI）的患病率及其相关风险因素，因为尿失禁严重影响她们的生活质量：方法：2023 年 4 月至 12 月期间，对单胎孕妇进行了一项横断面研究。研究采用问卷调查的方式收集数据，评估人口统计学信息和尿失禁症状。国际尿失禁咨询问卷-UI简表用于诊断尿失禁：共有来自三个中心的 824 名孕妇参与，产前尿失禁总患病率为 40.2%（331/824）。压力性尿失禁最常见（77.0%），其次是混合性尿失禁（16.9%）和急迫性尿失禁（6.0%）。UI 的风险因素包括之前的分娩方式，特别是阴道分娩（调整后的几率比 [aOR]，5.6；95% 置信区间 [CI]，1.40-22.50；P=0.015）以及阴道分娩和剖宫产联合分娩（aOR，23.14；95% CI，1.77-302.74；P=0.017）。此外，第二胎（aOR，1.99；95% CI，1.19-3.32；P=0.009）和第三胎（aOR，4.43；95% CI，2.65-7.40；PC 结论：约有 40% 的韩国孕妇经历过产前尿失禁。之前的分娩方式和胃肠道高龄是重要的风险因素。需要对产后和长期随访进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology

CiteScore

3.80

自引率

15.80%

发文量

审稿时长

16 weeks

期刊介绍： Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.