Vaginal delivery parameters and urinary incontinence: The Norwegian EPINCONT study - 28/08/11
, Anne Kjersti Daltveit, PhD b, Yngvild S Hannestad, MD a, Steinar Hunskaar, MD, PhD a
Reprint requests: Guri Rortveit, MD, Section for General Practice, University of Bergen, Ulriksdal 8c, N-5009 Bergen, Norway.Abstract |
Objective |
The study was undertaken to investigate the effect of nine delivery parameters on urinary incontinence in later life.
Study design |
Incontinence data from the EPINCONT study were linked to the Medical Birth Registry of Norway. Effects of birth weight, gestational age, head circumference, breech delivery, injuries in the delivery channel, functional delivery disorders, forceps delivery, vacuum delivery, and epidural anesthesia were investigated. The study covered women younger than 65 years, who had had vaginal deliveries only (n=11,397).
Results |
Statistically significant associations were observed between any incontinence and birth weight 4000 g or greater (odds ratio [OR] 1.1, 95% CI 1.0-1.2); moderate or severe incontinence and functional delivery disorders (OR 1.3, 95% CI 1.1-1.6); stress incontinence and high birth weight (OR 1.2, 95% CI 1.1-1.3) and epidural anesthesia (OR 1.2, 95% CI 1.0-1.5); and urge incontinence and head circumference 38 cm or larger (OR 1.8, 95% CI 1.0-3.3).
Conclusion |
The effects were too weak to explain a substantial part of the association between vaginal delivery and urinary incontinence, and statistically significant results may have incurred by chance.
Le texte complet de cet article est disponible en PDF.Keywords : Urinary incontinence, vaginal delivery, risk factors, epidemiology, community based
Plan
 | The EPINCONT Study was supported by the Research Council of Norway. |
Vol 189 - N° 5
P. 1268-1274 - novembre 2003 Retour au numéro
Article précédent
- Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence
- Amanda L Clark, Thomas Gregory, Virginia J Smith, Renee Edwards
- Burden of stress urinary incontinence for community-dwelling women
- Nancy H Fultz, Kathryn Burgio, Ananias C Diokno, Kraig S Kinchen, Robert Obenchain, Richard C Bump
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?