Stress urinary incontinence in pregnant women: A review of prevalence, pathophysiology, and treatment

International Urogynecology Journal

Volumn 24, Issue 6, 2013, Pages 901-912

  Sangsawang, Bussara ^a   Sangsawang, Nucharee ^a  

^a SRINAKHARINWIROT UNIVERSITY   (Thailand)

Author keywords

Pathophysiology; Pregnancy; Prevalence; Review article; Stress urinary incontinence; Treatment

Indexed keywords

COLLAGEN;

CLINICAL EFFECTIVENESS; FETUS WEIGHT; FUNCTIONAL ANATOMY; GESTATIONAL AGE; HUMAN; INTERMETHOD COMPARISON; PATHOPHYSIOLOGY; PATIENT COUNSELING; PATIENT SAFETY; PELVIC FLOOR MUSCLE TRAINING; PREGNANT WOMAN; PRIORITY JOURNAL; REVIEW; STRESS INCONTINENCE; SYSTEMATIC REVIEW; TREATMENT OUTCOME; URETHRA; UTERUS WEIGHT;

EID: 84879073608     PISSN: 09373462     EISSN: 14333023     Source Type: Journal    
DOI: 10.1007/s00192-013-2061-7     Document Type: Review

References (109)

1. Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21(1):5-26
2. Dolan LM, Walsh D, Hamilton S, Marshall K, Thompson K, Ashe RG (2004) A study of quality of life in primigravidae with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 15:160-164
3. Mascarenhas T, Coelho R, Oliveira M, Patricio B (2003) Impact of urinary incontinence on quality of life during pregnancy and after childbirth. Paper presented at the 33th annual meeting of the International Continence Society, Florence, Italy, October 9, 2003
4. van de Pol GG, Van Brummen HJ, Bruinse HW, Heintz AP, van der Vaart CH (2007) Is there an association between depressive and urinary symptoms during and after pregnancy? Int Urogynecol J Pelvic Floor Dysfunct 18:1409-1415
5. van Brummen HJ, Bruinse HW, Van de Pol G, Heintz AP, Van der Vaart CH (2006) What is the effect of overactive bladder symptoms on woman's quality of life during and after first pregnancy? BJU Int 97(2):296-300
6. van Brummen HJ, Bruinse HW, van de Pol G, Heintz AP, van der Vaart CH (2006) Bothersome lower urinary tract symptoms 1 year after first delivery: prevalence and the effect of childbirth. BJU Int 98(1):89-95
7. Milsom I, Altman D, Lapitan MC, Nelson R, Sillén U, Thom D (2009) Epidemiology of urinary (UI) and faecal (FI) incontinence and pelvic organ prolapse (POP). In: Abrams P, Cardozo L, Khoury S, Wein A (eds) Incontinence: 4th International Consultation on Incontinence. Health Publication Ltd, Paris, pp 35-112
8. Kocaöz S, Talas MS, Atabekoǧlu CS (2010) Urinary incontinence in pregnant women and their quality of life. J Clin Nurs 19(23-24):3314-3323
9. Adaji SE, Shittu OS, Bature SB, Nasir S, Olatunji O (2010) Suffering in silence: pregnant women's experience of urinary incontinence in Zaria, Nigeria. Eur J Obstet Gynecol Reprod Biol 150(1):19-23
10. Marecki M, Seo JY (2010) Perinatal urinary and fecal incontinence: suffering in silence. J Perinat Neonatal Nurs 24(4):330-340
11. King JK, Freeman RM (1998) Is antenatal bladder neck mobility a risk factor for postpartum stress urinary incontinence? Br J Obstet Gynaecol 105:1300-1307
12. Schytt E, Lindmark G, Waldenstrom U (2004) Symptoms of stress incontinence 1 year after childbirth: prevalence and predictors in a national Swedish sample. Acta Obstet Gynecol Scand 83:928-936
13. Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC (2003) Urinary incontinence in the 12-month postpartum period. Obstet Gynecol 102:1291-1298
14. Hvidman L, Foldspang A, Mommsen S, Nielsen JB (2003) Postpartum urinary incontinence. Acta Obstet Gynecol Scand 82:556-563
15. Liang CC, Wu MP, Lin SJ, Lin YJ, Chang SD, Wang HH (2013) Clinical impact of and contributing factors to urinary incontinence in women 5 years after first delivery. Int Urogynecol J 24(1):99-104
16. Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 21;339:b2535
17. Wesnes SL, Rortveit G, Bø K, Hunskaar S (2007) Urinary incontinence during pregnancy. Obstet Gynecol 109(4):922-928
18. Mørkved S, Bø K (1999) Prevalence of urinary incontinence during pregnancy and postpartum. Int Urogynecol J Pelvic Floor Dysfunct 10:394-398
19. Mason L, Glenn S, Walton I, Appletion C (1999) The prevalence of stress incontinence during pregnancy and following delivery. Midwifery 15(2):120-128
20. Diez-Itza I, Ibañez L, Arrue M, Paredes J, Murgiondo A, Sarasqueta C (2009) Influence of maternal weight on the new onset of stress urinary incontinence in pregnant women. Int Urogynecol J Pelvic Floor Dysfunct 20(10):1259-1263
21. Whitford HM, Alder B, Jones M (2007) A cross-sectional study of knowledge and practice of pelvic floor exercises during pregnancy and associated symptoms of stress urinary incontinence in North-East Scotland. Midwifery 23(2):204-217
22. Huebner M, Antolic A, Tunn R (2010) The impact of pregnancy and vaginal delivery on urinary incontinence. Int J Gynecol Obstet 110(3):249-251
23. Viktrup L, Lose G, Rolff M, Barford K (1992) The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol 79:945-949
24. Zhu L, Li L, Lang JH, Xu T (2012) Prevalence and risk factors for peri- and postpartum urinary incontinence in primiparous women in China: a prospective longitudinal study. Int Urogynecol J 23(5):563-572
25. Liang CC, Chang SD, Lin SJ, Lin YJ (2012) Lower urinary tract symptoms in primiparous women before and during pregnancy. Arch Gynecol Obstet 285(5):1205-1210
26. Sun MJ, Chen GD, Chang SY, Lin KC, Chen SY (2005) Prevalence of lower urinary tract symptoms during pregnancy in Taiwan. J Formos Med Assoc 104(3):185-189
27. Al-Mehaisen LM, Al-Kuran O, Lataifeh IM et al (2009) Prevalence and frequency of severity of urinary incontinence symptoms in late pregnancy: a prospective study in the north of Jordan. Arch Gynecol Obstet 279(4):499-503
28. Sharma JB, Aggarwal S, Singhal S, Kumar S, Roy KK (2008) Prevalence of urinary incontinence and other urological problems during pregnancy: a questionnaire based study. Arch Gynecol Obstet 279(6):845-851
29. Thomason AD, Miller JM, Delancey JO (2007) Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas. Int Urogynecol J Pelvic Floor Dysfunct 18(2):147-151
30. Raza-Khan F, Graziano S, Kenton K, Shott S, Brubaker L (2006) Peripartum urinary incontinence in a racially diverse obstetrical population. Int Urogynecol J Pelvic Floor Dysfunct 17(5):525-530
31. Martins G, Soler ZA, Cordeiro JA, Amaro JL, Moore KN (2010) Prevalence and risk factors for urinary incontinence in healthy pregnant Brazilian women. Int Urogynecol J 21(10):1271-1277
32. Chiarelli P, Campbell E (1997) Incontinence during pregnancy. Prevalence and opportunities for continence promotion. Aust N Z J Obstet Gynaecol 37(1):66-73
33. Brown SJ, Donath S, MacArthur C, McDonald EA, Krastev AH (2010) Urinary incontinence in nulliparous women before and during pregnancy: prevalence, incidence, and associated risk factors. Int Urogynecol J 21(2):193-202
34. Bø K, Pauck Øglund G, Sletner L, Mørkrid K, Jenum A (2012) The prevalence of urinary incontinence in pregnancy among a multi-ethnic population resident in Norway. Br J Obstet Gynaecol 119(11):1354-1360
35. Fritel X, Fauconnier A, Bader G et al (2010) Diagnosis and management of adult female stress urinary incontinence: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol 151(1):14-19
36. Wijma J, Weis Potters AE, Tinga DJ, Aarnoudse JG (2008) The diagnostic strength of the 24-h pad test for self-reported symptoms of urinary incontinence in pregnancy and after childbirth. Int Urogynecol J Pelvic Floor Dysfunct 19(4):525-530
37. Thorp JM, Norton PA, Wall LL, Kuller JA, Eucker B, Wells E (1999) Urinary incontinence in pregnancy and the puerperium: a prospective study. Am J Obstet Gynecol 181:266-273
38. van Kerrebroeck P, Abrams P, Chaikin D et al (2002) The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21(2):179-183
39. Francis WJ (1960) Disturbances of bladder function in relation to pregnancy. J Obstet Gynaecol Br Emp 67:353-366
40. Davis K, Kumar D (2003) Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care. J Adv Nurs 43(6):555-568
41. Morkved S, Bo K, Schei B, Salvesen KA (2003) Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol 101(2):313-319
42. FitzGerald MP, Graziano S (2007) Anatomic and functional changes of the lower urinary tract during pregnancy. Urol Clin N Am 34(1):7-12
43. McKinnie V, Swift SE, Wang W et al (2005) The effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence. Am J Obstet Gynecol 193(2):512-518
44. Joanna Briggs Institute (2011) The Joanna Briggs Institute best practice information sheet: the effectiveness of pelvic floor muscle exercises on urinary incontinence in women following childbirth. Nurs Health Sci 13(3):378-381
45. Morkved S, Salvesen KA, Bo K, Eik-Nes S (2004) Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women. Int Urogynecol J Pelvic Floor Dysfunct 15:384-390
46. Hojberg KE, Salvig JD, Winslow NA, Lose G, Secher NJ (1999) Urinary incontinence: prevalence and risk factors at 16 weeks of gestation. Br J Obstet Gynecol 106:842-850
47. MacLennan AH, Taylor AW, Wilson DH, Wilson D (2000) The prevalence of pelvic floor disorder and their relationship to gender, age, parity and mode of delivery. Br J Obstet Gynecol 107:1460-1470
48. Peyrat L, Haillot O, Bruyere F, Boutin JM, Bertrand P, Lanson Y (2002) Prevalence and risk factors of urinary incontinence in young and middle-aged women. Br J Urol 89:61-66
49. Viktrup L (2002) The risk of urinary tract symptom five years after the first delivery. Neurourol Urodyn 21(1):2-29
50. Pregazzi R, Sartore A, Troiano L et al (2002) Postpartum Urinary symptoms: prevalence and risk factors. Obstet Gynecol 103(2):179-182
51. Greer WJ, Richter HE, Bartolucci AA, Burgio KL (2008) Obesity and pelvic floor disorders: a systematic review. Obstet Gynecol 112(2 Pt 1):341-349
52. Bump RC, Sugerman H, Fantl JA, McClish DM (1992) Obesity and lower urinary tract function in women: effect of surgically induced weight loss. Am J Obstet Gynecol 166:392-399
53. Glazener CM, Herbison GP, MacArthur C et al (2006) New postnatal urinary incontinence: obstetric and other risk factors in primiparae. Br J Obstet Gynaecol 113(2):208-217
54. Van Kessel K, Reed S, Newton K, Meier A, Lentz G (2011) The second stage of labor and stress urinary incontinence. Am J Obstet Gynecol 184(7):1571-1575
55. Wesnes SL, Hunskaar S, Bo K, Rortveit G (2009) The effect of urinary incontinence status during pregnancy and delivery mode on incontinence postpartum. A cohort study. Br J Obstet Gynaecol 116(5):700-707
56. Gyhagen M, Bullarbo M, Nielsen T, Milsom I (2013) Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarean delivery. Br J Obstet Gynaecol 120(2):152-160
57. Singh K, Jakab M, Reid WM, Berger LA, Hoyte L (2003) Three-dimensional magnetic resonance imaging assessment of levator ani morphologic features in different grades of prolapse. Am J Obstet Gynecol 188:910-915
58. Stothers L, Friedman B (2011) Risk factors for the development of stress urinary incontinence in women. Curr Urol Rep 12(5):363-369
59. Wijma J, Weis Potters AE, van der Mark TW, Tinga DJ, Aarnoudse JG (2007) Displacement and recovery of the vesical neck position during pregnancy and after childbirth. Neurourol Urodyn 26(3):372-376
60. Hilde G, Stær-Jensen J, Ellström Engh M, Brækken IH, Bø K (2012) Continence and pelvic floor status in nulliparous women at midterm pregnancy. Int Urogynecol J 23(9):1257-1263
61. Dietz HP, Wilson PD (2005) Childbirth and pelvic floor trauma. Best Pract Res Clin Obstet Gynaecol 19(6):913-924
62. Dietz HP, Schierlitz L (2005) Pelvic floor trauma in childbirth - myth or reality? Aust N Z J Obstet Gynaecol 45(1):3-11
63. Keane DP, Sims TJ, Abrams P, Bailey AJ (1997) Analysis of collagen status in premenopausal nulliparous women with genuine stress incontinence. Br J Obstet Gynaecol 104(9):994-998
64. Dietz HP, Eldridge A, Grace M, Clarke B (2004) Does pregnancy affect pelvic organ mobility? Aust N Z J Obstet Gynaecol 44:517-520
65. Wijma J, Weis Potters AE, de Wolf BTHM, Tinga DJ, Aarnoudse JG (2001) Anatomical and functional changes in the lower urinary tract during pregnancy. Br J Obstet Gynaecol 108:726-732
66. Jundt K, Scheer I, Schiessl B, Karl K, Friese K, Peschers UM (2010) Incontinence, bladder neck mobility, and sphincter ruptures in primiparous women. Eur J Med Res 15(6):246-252
67. Chaliha C, Kalia V, Stanton SL, Monga A, Sultan AH (1999) Antenatal prediction of postpartum urinary and fecal incontinence. Obstet Gynecol 94:689-694
68. Falconer C, Ekman G, Malmstrom A, Ulmsten U (1994) Decreased collagen synthesis in stress-incontinence women. Obstet Gynecol 84:583-586
69. Chen B, Wen Y, Yu X, Polan ML (2007) The role of neutrophil elastase in elastin metabolism of pelvic tissues from women with stress urinary incontinence. Neurourol Urodyn 26(2):274-279
70. Lin G, Shindel AW, Banie L et al (2009) Molecular mechanisms related to parturition-induced stress urinary incontinence. Eur Urol 55(5):1213-1222
71. Skorupski P, Jankiewicz K, Miotła P et al (2012) The polymorphisms of the MMP-1 and the MMP-3 genes and the risk of pelvic organ prolapse. Int Urogynecol J. doi: 10.1007/s00192-012-1970-1
72. Altman D, Forsman M, Falconer C, Lichtenstein P (2008) Genetic influence on stress urinary incontinence and pelvic organ prolapse. Eur Urol 54(4):918-922
73. Dietz HP, Hansell NK, Grace ME, Eldridge AM, Clarke B, Martin NG (2005) Bladder neck mobility is a heritable trait. Br J Obstet Gynaecol 112(3):334-339
74. Lince SL, van Kempen LC, Vierhout ME, Kluivers KB (2012) A systematic review of clinical studies on hereditary factors in pelvic organ prolapse. Int Urogynecol J 23(10):1327-1336
75. Hilton P, Dolan LM (2004) Pathophysiology of urinary incontinence and pelvic organ prolapse. Br J Obstet Gynaecol 111(sup.1):5-9
76. Kristiansson P, Samuelsson E, Schoultz B, Svardsudd K (2001) Reproductive hormones and stress urinary incontinence in pregnancy. Acta Obstet Gynecol Scand 80:1125-1130
77. Kristiansson P, Svardsudd K, Schoultz B (1996) Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol 175:1342-1347
78. Harvey MA, Johnston SL, Davies GA (2008) Mid-trimester serum relaxin concentrations and post-partum pelvic floor dysfunction. Acta Obstet Gynecol Scand 87(12):1315-1321
79. Chaliha C, Stanton SL (2002) Urological problems in pregnancy. Br J Urol 89:469-476
80. van Geelen JM, Lemmens WA, Eskes TK, Martin CB Jr (1982) The urethral pressure profile in pregnancy and after delivery in healthy nulliparous women. Am J Obstet Gynecol 144(6):636-649
81. Swift SE, Ostergard DR (1993) Effects of progesterone on the urinary tract. Int Urogynecol J 4(4):232-236
82. Tincello DG, Teare J, Fraser WD (2003) Second trimester concentration of relaxin and pregnancy related incontinence. Eur J Obstet Gynecol Reprod Biol 106:237-238
83. Chaliha C, Bland JM, Monga A, Stanton SL, Sultan AH (2000) Pregnancy and derivery: a urodynamic viewpoint. Br J Obstet Gynaecol 107:1354-1359
84. Viktrup L, Rortveit G, Lose G (2006) Risk of stress urinary incontinence twelve years after the first pregnancy and delivery. Obstet Gynecol 108(2):248-254
85. Thom DH, Rortveit G (2010) Prevalence of postpartum urinary incontinence: a systematic review. Acta Obstet Gynecol Scand 89(12):1511-1522
86. Viktrup L, Lose G, Rolf M, Barfoed K (1993) The frequency of urinary symptoms during pregnancy and puerperium in the primipara. Int Urogynecol J 4(1):27-30
87. Dinc A, Kizilkaya Beji N, Yalcin O (2009) Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. Int Urogynecol J Pelvic Floor Dysfunct 20(10):1223-1231
88. Serati M, Salvatore S, Khullar V et al (2008) Prospective study to assess risk factors for pelvic floor dysfunction after delivery. Acta Obstet Gynecol Scand 87(3):313-318
89. Groutz A, Rimon E, Peled S et al (2004) Cesarean section: does it really prevent the development of postpartum stress urinary incontinence? A prospective study of 363 women one year after their first delivery. Neurourol Urodyn 23(1):2-6
90. Arrue M, Ibañez L, Paredes J et al (2010) Stress urinary incontinence six months after first vaginal delivery. Eur J Obstet Gynecol Reprod Biol 150(2):210-214
91. Hvidman L, Foldspang A, Mommsen S, Bugge Nielsen J (2002) Correlates of urinary incontinence in pregnancy. Int Urogynecol J Pelvic Floor Dysfunct 13(5):278-283
92. Fritel X, Ringa V, Quiboeuf E, Fauconnier A (2012) Female urinary incontinence, from pregnancy to menopause: a review of epidemiological and pathophysiological findings. Acta Obstet Gynecol Scand 91(8):901-910
93. Brostrøm S, Lose G (2008) Pelvic floor muscle training in the prevention and treatment of urinary incontinence in women - what is the evidence? Acta Obstet Gynecol Scand 87(4):384-402
94. Kegel N (1948) Progressive resistance exercise in the functional retroration of the perineal muscle. Am J Obstet Gynaecol 56:238-248
95. Hay-Smith J, Herbison P, Mørkved S (2002) Physical therapies for prevention of urinary and faecal incontinence in adults. Cochrane Database Syst Rev (2):CD003191
96. Sangsawang B, Serisathien Y (2012) Effect of pelvic floor muscle exercise programme on stress urinary incontinence among pregnant women. J Adv Nurs 68(9):1997-2007
97. Price N, Dawood R, Jackson SR (2010) Pelvic floor exercise for urinary incontinence: a systematic literature review. Maturitas 67(4):309-315
98. Sampselle CM, Miller JM, Mims BL, Delancey JOL, Ashton-Miller JA, Antonakos CL (1998) Effect of pelvic muscle exercise on transient incontinence during pregnancy and after birth. Obstet Gynecol 91(3):406-412
99. Morkved S, Bo K, Schei B, Salvesen KA (2003) Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet Gynecol 101(2):313-319
100. Ko PC, Liang CC, Chang SD, Lee JT, Chao AS, Cheng PJ (2011) A randomized controlled trial of antenatal pelvic floor exercises to prevent and treat urinary incontinence. Int Urogynecol J 22(1):17-22
101. Stafne S, Salvesen K, Romundstad P, Torjusen I, Mørkved S (2012) Does regular exercise including pelvic floor muscle training prevent urinary and anal incontinence during pregnancy? A randomised controlled trial. Br J Obstet Gynaecol 119(10):1270-1280
102. Glazener CM, Herbison GP, Wilson PD et al (2001) Conservative management of persistent postnatal urinary and faecal incontinence: randomised controlled trial. BMJ 323(7313):593-596
103. Reilly ET, Freeman RM, Waterfield MR, Waterfield AE, Steggles P, Pedlar F (2002) Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises. Br J Obstet Gynaecol 109(1):68-76
104. Newman DK (2001) Conservative management of urinary incontinence in women. Prim Care Updat Obstet Gynecol 8(4):153-162
105. Alewijnse D, Mesters I, Metsemakers J, van den Borne B (2003) Predictors of long-term adherence to pelvic floor muscle exercise therapy among women with urinary incontinence. Heal Educ Res 18(5):511-524
106. Burns PA, Pranikoff K, Nochajski TH, Hadley EC, Levy KJ, Ory MG (1993) A comparison of effectiveness of biofeedback and pelvic muscle exercise treatment of stress incontinence in older community-dwelling women. J Gerontol 48:167-174
107. Goode PS, Burgio KL, Locher JL et al (2003) Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women: a randomized controlled trial. JAMA 290(3):345-352
108. Bø K, Kvarstein B, Nygaard I (2005) Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstet Gynecol 105(5 Pt 1):999-1005
109. Allahdin S, Kambhampati L (2012) Stress urinary incontinence in continent primigravidas. J Obstet Gynaecol 32(1):2-5