E-Posters-10218

10218_Giugale

Pdf Summary

This study aimed to assess the prevalence and predictors of urinary incontinence (UI) at 12 months postpartum (PP). The study involved a prospective cohort of nulliparous women who participated in the Impact of Pregnancy and Parturition on Pelvic Organ Support study. The women were enrolled at two academic institutions and met the inclusion criteria of being nulliparous women aged 18 years or older in their first trimester of pregnancy. At 12 months PP, the women were asked about the frequency of urine leakage to determine if they had UI.<br /><br />The results showed that UI was common at 12 months PP, affecting 55% of women in the cohort. The severity of UI varied, with some women experiencing symptoms less than once per month, while others reported symptoms daily. The presence of UI in the third trimester was significantly associated with UI at 12 months PP, with a positive predictive value of 77%. This finding suggests that women experiencing UI during pregnancy may benefit from early targeted interventions such as pelvic floor physical therapy or regenerative medicine technologies.<br /><br />Logistic regression modeling identified 3rd trimester UI as the only predictor for UI at 12 months PP. Other variables, such as pre-pregnancy UI, UI in the first trimester, and pregnancy weight gain, were not significantly associated with UI at 12 months PP.<br /><br />The study also evaluated various ultrasound parameters but did not find any predictive factors for postpartum UI. The researchers concluded that ongoing research is needed to identify possible biological factors that may increase the risk of postpartum UI.<br /><br />In summary, UI is common at 12 months PP, and the presence of UI in the third trimester is a significant predictor for UI at 12 months PP. Identifying and targeting this subset of women for early interventions may help manage and alleviate postpartum UI. Further research is needed to understand the biological factors contributing to postpartum UI.

Keywords

urinary incontinence

prevalence

predictors

12 months postpartum

prospective cohort

nulliparous women

Impact of Pregnancy and Parturition on Pelvic Organ Support study

severity of UI

third trimester

positive predictive value