E-Posters-Prevalence and Risk Factors for Urinary Incontinence in First Pregnancy

Prevalence and Risk Factors for Urinary Incontinence in First Pregnancy - Lucas Schreiner, PhD

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This study aimed to determine the prevalence of urinary incontinence (UI) in pregnant women during their first pregnancy and identify risk factors associated with UI in this population. 73 primiparous women between 12 and 20 weeks of pregnancy participated in the study. The prevalence of incontinence in this group was 18.3%. In terms of demographic and health factors, 74.3% of the participants were white, 4.3% had diabetes, 10.1% had high blood pressure, and 10% were smokers. During the evaluation of pelvic-floor muscle strength (PFMS), 43.3% presented a weak Kegel response, 47.3% had a normal response, and 9% had a strong response. PFMS did not differ significantly between the continent and incontinent women. There was also no difference in bladder-diary parameters and pelvic organ prolapse measurements between the two groups. Among the incontinent patients, 76.9% complained of stress urinary incontinence and 53.8% complained of urgency. The patients' mean body mass index (BMI) was higher in the incontinent group, but the difference was not statistically significant. Smoking was the only risk factor that showed a statistically significant association with UI in pregnancy, with 57.1% of smokers experiencing UI compared to 14.3% of non-smokers. In conclusion, urinary incontinence can be a major problem during pregnancy, and smoking was identified as a significant risk factor for UI in pregnant women. These findings highlight the importance of smoking cessation during pregnancy.

Keywords

urinary incontinence

pregnant women

first pregnancy

risk factors

prevalence

demographic factors

health factors

pelvic-floor muscle strength

stress urinary incontinence

smoking cessation