Department of Obstetrics and Gynecology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.
National Center for Healthcare Quality Management in Obstetrics, Beijing, 100191, China.
Int Urogynecol J. 2022 Aug;33(8):2275-2281. doi: 10.1007/s00192-021-04802-1. Epub 2021 May 4.
Stress urinary incontinence (SUI) is a common postpartum disorder. In this study, we aim to identify the risk factors for SUI in multiparous women 1 year after delivery.
A retrospective cohort study was conducted in multiparous women who gave birth from January 2016 to March 2018 in Peking University Third Hospital. We interviewed all of the participants with the help of The International Consultation on Incontinence questionnaire short form (ICI-Q-SF) 1 year after delivery by telephone to identify symptoms of SUI. Univariate and multivariate analyses were applied to assess the potential risk factors of SUI. A decision tree was used to assess the prevalence of SUI in the different subgroups.
A total of 172 multiparous women were recruited. The prevalence of SUI was 30.2% (52/172) 1 year after delivery. In univariate analysis, maternal age ≥ 35 years, SUI after the first delivery, GDM and birth exclusively by vaginal delivery increased the risk for SUI 1 year after delivery. Multivariate analysis indicated that SUI after the first delivery (OR: 3.937, 95% CI: 1.764-8.787), gestational diabetes mellitus (GDM) (OR: 3.754, 95% CI: 1.599-8.810) and age ≥ 35 years (OR: 2.964, 95% CI: 1.208-7.274) were independent risk factors for SUI 1 year after delivery. A decision tree showed that participants who had SUI after the first delivery and patients with GDM were more likely to have SUI than patients without GDM (73.3% vs. 50%).
For multiparous women, SUI after the first delivery, GDM and age ≥ 35 years increase the risk of SUI 1 year after delivery.
压力性尿失禁（SUI）是一种常见的产后疾病。本研究旨在探讨初产妇产后 1 年发生 SUI 的相关风险因素。
采用回顾性队列研究，纳入 2016 年 1 月至 2018 年 3 月在北京大学第三医院分娩的经阴道分娩的初产妇。通过电话，利用国际尿失禁咨询问卷表简表（ICI-Q-SF）对所有产妇产后 1 年进行随访，以明确 SUI 症状。采用单因素和多因素分析评估 SUI 的潜在风险因素。采用决策树评估不同亚组中 SUI 的患病率。
共纳入 172 例初产妇。产后 1 年 SUI 的患病率为 30.2%（52/172）。单因素分析显示，产妇年龄≥35 岁、首次分娩后发生 SUI、妊娠期糖尿病（GDM）及经阴道分娩均增加产后 1 年 SUI 的风险。多因素分析表明，首次分娩后发生 SUI（OR：3.937，95%CI：1.764-8.787）、GDM（OR：3.754，95%CI：1.599-8.810）和年龄≥35 岁（OR：2.964，95%CI：1.208-7.274）是产后 1 年发生 SUI 的独立危险因素。决策树显示，首次分娩后发生 SUI 及患有 GDM 的产妇发生 SUI 的可能性大于未患 GDM 的产妇（73.3%比 50%）。
对于初产妇，首次分娩后发生 SUI、GDM 和年龄≥35 岁会增加产后 1 年发生 SUI 的风险。
