URINARY INCONTINENCE AMONG WOMEN AFTER MULTIPLE PREGNANCIES

soi: 21.2017/re-trj17vol01iss01p13

Abstract

Objective: The purpose of the current study was to look into the occurrence of symptoms of Stress and Urge Urinary Incontinence among women following multiple pregnancies, and the association of gravidity and age with severity of urinary incontinence. Study Design: Cross Sectional Survey. Study Setting: Al-Nafees Hospital, Islamabad. Methodology: Women aged 20-40 years of age with multiple pregnancies were included in the study, whereas females with urinary incontinence with cause other than pregnancy or delivery were excluded. Non probability convenience sampling was used. “MESA Urinary Incontinence Questionnaire: was used as an outcome measurement tool. Results: A total of 129 participants were included in the study. The mean age of participants was 30.68±5.03 years.  Gravidity was 2 for 37.2% (n=48) participants and >2 for 62.8% (n=81) participants. Among participants 55.8% (n=72) women had vaginal and 44.2% (n=57) had caesarian deliveries. A non significant positive correlation was found between gravida and stress incontinence (p>0.05), however a positive significant correlation was observed between gravida and urge incontinence (p=0.05). Similarly a non significant correlation was found between age and stress incontinence (p>0.05), however a positive significant correlation was observed between age and urge incontinence (p<0.05). No significant differences were observed based on mode of delivery in terms of stress incontinence and urge incontinence (p<0.05). Conclusion: Urinary Incontinence is common among women postpartum and urge incontinence is associated with age and gravidity. Mode of delivery has no significant difference in terms of severity of urinary incontinence.

Keywords: Urinary incontinence, stress incontinence, urge incontinence, postpartum, gravida, vaginal delivery, caesarian section.