Position in the second stage of labour and de novo onset of post-partum urinary incontinence

International Urogynecology Journal
Maurizio SeratiFabio Ghezzi

Abstract

The aim of this study was to evaluate the role of the maternal position at the time of delivery on the onset of de novo symptoms of urinary incontinence (UI) in the post-partum period. This prospective study evaluated the data of consecutive women undergoing labour and delivery, between January 2014 and July 2014. We included only women with a singleton pregnancy undergoing vaginal delivery. During the study period, patients chose to deliver in the position that they considered the most comfortable. The onset of UI was evaluated according to the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-sf). Overall, 716 primiparous women were included in the study. Sixty women refused the 12-week post-partum interview (8.4%). Women were divided in two groups: 296 women (45.1%) who chose an upright position during delivery (group 1) and 360 women (54.9%) who chose a supine position (group 2). Group 1 had a significantly lower episiotomy rate, but a higher rate of greater than second degree perineal tears. In group 1 we found a significantly lower rate of de novo UI (40.5% vs 48.9%, p = 0.03) and in particular of stress urinary incontinence. Via multivariate analysis, birth position was the only factor correlating...Continue Reading

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Citations

Dec 5, 2015·International Urogynecology Journal·Maurizio SeratiStefano Salvatore
May 26, 2017·The Cochrane Database of Systematic Reviews·Janesh K GuptaJoshua P Vogel
Aug 23, 2020·Current Urology Reports·Amanda R Swanton, E Ann Gormley
Sep 17, 2020·Revista da Escola de Enfermagem da U S P·Bruna Dedavid da RochaBibiana Sales Antunes
Jul 28, 2020·International Urogynecology Journal·Shahla Faal SiahkalMaryam Zahedian
Sep 30, 2021·International Urogynecology Journal·Mafalda S CardosoTeresa Rodrigues

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