Prevalence and Risk Factors for Postpartum Urinary Incontinence Among Postnatal Women in A Tertiary Health Care Centre, North Central Nigeria
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Abstract
Background: Urinary incontinence majorly impacts an individual’s quality of life. Though not life-threatening, it imposes a substantial emotional, social, and financial burden not only on the affected person but also on her family members.
Objective: To determine the prevalence and risk factors for urinary incontinence other than vesicovaginal fistula among post-natal clinic women in Jos University Teaching Hospital, Jos.
Methods: It was a descriptive cross-sectional study involving 210 women attending a post-natal clinic in the Jos University Teaching Hospital over six months. Data collection was through an interviewer/self-administered questionnaire, which was sorted, coded, and analyzed using the Statistical Package for Social Sciences (SPSS). Analysis was done using descriptive statistics, into frequencies, Chi-square, and Fisher’s exact test at p<0.05 significance level.
Results: The mean age of the study participants was 30.10 years. The overall prevalence of post-partum urinary incontinence among the study participants was 57 (27.10%): Stress urinary incontinence constituted 27 (47.37%), urge incontinence constituted 17 (29.82%), while those with mixed incontinence were 13 (22.81%). There were statistically significant relationships between post-partum urinary incontinence and age, religion, marital status, educational status, and occupation (p=0.001, 0.010, 0.002, 0.001, and 0.001, respectively)
Conclusion: The study found that urinary incontinence other than vesicovaginal fistula is not uncommon among women during the puerperium, with stress incontinence being the most prevalent. Risk factors associated with it include age, religion, marital status, educational status, occupation, grand multiparity, and obesity. It's important to actively evaluate post-partum women and offer them treatment where the diagnosis is made.
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References
Coyne K, Wein A, Nicholson S, Kwasz M, Chen C, Milson I. Comorbidities and personal burden of urgency urinary incontinence: a systematic review. Int J Clin Pr. 2013; 67:1015–33.
Rabiu A, Abubakar 1S, Garba I. Prevalence of postpartum urinary incontinence among women attending a postnatal clinic at Aminu Kano Teaching Hospital. Trop J Obs Gynaecol. 2015;32(2):137–44.
Bal S, Saha S, Krishnamurthy P, Talukdar A. Postpartum urinary stress incontinence – its relation with the mode of delivery. J Obs Gynaecol India. 2006;56(4):337–9.
Udoeyop E, Otubu J. Urinary Conditions. In: Abudu O, Otubu J, editors. Agboola’s Textbook of Obstetrics and Gynaecology for Medical Students. 3rd Editio. Ibadan: HEBN Publishers Plc; 2028. p. 45–50.
Vik K. Urinary Incontinence. In: Edmond D, Lees C, Bourne T, editors. Dewhurst textbook of Obstetrics and Gynaecology for postgraduate. 9th Editio. Oxford: John Willey and Sons Ltd; 2018. p. 766–92.
Bendix E, Lunne C, Errboe P, Gregersen M. Advances Absorbent incontinence pad use and the association with urinary tract infection and frailty: A retrospective cohort study. International Journal of Nursing Studies. 2023;5(December 2022).
Duralde E, Rowen T. Urinary incontinence and Associated Female Sexual Dysfunction. Sex Med Rev. 2017; 5:470–85.
Lukalz E, Santiago-Lastra Y, Albo M, Brubaker L. Urinary incontinence in Women: A Review. JAMA. 2017; 318:1592–1504.
Vo A, Kielb S. Female Voiding Dysfunction and Urinary Incontinence. 2018; 313-324. Med Clin N Am. 2018;102(2):313–24.
Wood L, Anger J. Urinary Incontinence in Women. 2014; 349: g4531. BMJ. 2014;349: g4531.
Danso K, Ankobea-kokroe F, Ofori A. Urinary Incontinence. In: Kwawukume E, Emuveyan E, Ekele B, Danso K, editors. Comprehensive Gynaecology in The Tropics. 2nd Editio. Accra: G-Pack Ltd; 2017. p. 197–205.
Tarney C, Medendorp A, Cohen S, Mwesigwa P. Urinary Incontinence and Pelvic Floor Disorders. In: Decherney A, Nathan L, Laufer N, Roman A, editors. Current Diagnosis and Treatment, Obstetrics and Gynecology. 12th Editi. New York: McGraw Hill Education; 2019. p. 697–733.
Aggazzoti G, Pesce F, Grassi D, De-Vita D, Santacroce S, Artibani W. Prevalence of Urinary Incontinence Among Institutionalized patients: a cross-sectional epidemiologic study in a midsized city in northern Italy. Urology. 2000;56(2):245–9.
Njoki CO, Njoku CN, Emechebe CI, Okpe AE, Iklaki CI. Pattern and risk factors of non-fistulous urinary incontinence among gynecological clinic attendees in a Nigeria tertiary health institution. Int J Reprod Contraception, Obstet Gynecol. 2020;9(6):2323–7.
Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35(2):121–6.
Chang S, Lin W, Chang T, Lin H, Lee C. Risk factors for stress and urge urinary incontinence during pregnancy and the first year postpartum: a prospective longitudinal study. Int Urogynecol J. 2021; 32:2455–64.
Moossdorff-steinhauser HFA, Berghmans BCM, Spaanderman MEA, Bols EMJ. Prevalence, incidence, and bothersomeness of urinary incontinence between 6 weeks and 1-year post-partum: a systematic review and meta-analysis. Int Urogynecol J. 2021; 32:1675–93.
Jansson MH, Franzén K, Tegerstedt G, Hiyoshi A, Nilsson K. Stress and urgency urinary incontinence one year after a first birth — prevalence and risk factors. A prospective cohort study. Acta Obs Gynecol Scand. 2021; 100:2193–201.
Veliyeva A, Omarova G, Mustafazade T, Magalov I, Pulatova A, Ibragimov R. Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis. Electron J Gen Med. 2024;21(4):2516–3507.