Publication:
Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: A review of the literature

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Issued Date

2014

Resource Type

Review

File Type

application/pdf

ISSN

3012115

DOI

10.1016/j.ejogrb.2014.04.010

Other identifier(s)

2-s2.0-84903134044

Rights Holder(s)

Scopus

Bibliographic Citation

European Journal of Obstetrics and Gynecology and Reproductive Biology. Vol 178, (2014), p.27-34

Suggested Citation

Sangsawang B. Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: A review of the literature. European Journal of Obstetrics and Gynecology and Reproductive Biology. Vol 178, (2014), p.27-34. doi:10.1016/j.ejogrb.2014.04.010 Retrieved from: https://hdl.handle.net/20.500.14740/6281

Title

Risk factors for the development of stress urinary incontinence during pregnancy in primigravidae: A review of the literature

Author(s)

Sangsawang B.

Abstract

The most common type of urinary incontinence (UI) in pregnant women is stress urinary incontinence (SUI). The number of pregnant women with SUI was variable, the prevalence ranged from 18.6% to 75% and increased with gestational age. It can affect the quality of life (QoL) of approximately 54.3% of all pregnant women in four domains including physical activity, travel, social relationships and emotional health. Pregnancy is one of the main risk factors for the development of SUI in young women. Physiological changes during pregnancy, such as increasing pressure of the growing uterus and fetal weight on the pelvic floor muscle (PFM) throughout pregnancy, together with pregnancy-related hormonal changes such as increased progesterone, decreased relaxin, and decreased collagen levels, may lead to reduced strength and supportive and sphincteric function of the PFM. Pregnancy may associate with the reduction of the PFM strength which can develop the SUI. However, the exact causes of pregnancy-related SUI remain unclear. Multiple factors have been found to be associated with the development of SUI during pregnancy. In genetic risk factors, aging is an important role in SUI development. The other risk factors such as obesity, smoking, constipation, pre-pregnancy SUI, gestational diabetes mellitus (GDM), and pelvic floor muscle exercise (PFME) that utilized preventive strategies can reduce SUI in pregnant women. The purpose of this review is to identify the risk factors for the development of SUI in pregnant women. These understanding can be useful for health professions to inform and counsel the pregnant women to prevent and reduce the risk factors that contribute to the development of SUI during pregnancy and postpartum period. © 2014 Elsevier Ireland Ltd.

Subject(s)

Collagen
 Progesterone
 Relaxin
 Aging
 Body mass
 Constipation
 Emotional stability
 Fetus weight
 Genetic risk
 Gestational age
 Human
 Muscle exercise
 Obesity
 Pelvis floor
 Physical activity
 Pregnancy
 Pregnancy diabetes mellitus
 Pregnant woman
 Primigravida
 Priority journal
 Puerperium
 Quality of life
 Review
 Risk factor
 Smoking
 Social interaction
 Sphincter
 Strength
 Stress incontinence
 Travel
 Uterus
 Weight gain
 Adult
 Complication
 Female
 Kinesiotherapy
 Maternal age
 Pathophysiology
 Physiology
 Pregnancy
 Pregnancy Complications
 Urinary Incontinence
 Urinary Incontinence, Stress
 Adult
 Constipation
 Exercise Therapy
 Female
 Gravidity
 Humans
 Maternal Age
 Obesity
 Pelvic Floor
 Postpartum Period
 Pregnancy
 Pregnancy Complications
 Pregnancy in Diabetics
 Risk Factors
 Smoking
 Urinary Incontinence
 Urinary Incontinence, Stress
 Weight Gain

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URI

https://hdl.handle.net/20.500.14740/6281

Collections

Scopus: Year 1983-2021

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