Urinary incontinence between 12 and 24months postpartum: a cross-sectional study nested in a Brazilian cohort from two cities with different socioeconomic characteristics

Autor(es)

Magnani, Pedro Sergio ^[1] ; Bettiol, Heloisa ^[2] ; Moura da Silva, Antonio Augusto ^[3] ; Barbieri, Marco Antonio ^[2] ; de Carvalho Cavalli, Ricardo ^[1] ; Oliveira Brito, Luiz Gustavo ^{[1, 4]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Gynaecol & Obstet, Ribeirao Preto - Brazil

^[2] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Paediat, Ribeirao Preto - Brazil

^[3] Univ Fed Maranhao, Dept Publ Hlth, Sao Luis - Brazil

^[4] Hosp Clin FMRP USP, Ave Bandeirantes 3900, 8th Floor Monte Alegre, BR-14049900 Ribeirao Preto, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: INTERNATIONAL UROGYNECOLOGY JOURNAL; v. 30, n. 6, p. 1003-1011, JUN 2019.
• Citações Web of Science: 0

Resumo

Introduction and hypothesisWe aimed to identify the prevalence of urinary incontinence (UI) during the postpartum period (12-24months) in two cities with different socioeconomic indicators in Brazil (RibeirAo Preto, SP, and SAo Luis, MA) and to determine associated risk factors.MethodsA cross-sectional study nested in the Brazilian RibeirAo Preto and SAo Luis Birth Cohort Studies (BRISA) cohort was conducted in two Brazilian municipalities (RibeirAo Preto, and SAo Luis). A total of 13,214 women delivered in both cities (2010-2011). We interviewed 3,751 postpartum women in RibeirAo Preto and 3275 in SAo Luis (2011-2013). Univariate and multivariate analyses were performed to assess factors associated with postpartum UI for each municipality.ResultsThe prevalence of self-reported UI at 12-24months postpartum was 16.3% (611 out of 3,751) in RibeirAo Preto and 11.4% (375 out of 3,275) in SAo Luis (p<0.001). The univariate analysis performed at RibeirAo Preto showed that women who were obese, who had diabetes or gestational diabetes and who presented with excessive weight gain during gestation presented an association with postpartum UI. However, only weight gain during pregnancy remained strongly associated with UI on multivariate analysis (p=0.009; OR 1.041 {[}1.010-1.073]). On the other hand, in SAo Luis, no risk factors were associated with postpartum UI at univariate and multivariate analysis.ConclusionsThe prevalence of UI was higher in RibeirAo Preto (higher socioeconomic level) than in SAo Luis. Weight gain during pregnancy was statistically associated with UI in RibeirAo Preto. No independent variables remained associated in the final model with UI in SAo Luis. (AU)

• Processo FAPESP: 08/53593-0 - Fatores etiológicos da prematuridade e conseqüências dos fatores perinatais na saúde da criança: coortes de nascimentos em duas cidades brasileiras
• Beneficiário: Marco Antonio Barbieri
• Modalidade de apoio: Auxílio à Pesquisa - Temático