Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis
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Ainura Veliyeva 1 * , Gulzhakhan Omarova 2 , Tukaz Mustafazade 3 , Islam Magalov 4 , Amina Pulatova 2 , Ravil Ibragimov 5
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1 Department of Obstetrics and Gynecology, Al-Farabi Kazakh National University, Almaty, KAZAKHSTAN2 Department of Obstetrics and Gynecology, Asfendiyarov Kazakh National Medical University, Almaty, KAZAKHSTAN3 Department of Neonatology, Kazakh-Russian Medical University, Almaty, KAZAKHSTAN4 Department of Obstetrics and Gynaecology, Baku Branch of I. M. Sechenov First State Moscow Medical University, Baku, AZERBAYCAN5 Department of Urology, Helmir Hospital, Almaty, KAZAKHSTAN* Corresponding Author
Abstract
Background: The objective of this meta-analysis was to identify and quantify postpartum stress urinary incontinence (SUI) risk factors.
Methods: We systemically searched three electronic databases (PubMed, Scopus, and Web of Science). The evaluated variables as risk factors were pooled as odds ratio (OR) with the corresponding 95% confidence intervals (CI).
Results: 63 studies were included. The analysis found a significant positive association between SUI and vaginal delivery (OR=2.15), age (OR=1.44), BMI (OR=1.19), parity (OR=1.43), and fetal-birth weight (OR=1.08).
Conclusions: Age, parity, delivery with forceps, birth weight, maternal body mass index, induction of labor, length of the second stage of labor, history of prenatal SUI, and vaginal delivery were all risk factors for postpartum SUI.
Scientific novelty: This systematic review and meta-analysis provides the most comprehensive and updated evidence to date.
Practical significance of the results: Healthcare personnel should be taught to recognize and treat postpartum SUI risk factors.
License
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Type: Review Article
ELECTRON J GEN MED, Volume 21, Issue 4, August 2024, Article No: em595
https://doi.org/10.29333/ejgm/14780
Publication date: 09 Jul 2024
Article Views: 503
Article Downloads: 356
Open Access References How to cite this articleReferences
- Gonzalez G, Vaculik K, Khalil C, et al. Women’s experience with stress urinary incontinence: Insights from social media analytics. J Urol. 2020;203:962-8. https://doi.org/10.1097/JU.0000000000000706 PMid:31855097 PMCid:PMC9354536
- Gill BC, Moore C, Damaser MS. Postpartum stress urinary incontinence: Lessons from animal models. Expert Rev Obstet Gynecol. 2010;5:567-80. https://doi.org/10.1586/eog.10.48 PMid:21113428 PMCid:PMC2989536
- Tähtinen RM, Cartwright R, Tsui JF, et al. Long-term impact of mode of delivery on stress urinary incontinence and urgency urinary incontinence: A systematic review and meta-analysis. Eur Urol. 2016;70:148-58. https://doi.org/10.1016/j.eururo.2016.01.037 PMid:26874810 PMCid:PMC5009182
- Sangsawang B, Sangsawang N. Stress urinary incontinence in pregnant women: A review of prevalence, pathophysiology, and treatment. Int Urogynecol J. 2013; 24:901-12. https://doi.org/10.1007/s00192-013-2061-7 PMid:23436035 PMCid:PMC3671107
- Wang K, Xu X, Jia G, Jiang H. Risk factors for postpartum stress urinary incontinence: A systematic review and meta-analysis. Reprod Sci. 2020;27:2129-45. https://doi.org/10.1007/s43032-020-00254-y PMid:32638282
- Kokabi R, Yazdanpanah D. Effects of delivery mode and sociodemographic factors on postpartum stress urinary incontinency in primipara women: A prospective cohort study. J Chin Med Assoc. 2017;80:498-502. https://doi.org/10.1016/j.jcma.2016.06.008 PMid:28089544
- Imamura M, Williams K, Wells M, McGrother C. Lifestyle interventions for the treatment of urinary incontinence in adults. Cochrane Database Syst Rev. 2015;2015:CD003505. https://doi.org/10.1002/14651858.CD003505.pub5
- Titman SC, Radley SC, Gray TG. Self-management in women with stress incontinence: Strategies, outcomes and integration into clinical care. Res Rep Urol. 2019;11:111-21. https://doi.org/10.2147/RRU.S177826 PMid:31114767 PMCid:PMC6489641
- Woodley SJ, Boyle R, Cody JD, Mørkved S, Hay-Smith EJC. Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev. 2017;12:CD007471. https://doi.org/10.1002/14651858.CD007471.pub3 PMid:29271473 PMCid:PMC6486304
- Cochrane Handbook for Systematic Reviews of Interventions. Cochrane training. Available at: https://training.cochrane.org/handbook (Accessed: 13 December 2022).
- Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71 PMid:33782057 PMCid:PMC8005924
- Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4 PMid:27919275 PMCid:PMC5139140
- Morgan SC, Hoffman K, Loblaw DA, et al. Hypofractionated radiation therapy for localized prostate cancer: An ASTRO, ASCO, and AUA evidence-based guideline. J Urol. 2018;201(3):528-34. https://doi.org/10.1016/j.juro.2018.10.001
- Egger M, Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629-34. https://doi.org/10.1136/bmj.315.7109.629 PMid:9310563 PMCid:PMC2127453
- Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50:1088-101. https://doi.org/10.2307/2533446 PMid:7786990
- Alghamdi AA, Alyousif GF, Alghamdi RL, et al. The prevalence of urinary incontinence symptoms among multiparous women: A survey of Saudi health-care centers. Int Urogynecol J. 2021;32:403-11. https://doi.org/10.1007/s00192-020-04443-w PMid:32696184
- Altman D, Ekström A, Gustafsson C, López A, Falconer C, Zetterström J. Risk of urinary incontinence after childbirth: A 10-year prospective cohort study. Obstet Gynecol. 2006;108:873-8. https://doi.org/10.1097/01.AOG.0000233172.96153.ad PMid:17012448
- Arrue M, Ibañez L, Paredes J, et al. Stress urinary incontinence six months after first vaginal delivery. Eur J Obstet Gynecol Reprod Biol. 2010;150:210-4. https://doi.org/10.1016/j.ejogrb.2010.02.039 PMid:20227161
- Arrue M, Diez-Itza I, Ibañez L, Paredes J, Murgiondo A, Sarasqueta C. Factors involved in the persistence of stress urinary incontinence from pregnancy to 2 years post partum. Int J Gynaecol Obstet. 2011;115:256-9. https://doi.org/10.1016/j.ijgo.2011.07.024 PMid:21959067
- Baud D, Sichitiu J, Lombardi V, et al. Comparison of pelvic floor dysfunction 6 years after uncomplicated vaginal versus elective cesarean deliveries: A cross-sectional study. Sci Rep. 2020;10:21509. https://doi.org/10.1038/s41598-020-78625-3 PMid:33299112 PMCid:PMC7726103
- Baydock SA, Flood C, Schulz JA, et al. Prevalence and risk factors for urinary and fecal incontinence four months after vaginal delivery. J Obstet Gynaecol Can. 2009;31:36-41. https://doi.org/10.1016/s1701-2163(16)34051-8 PMid:19208281
- Bergman I, Westergren Söderberg M, Lundqvist A, Ek M. Associations between childbirth and urinary incontinence after midurethral sling surgery. Obstet Gynecol. 2018;131: 297-303. https://doi.org/10.1097/AOG.0000000000002445 PMid:29324615
- Birch L, Doyle PM. Prevalence of and risk factors for urinary incontinence during the third trimester and first postpartum year in primiparous women. Int J Childbirth. 2011;1:71-81. https://doi.org/10.1891/2156-5287.1.2.71
- Burgio KL, Zyczynski H, Locher JL, Richter HE, Redden DT, Wright KC. Urinary incontinence in the 12-month postpartum period. Obstet Gynecol. 2003;102:1291-8. https://doi.org/10.1016/j.obstetgynecol.2003.09.013 PMid:14662217
- Carley ME, Carley JM, Vasdev G, et al. Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery. Am J Obstet Gynecol. 2002;187:430-3. https://doi.org/10.1067/mob.2002.123609 PMid:12193938
- Cavkaytar S, Kokanali MK, Baylas A, Topcu HO, Laleli B, Tasci Y. Postpartum urinary retention after vaginal delivery: Assessment of risk factors in a case-control study. J Turk Ger Gynecol Assoc. 2014;15:140-3. https://doi.org/10.5152/jtgga.2014.13102 PMid:25317040 PMCid:PMC4195322
- Chaliha C, Kalia V, Stanton SL, Monga A, Sultan AH. Antenatal prediction of postpartum urinary and fecal incontinence. Obstet Gynecol. 1999;94:689-94. https://doi.org/10.1016/s0029-7844(99)00364-6 PMid:10546711
- Chan SSC, Cheung RYK, Yiu KW, Lee LL, Chung TKH. Prevalence of urinary and fecal incontinence in Chinese women during and after their first pregnancy. Int Urogynecol J. 2013;24:1473-9. https://doi.org/10.1007/s00192-012-2004-8 PMid:23229419
- Chang S-R, Lin W-A, Chang T-C, Lin H-H, Lee C-N, Lin M-I. 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. https://doi.org/10.1007/s00192-021-04788-w PMid:33835213
- Chang S-D, Hsieh W-C, Chiu SY-H, Ng K-L, Liang C-C. Factors determining the persistence of prenatal stress urinary incontinence 12 months postpartum. Taiwan J Obstet Gynecol. 2023;62:40-4. https://doi.org/10.1016/j.tjog.2022.10.003 PMid:36720548
- Chen L, Chen X, Luo D, Jin M, Hu Y, Cai W. Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: A cohort study. J Int Med Res. 2020;48:300060520914226. https://doi.org/10.1177/0300060520914226 PMid:32496162 PMCid:PMC7273567
- Cheng H, Gong F, Shen Y, OuYang P, Ni R, Gao H. A nomogram model predicting the risk of postpartum stress urinary incontinence in primiparas: A multicenter study. Taiwan J Obstet Gynecol. 2022;61:580-4. https://doi.org/10.1016/j.tjog.2022.04.004 PMid:35779903
- Chin H-Y, Chen M-C, Liu Y-H, Wang K-H. Postpartum urinary incontinence: A comparison of vaginal delivery, elective, and emergent cesarean section. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:631-5. https://doi.org/10.1007/s00192-006-0085-y PMid:16568215
- Chou P-L, Chen F-P, Teng L-F. Factors associated with urinary stress incontinence in primiparas. Taiwan J Obstet Gynecol. 2005;44:42-7. https://doi.org/10.1016/S1028-4559(09)60105-4
- Chuang CM, Lin IF, Horng HC, Hsiao YH, Shyu IL, Chou P. The impact of gestational diabetes mellitus on postpartum urinary incontinence: A longitudinal cohort study on singleton pregnancies. BJOG. 2012;119:1334-43. https://doi.org/10.1111/j.1471-0528.2012.03468.x PMid:22901044
- Diez-Itza I, Arrue M, Ibañez L, Murgiondo A, Paredes J, Sarasqueta C. Factors involved in stress urinary incontinence 1 year after first delivery. Int Urogynecol J. 2010;21:439-45. https://doi.org/10.1007/s00192-009-1055-y PMid:19940977
- Diez-Itza I, Zubikarai M, Galan C, Ginto L, Saro J, Arrue M. Factors involved in the persistence of stress urinary incontinence from postpartum to 12 years after first delivery. Neurourol Urodyn 2020;39:1849-55. https://doi.org/10.1002/nau.24442 PMid:32558998
- Dolan LM, Hilton P. Obstetric risk factors and pelvic floor dysfunction 20 years after first delivery. Int Urogynecol J. 2010;21:535-44. https://doi.org/10.1007/s00192-009-1074-8 PMid:20052571
- Durnea CM, Khashan AS, Kenny LC, et al. What is to blame for postnatal pelvic floor dysfunction in primiparous women-Pre-pregnancy or intrapartum risk factors? Eur J Obstet Gynecol Reprod Biol. 2017;214:36-43. https://doi.org/10.1016/j.ejogrb.2017.04.036 PMid:28525825
- Eftekhar T, Hajibaratali B, Ramezanzadeh F, Shariat M. Postpartum evaluation of stress urinary incontinence among primiparas. Int J Gynaecol Obstet. 2006;94:114-8. https://doi.org/10.1016/j.ijgo.2006.04.042 PMid:16846603
- Fakhrizal E, Priyatini T, Santoso BI, et al. Prevalence and risk factors of persistent stress urinary incontinence at three months postpartum in Indonesian women. Med J Indones. 2016;25:163. https://doi.org/10.13181/mji.v25i3.1407
- Foldspang A, Mommsen S, Lam GW, Elving L. Parity as a correlate of adult female urinary incontinence prevalence. J Epidemiol Community Health. 1992;46:595-600. https://doi.org/10.1136/jech.46.6.595 PMid:1494074 PMCid:PMC1059675
- Fritel X, Fauconnier A, Levet C, Bénifla J-L. Stress urinary incontinence 4 years after the first delivery: A retrospective cohort survey. Acta Obstet Gynecol Scand. 2004;83:941-5. https://doi.org/10.1111/j.0001-6349.2004.00457.x PMid:15453890 PMCid:PMC2662093
- Fritel X, Tsegan YE, Pierre F, Saurel-Cubizolles M-J, EDEN Mother-Child Cohort Study Group. Association of postpartum depressive symptoms and urinary incontinence. A cohort study. Eur J Obstet Gynecol Reprod Biol. 2016;198:62-7. https://doi.org/10.1016/j.ejogrb.2015.12.028 PMid:26799771
- Gao J, Liu X, Zuo Y, Li X. Risk factors of postpartum stress urinary incontinence in primiparas: What should we care. Medicine (Baltimore). 2021;100:e25796. https://doi.org/10.1097/MD.0000000000025796 PMid:34011042 PMCid:PMC8137028
- Goldberg RP, Kwon C, Gandhi S, Atkuru LV, Sorensen M, Sand PK. Urinary incontinence among mothers of multiples: The protective effect of cesarean delivery. Am J Obstet Gynecol. 2003;188:1447-50-discussion 1450. https://doi.org/10.1067/mob.2003.451 PMid:12824977
- Goldberg RP, Abramov Y, Botros S, et al. Delivery mode is a major environmental determinant of stress urinary incontinence: Results of the evanston-northwestern twin ssters sStudy. Am J Obstet Gynecol. 2005;193:2149-53. https://doi.org/10.1016/j.ajog.2005.08.055 PMid:16325632
- Gross L, Ganer Herman H, Gonen N, Rockenshtein O, Ginath S, Kovo M. Is there an association between the length of the second stage of labour and urinary incontinence in multiparous women? Eur J Obstet Gynecol Reprod Biol. 2022;274:96-100. https://doi.org/10.1016/j.ejogrb.2022.05.016 PMid:35623156
- Gyhagen M, Bullarbo M, Nielsen TF, Milsom I. A comparison of the long-term consequences of vaginal delivery versus caesarean section on the prevalence, severity and bothersomeness of urinary incontinence subtypes: A national cohort study in primiparous women. BJOG. 2013; 120:1548-55. https://doi.org/10.1111/1471-0528.12367 PMid:23786421
- Hansen BB, Svare J, Viktrup L, Jørgensen T, Lose G. Urinary incontinence during pregnancy and 1 year after delivery in primiparous women compared with a control group of nulliparous women. Neurourol Urodyn. 2012;31:475-80. https://doi.org/10.1002/nau.21221 PMid:22267117
- Hantoushzadeh S, Javadian P, Shariat M, Salmanian B, Ghazizadeh S, Aghssa M. Stress urinary incontinence: Pre-pregnancy history and effects of mode of delivery on its postpartum persistency. Int Urogynecol J. 2011;22:651-5. https://doi.org/10.1007/s00192-010-1335-6 PMid:21125217
- Herrmann V, Scarpa K, Palma PCR, Riccetto CZ. Stress urinary incontinence 3 years after pregnancy: Correlation to mode of delivery and parity. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:281-8. https://doi.org/10.1007/s00192-008-0767-8 PMid:19020787
- Hutton EK, Hannah ME, Willan AR, et al. Urinary stress incontinence and other maternal outcomes 2 years after caesarean or vaginal birth for twin pregnancy: A multicentre randomised trial. BJOG. 2018;125:1682-90. https://doi.org/10.1111/1471-0528.15407 PMid:30007113 PMCid:PMC6282843
- 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 Obstet Gynecol Scand. 2021;100:2193-201. https://doi.org/10.1111/aogs.14275 PMid:34699060
- Jia G, Jiang C, Wang K, et al. Epidemiological investigation of urinary incontinence in peri- and postpartum women from Nanjing, China. Low Urin Tract Symptoms. 2021;13: 481-9. https://doi.org/10.1111/luts.12399 PMid:34240558
- Lewicky-Gaupp C, Cao D-C, Culbertson S. Urinary and anal incontinence in African American teenaged gravidas during pregnancy and the puerperium. J Pediatr Adolesc Gynecol. 2008;21:21-6. https://doi.org/10.1016/j.jpag.2007.05.003 PMid:18312796
- Lu J, Lin P, Zou Y, Zhang R, Gao Y, Ren Q. Analysis of the risk factors of postpartum stress urinary incontinence and the treatment efficacy of electromyography biofeedback combined with neuromuscular electrical stimulation. Int J Clin Exp Med. 2020;13(11):8942-9.
- Molinet Coll C, Martínez Franco E, Altimira Queral L, Cuadras D, Amat Tardiu L, Parés D. Hormonal influence in stress urinary incontinence during pregnancy and postpartum. Reprod Sci. 2022;29:2190-9. https://doi.org/10.1007/s43032-022-00946-7 PMid:35471548
- Novo R, Perez-Rios M, Santiago-Pérez MI, Butler H, Malvar A, Hervada X. Prevalence and associated risk factors of urinary incontinence and dyspareunia during pregnancy and after delivery. Eur J Obstet Gynecol Reprod Biol. 2020; 245:45-50. https://doi.org/10.1016/j.ejogrb.2019.10.020 PMid:31851895
- Peyrat L, Haillot O, Bruyere F, Boutin JM, Bertrand P, Lanson Y. Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int. 2002;89:61-6. https://doi.org/10.1046/j.1464-4096.2001.01813.x PMid:11849162
- Pizzoferrato A-C, Fauconnier A, Bader G, de Tayrac R, Fort J, Fritel X. Is prenatal urethral descent a risk factor for urinary incontinence during pregnancy and the postpartum period? Int Urogynecol J. 2016;27:1003-11. https://doi.org/10.1007/s00192-015-2918-z PMid:26797099
- Rortveit G, Daltveit AK, Hannestad YS, Hunskaar S, Norwegian EPINCONT Study. Urinary incontinence after vaginal delivery or cesarean section. N Engl J Med. 2003;348:900-7. https://doi.org/10.1056/NEJMoa021788 PMid:12621134
- Scarpa KP, Herrmann V, Palma PCR, Riccetto CLZ, Morais SS. Prevalence and correlates of stress urinary incontinence during pregnancy: A survey at UNICAMP Medical School, São Paulo, Brazil. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:219-23. https://doi.org/10.1007/s00192-005-1361-y PMid:16021326
- Schytt E, Lindmark G, Waldenström U. Symptoms of stress incontinence 1 year after childbirth: Prevalence and predictors in a national Swedish sample. Acta Obstet Gynecol Scand. 2004;83:928-36. https://doi.org/10.1111/j.0001-6349.2004.00431.x PMid:15453888
- Sheyn D, Addae-Konaedu KL, Bauer AM, Dawodu KI, Hackney DN, El-Nashar SA. History of cervical insufficiency increases the risk of pelvic organ prolapse and stress urinary incontinence in parous women. Maturitas. 2018; 107:63-7. https://doi.org/10.1016/j.maturitas.2017.10.009 PMid:29169582
- Stainton MC, Strahle A, Fethney J. Leaking urine prior to pregnancy: A risk factor for postnatal incontinence. Aust N Z J Obstet Gynaecol. 2005;45:295-9. https://doi.org/10.1111/j.1479-828X.2005.00414.x PMid:16029295
- Tähtinen RM, Cartwright R, Vernooij RWM, et al. Long-term risks of stress and urgency urinary incontinence after different vaginal delivery modes. Am J Obstet Gynecol. 2019;220:181.e1-8. https://doi.org/10.1016/j.ajog.2018.10.034 PMid:30391444
- Torkestani F, Zafarghandi N, Davati A, Hadavand SH, Garshasbi M. Case-controlled study of the relationship between delivery method and incidence of post-partum urinary incontinence. J Int Med Res. 2009;37:214-9. https://doi.org/10.1177/147323000903700126 PMid:19215693
- Van Kessel K, Reed S, Newton K, Meier A, Lentz G. The second stage of labor and stress urinary incontinence. Am J Obstet Gynecol. 2001;184:1571-5. https://doi.org/10.1067/mob.2001.114856 PMid:11408883
- Viktrup L, Rortveit G, Lose G. Risk of stress urinary incontinence twelve years after the first pregnancy and delivery. Obstet Gynecol. 2006;108:248-54. https://doi.org/10.1097/01.AOG.0000226860.01127.0e PMid:16880292
- Wei D, Meng J, Zhang Y, Chen Y, Li J, Niu X. Identification of potential associated factors for stress urinary incontinence in women: A retrospective study. Ann Transl Med. 2022;10:965. https://doi.org/10.21037/atm-22-3539 PMid:36267763 PMCid:PMC9577745
- Xie L, Yu Z, Gao F. Teenage childbearing as an independent risk factor for stress urinary incontinence in american women. Urol J. 2022;19:392-7. https://doi.org/10.22037/uj.v19i.7223
- Zhong R, Zeng L, Wang X, Wang Y. A retrospective study of risk factors for stress urinary incontinence 1 year after delivery in multiparous women. Int Urogynecol J. 2022;33:2275-81. https://doi.org/10.1007/s00192-021-04802-1 PMid:33944979
- Arrue Gabilondo M, Ginto L, Zubikarai M, Galán C, Saro J, Diez-Itza I. Risk factors associated with stress urinary incontinence 12 years after first delivery. Int Urogynecol J. 2021;32:3061-7. https://doi.org/10.1007/s00192-020-04661-2 PMid:33471145
- Li Y, Zhang Z. Association between waist-to-height ratio and postpartum urinary incontinence. Int Urogynecol J. 2017;28:835-43. https://doi.org/10.1007/s00192-016-3220-4 PMid:27913836
- Liang C-C, Wu M-P, Lin S-J, Lin Y-J, Chang S-D, Wang H-H. Clinical impact of and contributing factors to urinary incontinence in women 5 years after first delivery. Int Urogynecol J. 2013;24:99-104. https://doi.org/10.1007/s00192-012-1855-3 PMid:22777581
- Yang X, Zhang HX, Yu HY, Gao XL, Yang HX, Dong Y. The prevalence of fecal incontinence and urinary incontinence in primiparous postpartum Chinese women. Eur J Obstet Gynecol Reprod Biol. 2010;152:214-7. https://doi.org/10.1016/j.ejogrb.2010.05.031 PMid:20576346
- Bø K, Nygaard IE. Is physical activity good or bad for the female pelvic floor? A narrative review. Sports Med. 2020; 50:471-84. https://doi.org/10.1007/s40279-019-01243-1 PMid:31820378 PMCid:PMC7018791
- Friedman S, Blomquist JL, Nugent JM, McDermott KC, Muñoz A, Handa VL. Pelvic muscle strength after childbirth. Obstet Gynecol. 2012;120:1021-8. https://doi.org/10.1097/aog.0b013e318265de39 PMid:23090518 PMCid:PMC3681819
- Ozdemir OC, Bakar Y, Ozengin N, Duran B. The effect of parity on pelvic floor muscle strength and quality of life in women with urinary incontinence: A cross sectional study. J Phys Ther Sci. 2015;27:2133-7. https://doi.org/10.1589/jpts.27.2133 PMid:26311939 PMCid:PMC4540834
- Abbas RA, Qadi YH, Bukhari R, Shams T. Maternal and neonatal complications resulting from vacuum-assisted and normal vaginal deliveries. Cureus. 2021;13:e14962. https://doi.org/10.7759/cureus.14962
- Yared G, Al Hassan J, Hajjar C, Ghazal K. Retrospective evaluation of the impact of second-stage labor arrest on stress urine incontinence in postpartum women. Obstet Gynecol Res. 2022;05(2022):254-60. https://doi.org/10.26502/ogr099
- Ashton-Miller JA, Delancey JOL. On the biomechanics of vaginal birth and common sequelae. Annu Rev Biomed Eng. 2009;11:163-76. https://doi.org/10.1146/annurev-bioeng-061008-124823 PMid:19591614 PMCid:PMC2897058
- Yang F, Liao H. The influence of obstetric factors on the occurrence of pelvic floor dysfunction in women in the early postpartum period. Int J Gen Med. 2022;15:3353-61. https://doi.org/10.2147/IJGM.S355913 PMid:35368797 PMCid:PMC8964334
- Wesnes SL, Seim E. Birthweight and urinary incontinence after childbirth: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2020;8:100115. https://doi.org/10.1016/j.eurox.2020.100115 PMid:32954252 PMCid:PMC7486687
- Fuchs F, Bouyer J, Rozenberg P, Senat M-V. Adverse maternal outcomes associated with fetal macrosomia: What are the risk factors beyond birthweight? BMC Pregnancy Childbirth. 2013;13:90. https://doi.org/10.1186/1471-2393-13-90 PMid:23565692 PMCid:PMC3623722
- Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review. J Hum Nutr Diet. 2022;35:250-64. https://doi.org/10.1111/jhn.12999 PMid:35239212 PMCid:PMC9311414
- Jansson MH, Franzén K, Hiyoshi A, Tegerstedt G, Dahlgren H, Nilsson K. Risk factors for perineal and vaginal tears in primiparous women–the prospective POPRACT-cohort study. BMC Pregnancy Childbirth 2020;20:749. https://doi.org/10.1186/s12884-020-03447-0 PMid:33267813 PMCid:PMC7709229
- Tsekhmister Y, Stepanenko V, Konovalova T, Tsekhmister B. Analysis of physicochemical natures of modern artifacts in MRI. Int J Onl Eng. 2022;18:89-100. https://doi.org/10.3991/ijoe.v18i03.25859
- Maltsev D, Fedirko V. Refractory atypical trigeminal neuralgia associated with reactivated herpesvirus infection: Pathogenetic link and efficacy of combination antiviral therapy. Virusdisease. 2022;33:155-65. https://doi.org/10.1007/s13337-022-00769-9 PMid:35991701 PMCid:PMC9381677
How to cite this article
Vancouver
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):em595. https://doi.org/10.29333/ejgm/14780
APA
Veliyeva, A., Omarova, G., Mustafazade, T., Magalov, I., Pulatova, A., & Ibragimov, R. (2024). Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis. Electronic Journal of General Medicine, 21(4), em595. https://doi.org/10.29333/ejgm/14780
AMA
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), em595. https://doi.org/10.29333/ejgm/14780
Chicago
Veliyeva, Ainura, Gulzhakhan Omarova, Tukaz Mustafazade, Islam Magalov, Amina Pulatova, and Ravil Ibragimov. "Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis". Electronic Journal of General Medicine 2024 21 no. 4 (2024): em595. https://doi.org/10.29333/ejgm/14780
Harvard
Veliyeva, A., Omarova, G., Mustafazade, T., Magalov, I., Pulatova, A., and Ibragimov, R. (2024). Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis. Electronic Journal of General Medicine, 21(4), em595. https://doi.org/10.29333/ejgm/14780
MLA
Veliyeva, Ainura et al. "Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis". Electronic Journal of General Medicine, vol. 21, no. 4, 2024, em595. https://doi.org/10.29333/ejgm/14780