Factors Associated with Urinary Incontinence in Pregnant Women Attending Prenatal Consultations in Six Public Health Facilities in the City of Ouahigouya, Burkina Faso
Objective: To study risk factors for urinary incontinence (UI) in pregnant women in six health facilities in the city of Ouahigouya. Methodology: We conducted a cross-sectional, analytical observational study from May 1 to August 30, 2023 in six health facilities in the city of Ouahigouya. Binary logistic regression was used to identify risk factors associated with UTI. Results: The prevalence of UI was 39.3%. The mean age of incontinent women was 26.5 ± 6.2 years, with extremes of 18 and 44 years. Stress UI (55%) was the most frequent type. On univariate analysis, age over 25 (OR = 2.6), multiparity (OR = 2.8), number of gestures, body mass index greater than or equal to 25 kg/m2 (OR = 2.1), infantile enuresis (OR = 2.6), recurrent urinary tract infections (OR = 2.6), previous vaginal delivery (OR = 14.5) and third trimester of pregnancy (OR = 1.7) significantly increased the risk of UTI. Independent risk factors were previous vaginal delivery (OR = 17.6), previous caesarean section (OR = 5.2), third trimester of pregnancy (OR = 2.01), body mass index greater than or equal to 25 kg/m2 (OR = 2.09) and coffee consumption (OR = 4.5). Conclusion: UTI is highly prevalent in pregnant women. Obstetrical parameters are strongly associated with the risk of UTI during pregnancy.
References
[1]
Norton, P. and Brubaker, L. (2006) Urinary Incontinence in Women. TheLancet (Lond Engl), 367, 57-67. https://doi.org/10.1016/S0140-6736(06)67925-7
[2]
Higa, R., de Mores Lopes, M.H.B. and Turato, E.R. (2008) Psychocultural Meanings of Urinary Incontinence in Women: A Review. Revista Latino-Americana de Enfermagem, 16, 779‑786. https://doi.org/10.1590/S0104-11692008000400020
[3]
Brown, S.J., Donath, S., MacArthur, C., McDonald, E.A. and Krastev, A.H. (2010) Urinary Incontinence in Nulliparous Women before and during Pregnancy: Prevalence, Incidence, and Associated Risk Factors. International Urogynecology Journal, 21, 193‑202. https://doi.org/10.1007/s00192-009-1011-x
[4]
Kocaöz, S., Talas, M.S. and Atabekoğlu, C.S. (2010) Urinary Incontinence in Pregnant Women and Their Quality of Life. Journal of Clinical Nursing, 19, 3314‑3323. https://doi.org/10.1111/j.1365-2702.2010.03421.x
[5]
Tanawattanacharoen, S. and Thongtawee, S. (2013) Prevalence of Urinary Incontinence during the Late Third Trimester and Three Months Postpartum Period in King Chulalongkorn Memorial Hospital. Journal of the Medical Association of Thailand = ChotmaihetThangphaet, 96, 144‑149.
[6]
de Oliveira, C., Seleme, M., Cansi, P.F., Consentino, R.F.D.C., Kumakura, F.Y., Moreira, G.A., et al. (2013) Urinary Incontinence in Pregnant Women and Its Relation with Socio-Demographic Variables and Quality of Life. Revista da AssociaçãoMédica Brasileira, 59, 460‑466. https://doi.org/10.1016/j.ramb.2013.08.002
[7]
Bekele, A., Adefris, M. and Demeke, S. (2016) Urinary Incontinence among Pregnant Women, Following Antenatal Care at University of Gondar Hospital, Northwest Ethiopia. BMC Pregnancy and Childbirth, 16, Article No. 333. https://doi.org/10.1186/s12884-016-1126-2
[8]
Okunola, T.O., Olubiyi, O.A., Omoya, S., Rosiji, B. and Ajenifuja, K.O. (2018) Prevalence and Risk Factors for Urinary Incontinence in Pregnancy in Ikere-Ekiti, Nigeria. Neurourology and Urodynamics, 37, 2710‑2716. https://doi.org/10.1002/nau.23726
[9]
Liang, C.C., Chang, S.D., Lin, S.J. and Lin, Y.J. (2012) Lower Urinary Tract Symptoms in Primiparous Women before and during Pregnancy. Archives of Gynecology and Obstetrics, 285, 1205‑1210. https://doi.org/10.1007/s00404-011-2124-2
[10]
Kristiansson, P., Samuelsson, E., von Schoultz, B. and Svärdsudd, K. (2001) Reproductive Hormones and Stress Urinary Incontinence in Pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 80, 1125‑1130. https://doi.org/10.1034/j.1600-0412.2001.801209.x
[11]
Di̇nç, A. (2018) Prevalence of Urinary Incontinence During Pregnancy and Associated Risk Factors. Low Urin Tract Symptoms (LUTS), 10, 303‑307. https://doi.org/10.1111/luts.12182
[12]
Lambert, D.M., Marceau, S. and Forse, R.A. (2005) Intra-Abdominal Pressure in the Morbidly Obese. Obesity Surgery, 15, 1225‑1232. https://doi.org/10.1381/096089205774512546
[13]
Lukacz, E.S., Santiago-Lastra, Y., Albo, M.E. and Brubaker, L. (2017) Urinary Incontinence in Women: A Review. JAMA, 318, 1592‑1604. https://doi.org/10.1001/jama.2017.12137
[14]
Fritel, X., Ringa, V., Quiboeuf, E. and Fauconnier, A. (2012) Female Urinary Incontinence, from Pregnancy to Menopause: A Review of Epidemiological and Pathophysiological Findings. Acta Obstetricia et Gynecologica Scandinavica, 91, 901‑910. https://doi.org/10.1111/j.1600-0412.2012.01419.x
[15]
Berhe, A., Alamer, A., Negash, K. and Assefa, B. (2020) Urinary Incontinence and Associated Factors among Pregnant Women Attending Antenatal Care in Public Health Facilities of Mekelle City, Tigray, Ethiopia. Women’s Health (Lond. Engl.), 16, 1-8. https://doi.org/10.1177/1745506520952009
[16]
Houeto, V.S.G., Lawani, M.M., Yessoufou, L., Kpadonou, L., Koura, M.S. and Denakpo, L.J. (2018) Prevalence and Risk Factors for Urinary Incontinence during Pregnancy: A Study of 402 Women in Benin. Journal of Scientific Research of the University of Lomé, 20, 4.
[17]
Abdullah, B., Ayub, S.H., Mohd Zahid, A.Z., Noorneza, A.R., Isa, M.R. and Ng, P.Y. (2016) Urinary Incontinence in Primigravida: The Neglected Pregnancy Predicament. European Journal of Obstetrics & Gynecology and Reproductive Biology, 198, 110-115. https://doi.org/10.1016/j.ejogrb.2016.01.006
[18]
Rajavuori, A., Repo, J.P., Häkkinen, A., Palonen, P., Multanen, J. and Aukee, P. (2022) Maternal Risk Factors of Urinary Incontinence during Pregnancy and Postpartum: A Prospective Cohort Study. European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 13, Article 100138. https://doi.org/10.1016/j.eurox.2021.100138
[19]
Adaji, S.E., Shittu, O.S., Bature, S.B., Nasir, S. and Olatunji, O. (2010) Suffering in Silence Pregnant Women’s Experience. European Journal of Obstetrics & Gynecology and Reproductive Biology., 150, 19-23. https://doi.org/10.1016/j.ejogrb.2010.02.008
[20]
Wang, X., Jin, Y., Xu, P. and Feng, S. (2022) Urinary Incontinence in Pregnant Women and Its Impact on Health-Related Quality of Life. Health and Quality of Life Outcomes, 20, Article No. 13. https://doi.org/10.1186/s12955-022-01920-2
[21]
Moossdorff-Steinhauser, H.F.A., Berghmans, B.C.M., Spaanderman, M.E.A. and Bols, E.M.J. (2021) Urinary Incontinence during Pregnancy: Prevalence, Experience of Bother, Beliefs, and Help-Seeking Behavior. International Urogynecology Journal, 32, 695-701. https://doi.org/10.1007/s00192-020-04566-0
[22]
Mohd Yusoff, D., Awang, S. and Kueh, Y.C. (2019) Urinary Incontinence among Pregnant Women Attending an Antenatal Clinic at a Tertiary Teaching Hospital in North-East Malaysia. Journal of Taibah University Medical Sciences, 14, 39-46. https://doi.org/10.1016/j.jtumed.2018.11.009
[23]
Barbosa, L., Kühni, D., Vasconcelos, D., Sales, E., Lima, G., Santos, M., et al. (2018) Factors Associated with Urinary Incontinence in Pregnant Adolescents: A Case-Control Study. Journal of Pediatric and Adolescent Gynecology, 31, 382-387. https://doi.org/10.1016/j.jpag.2018.02.131
[24]
Santini, A.C.M., Santos, E.S., Vianna, L.S., Bernardes, J.M. and Dias, A. (2019) Prevalence and Factors Associated with the Occurrence of Urinary Incontinence during Pregnancy. Revista Brasileira de Saúde Materno Infantil, 19, 967-974. https://doi.org/10.1590/1806-93042019000400013
[25]
Citak, G. and Demirturk, F. (2021) Urinary Incontinence During Pregnancy and Determination of the Factors Affecting It. Journal of Basic and Clinical Health Sciences, 3, 36-42. https://doi.org/10.30621/jbachs.886289
[26]
Hansen, B.B., Svare, J., Viktrup, L., Jørgensen, T. and Lose, G. (2012) Urinary Incontinence during Pregnancy and 1 Year after Delivery in Primiparous Women Compared with a Control Group of Nulliparous Women. Neurourology and Urodynamics, 31, 475-480. https://doi.org/10.1002/nau.21221
[27]
Martínez Franco, E., Parés, D., Colomé, N.L., Méndez Paredes, J.R. and Tardiu, L.A. (2014) Urinary Incontinence during Pregnancy. Is There a Difference between First and Third Trimester? European Journal of Obstetrics and Gynecology and Reproductive Biology, 182, 86-90. https://doi.org/10.1016/j.ejogrb.2014.08.035
[28]
Sangsawang, B. (2014) Risk Factors for the Development of Stress Urinary Incontinence during Pregnancy in Primigravidae: A Review of the Literature. European Journal of Obstetrics & Gynecology and Reproductive Biology, 178, 27-34. https://doi.org/10.1016/j.ejogrb.2014.04.010
[29]
Beksac, A.T., Aydin, E., Orhan, C., Karaagaoglu, E. and Akbayrak, T. (2017) Gestational Urinary Incontinence in Nulliparous Pregnancy—A Pilot Study. Journal of Clinical and Diagnostic Research, 11, QC01-QC03. https://doi.org/10.7860/JCDR/2017/25572.10333
[30]
Wesnes, S.L., Rortveit, G., Bø, K. and Hunskaar, S. (2007) Urinary Incontinence During Pregnancy. Obstetrics & Gynecology, 109, 922-928. https://doi.org/10.1097/01.AOG.0000257120.23260.00
[31]
Kok, G., Seven, M., Guvenc, G. and Akyuz, A. (2016) Urinary Incontinence in Pregnant Women. Journal of Wound, Ostomy and Continence Nursing, 43, 511-516. https://doi.org/10.1097/WON.0000000000000262
[32]
Tingthong, W., Buppasiri, P., Chongsomchai, C., Temtanakitpaisan, T. and Sangkomkamhang, U. (2014) Prevalence of Urinary Incontinence in Pregnant Women at Tertiary Care Hospitals in KhonKaen Province. Thai Journal of Obstetrics and Gynaecology, 22, 37-43.
