Bothersome Urinary Symptoms Common 12 Months Postpartum

HealthDay 11 July at 03.53 PM

Bothersome Urinary Symptoms Common 12 Months Postpartum

THURSDAY, July 11, 2024 (HealthDay News) -- Bothersome urinary symptoms and incontinence are common at 12 months postpartum, according to a study recently published in Urogynecology.

Sonia Bhandari Randhawa, M.D., from University of Texas Southwestern Medical Center in Dallas, and colleagues sought to identify factors associated with persistent (i.e., 12 months postpartum), bothersome urinary symptoms, including stress urinary incontinence (SUI) and urgency urinary incontinence (UUI). The analysis included data from 419 participants in the extending Maternal Care After Pregnancy cohort.

The researchers found that SUI (32.5 percent) was significantly associated with increasing body mass index at the time of delivery and greater depression screening scores. There was no association for SUI and fetal birth weight, mode of delivery, degree of laceration, or breastfeeding status. There was a significant association between UUI (16.5 percent) and increasing parity and higher anxiety screening scores. Participants with urinary symptom bother also had significantly greater parity and higher anxiety screening scores.

"At 12 months postpartum, bothersome urinary symptoms and incontinence were quite common," the authors write. "Since these are treatable, postpartum screening for urinary complaints -- and associated anxiety and depression -- is essential, as is assisting patients in achieving a healthy weight."

Abstract/Full Text (subscription or payment may be required)

#Psychiatry #Internal Medicine #Urology #Family Practice #OBGYN & Women's Health #Unspecified symptoms and signs involving the genitourinary system (R39.9) #Disorder of urinary system, unspecified (N39.9) #Other difficulties with micturition (R39.198) #Painful micturition, unspecified (R30.9) #Other symptoms and signs involving the genitourinary system (R39.89) #Unspecified urinary incontinence (R32) #Functional urinary incontinence (R39.81) #Mixed incontinence (N39.46) #Incontinence without sensory awareness (N39.42) #Postural (urinary) incontinence (N39.492) #Pain associated with micturition (R30) #Stress incontinence (female) (male) (N39.3) #Other specified urinary incontinence (N39.498) #Urgency of urination (R39.15) #Urge incontinence (N39.41) #Need to immediately re-void (R39.191) #Pregnant state, incidental (Z33.1) #Encounter for screening for maternal depression (Z13.32) #Encounter for screening for depression (Z13.31) #Unspecified abnormal findings on antenatal screening of mother (O28.9) #Other abnormal findings on antenatal screening of mother (O28.8) #Abnormal findings on antenatal screening of mother (O28) #Extremely low birth weight newborn, unspecified weight (P07.00) #Other low birth weight newborn, unspecified weight (P07.10) #Maternal care for excessive fetal growth, third trimester, not applicable or unspecified (O36.63X0) #Newborn small for gestational age, unspecified weight (P05.10) #Maternal care for other known or suspected poor fetal growth (O36.59) #Encounter for full-term uncomplicated delivery (O80) #Encounter for care and examination of lactating mother (Z39.1) #Anxiety disorder, unspecified (F41.9) #Encounter for screening examination for other mental health and behavioral disorders (Z13.39) #Encounter for screening examination for mental health and behavioral disorders, unspecified (Z13.30) #Encounter for screening examination for mental health and behavioral disorders (Z13.3) #Full incontinence of feces (R15.9) #Other specified disorders of urinary system (N39.8) #Worries (R45.82) #Other specified anxiety disorders (F41.8) #Depression, unspecified (F32.A) #Postpartum depression (F53.0) #Major depressive disorder, single episode, unspecified (F32.9)

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