Prevalence Of Urinary Incontinence And Its Association With Risk Factors In Three Months Postpartum Women Attending MOH Clinics Registered Under Colombo Municipal Council During September And October 2019

Abstract

Abstract: Urinary incontinence (UI) is a common symptom after pregnancy causing distress, embarrassment among women and is often under reported due to misbelieves, unawareness and shame. This study is aimed to determine the prevalence and risk factors of UI among three months postpartum women attending Maternity and Child Healthcare centres, registered under Colombo Municipal Council. A descriptive cross sectional study was carried out among three months postpartum women of age 18 - 45 who were recruited consecutively until the sample size of 420 was achieved. A questionnaire including demographic data and obstetric history was given and the “Questionnaire for Urinary Incontinence Diagnosis” (QUID) was given to diagnose the type of UI. The prevalence of UI out of the 420 participants was identified as 17.4%, stress urinary incontinence (SUI) as 6.0%, urge urinary incontinence (UUI) as 7.9% and mixed urinary incontinence (MUI) as 3.6%. The results of the Multinomial Logistic Regression test revealed that parity (p=0.002), first birth (p=0.014) and episiotomy (p=0.004) had a significant association with UI whereas head circumference (p=0.016), parity (p=0.053) and first birth (p=0.023) had a significant association with SUI. Parity (p=0.002) and the number of normal vaginal deliveries (p=0.034) had a significant association with UUI while BMI (p=0.027), first birth (p=0.016), episiotomy (p=0.047) and gestational DM (p=0.030) had a significant association with MUI. The prevalence of UI among three months postpartum women was 17.4% and UUI was the most prevalent. Parity, first birth and episiotomy were the risk factors that had a significant association with UI.