Evidence map›Paper›PMID 29362836›Full record

ArticleInternational urogynecology journal2018

Urinary incontinence in nulliparous women before and during pregnancy: prevalence, incidence, type, and risk factors.

Deirdre Daly, Mike Clarke, Cecily Begley

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04590092 (Pessary Use for Stress Urinary Incontinence in Pregnancy), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04590092 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Pessary Use for Stress Urinary Incontinence in Pregnancy: a Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of British ColumbiaRan2021 to 2022Enrolled60ConditionsStress Urinary Incontinence, Pregnancy RelatedArmsCooper Surgical Ring Pessary with Incontinence Knob
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  12. Impact of Obesity and Hyperglycemia on Pregnancy-specific Urinary Incontinence.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 2 countries.

Deirdre DalySchool of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin, DO2 T283., Ireland. dalyd8@tcd.ie.ORCID http://orcid.org/0000-0003-3045-9894
Mike ClarkeNorthern Ireland Methodology Hub, Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, BT12 6BJ., Northern Ireland.
Cecily BegleySchool of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin, DO2 T283., Ireland.
Trinity College Dublin · IE

Funding

Health Research Board HPF/2011/18
6 · The paper itself

Abstract

introductionWhile many women report urinary incontinence (UI) during pregnancy, associations with pre-pregnancy urinary leakage remain under-explained.

methodsWe performed a multi-strand prospective cohort study with 860 nulliparous women recruited during pregnancy.

resultsPrevalence of any urinary leakage was 34.8% before and 38.7% during pregnancy. Prevalence of UI, leaking urine at least once per month, was 7.2% and 17.7% respectively. Mixed urinary incontinence (MUI) was reported by 59.7% of women before and 58.8% during pregnancy, stress urinary incontinence (SUI) by 22.6% and 37.2%, and urge urinary incontinence (UUI) by 17.7% and 4.0%, respectively. SUI accounted for half (50.0%), MUI for less than half (44.2%), and UUI for 5.8% of new-onset UI in pregnancy. Pre-pregnancy UI was significantly associated with childhood enuresis [adjusted odds ratio (AOR) 2.9, 95% confidence interval (CI) 1.5-5.6, p = 0.001) and a body mass index (BMI) ≥30 kg/m

conclusionConsiderable proportions of nulliparous women leak urine before and during pregnancy, and most ignore symptoms. Healthcare professionals have several opportunities for promoting continence in all pregnant women, particularly in women with identifiable risk factors. If enquiry about UI, and offering advice on effective preventative and curative treatments, became routine in clinical practice, it is likely that some of these women could become or stay continent.

Indexed as

AdolescentAdultAge FactorsBody Mass IndexFemaleHospitals, MaternityHumansIncidenceIrelandLogistic ModelsPostpartum PeriodPregnancyPregnancy ComplicationsPrevalenceProspective StudiesRisk FactorsChildhood enuresisLeaking urineNulliparousPregnancyProspective cohort studyUrinary incontinence

Identifiers

PMID29362836
OpenAlexW2785203166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.