Evidence map›Paper›PMID 29500515›Full record

ArticleInternational urogynecology journal2018

Prevalence and predictors of double incontinence 1 year after first delivery.

Hege Hølmo Johannessen, Signe Nilssen Stafne, Ragnhild Sørum Falk, Arvid Stordahl, Arne Wibe, Siv Mørkved

Abstract readMulticenter Study
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. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Hege Hølmo JohannessenDepartment of Physical Medicine and Rehabilitation, Department of Research, Østfold Hospital Trust, P.O. Box 300, 1714, Grålum, Norway. hege.holmo.johannessen@so-hf.no.ORCID http://orcid.org/0000-0002-6570-3466
Signe Nilssen StafneDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Ragnhild Sørum FalkOslo Centre of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
Arvid StordahlDepartment of Surgery, Østfold Hospital Trust, Grålum, Norway.
Arne WibeDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
Siv MørkvedDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Norwegian University of Science and Technology · NOØstfold Hospital Trust · NOOslo University Hospital · NO

Funding

EkstraStiftelsen Helse og Rehabilitering 2008/2/0271Helse Midt-Norge 2011/4504Norske Kvinners Sanitetsforening 2008/2/0271Østfold Hospital Trust Ab3299
6 · The paper itself

Abstract

introduction and hypothesisUrinary (UI) and anal incontinence (AI) are common pelvic floor disorders (PFD), and postpartum women experiencing double incontinence (DI), the combination of UI and AI, tend to have more severe symptoms and a greater impact on quality of life. Our objective was to investigate the prevalence and predictors of postpartum DI and UI alone 1 year after first delivery.

methodsIn this prospective cohort study, 976 women reported the prevalence of DI and UI alone 1 year after their first delivery in one of two hospitals in Norway using the St Marks score and the ICI-Q UI SF.

resultsDI was significantly reduced from 13% in late pregnancy to 8% 1 year later, whereas 30% reported UI at both time points. Incontinence in late pregnancy predicted incontinence 1 year after delivery. Higher age was associated with UI alone. Compared with caesarean delivery, normal vaginal or instrumental delivery increased the risk of UI alone more than three and four times respectively. Obstetric anal sphincter injuries showed a four-fold increase in the risk of DI.

conclusionsNearly 50% reported incontinence symptoms 1 year after first delivery. Continence status during pregnancy was one of the main predictors of postpartum continence status. Mode of delivery increased the risk of postpartum UI, whereas obstetric anal sphincter injuries increased the risk of postpartum DI.

Indexed as

AdultDelivery, ObstetricFecal IncontinenceFemaleHumansNorwayPostpartum PeriodPregnancyPrevalenceProspective StudiesQuality of LifeRisk FactorsSurveys and QuestionnairesTime FactorsUrinary IncontinenceYoung AdultAnal incontinenceDouble incontinencePostpartumPredictorsUrinary incontinence

Identifiers

PMID29500515
OpenAlexW2794271940

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.