Evidence map›Paper›PMID 33835213›Full record

ArticleInternational urogynecology journal2021

Risk factors for stress and urge urinary incontinence during pregnancy and the first year postpartum: a prospective longitudinal study.

Shiow-Ru Chang, Wei-An Lin, Ting-Chen Chang, Ho-Hsiung Lin, Chien-Nan Lee, Ming-I Lin

Registry-linked trialAbstract read
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In one paragraph

Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06185439 (The Effect of Prenatal Pilates-Supported Childbirth Training on Birth Outcomes and Incontinence), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT06185439 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effect of Prenatal Pilates-Supported Childbirth Training on Birth Outcomes and Incontinence: A Randomized Controlled Study

TypeinterventionalSponsorAydin Adnan Menderes UniversityRan2022 to 2022Enrolled126ConditionsIncontinence, Urinary, Training Group, SensitivityArmsPrenatal Pilates Assisted Childbirth Preparation Training
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 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.

Shiow-Ru ChangSchool of Nursing, College of Medicine, National Taiwan University, No. 1, Section 1, Jen-Ai Road, 100, Taipei, Taiwan. srchang@ntu.edu.tw.ORCID http://orcid.org/0000-0003-1523-7986
Wei-An LinDepartment of Occupational Medicine, Ten-Chan General Hospital, Taoyuang, Taiwan.
Ting-Chen ChangDepartment of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan.
Ho-Hsiung LinDepartment of Obstetrics and Gynecology, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan.
Chien-Nan LeeDepartment of Obstetrics and Gynecology, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan.
Ming-I LinDepartment of Pediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
National Taiwan University Hospital · TWNational Taiwan University · TWTen Chen Hospital · TW

Funding

Ministry of Science and Technology, Taiwan NSC98-2314-B-002-080-MY2 & MOST 104-2314-B-002-098-MY3
6 · The paper itself

Abstract

introduction and hypothesisWe examined obstetric and maternal-newborn factors and UI history for stress urinary incontinence (UI) and urge UI during pregnancy and the first year postpartum.

methodsThis prospective cohort study included 1447 pregnant women who underwent prenatal examinations and completed an Incontinence Questionnaire-Urinary Incontinence Short Form before pregnancy, during early, mid- and late pregnancy, and at five visits during the first year postpartum. Data were analyzed using univariate/multivariate generalized estimating equation (GEE) logistic regression analyses.

resultsThe prevalence rates of stress UI during late pregnancy (42.5%) and urge UI at 3-5 days postpartum (10.4%) were the highest throughout pregnancy and the first year postpartum. After adjusting for covariates, gestational age increased the risks of stress UI (p < 0.001) and urge UI (p = 0.003); stress UI during pre-pregnancy, number of previous vaginal deliveries and concurrent high body mass index (BMI) increased stress UI (all p < 0.05); urge UI during pre-pregnancy and full-time work increased urge UI (both p < 0.05) during pregnancy. During the postpartum period, vaginal delivery increased stress UI (p < 0.001) and urge UI (p = 0.041); stress UI during pre-pregnancy and pregnancy, women aged ≥ 30 years and vacuum extraction/forceps delivery increased stress UI (all p < 0.05). Urge UI during early, mid- and late pregnancy increased stress UI (all p < 0.05).

conclusionsGestational age increased stress and urge UI, while previous vaginal deliveries and high BMI increased stress UI; full-time work increased urge UI during pregnancy. Vaginal delivery increased both UIs, and vacuum/forceps delivery and maternal age increased stress UI during postpartum.

Indexed as

Postpartum PeriodUrinary IncontinenceFemaleHumansInfant, NewbornLongitudinal StudiesPregnancyProspective StudiesRisk FactorsChildbirthPregnancyStress UIUrge UIUrinary incontinence

Identifiers

PMID33835213
OpenAlexW3139945041

What OpenQuestion holds

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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.