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Urinary symptoms in pregnancy: are they useful for diagnosis?
Author(s) -
Chaliha Charlotte,
Khullar Vik,
Stanton Stuart L.,
Monga Ash,
Sultan Abdul H.
Publication year - 2002
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2002.01086.x
Subject(s) - medicine , urinary incontinence , caesarean section , stress incontinence , etiology , pregnancy , vaginal delivery , obstetrics , gynecology , urinary system , urology , genetics , biology
This is the second part of a study assessing 161 women 12 weeks after their first delivery. The urodynamic data have previously been published [ Br J Obstet Gynaecol 2000; 107:1354]. The symptoms have been assessed using a (non‐validated) urinary symptom questionnaire. There was no correlation between symptoms and urodynamic findings and most importantly between the symptom of stress incontinence, a diagnosis of urodynamic stress incontinence (USI) and vaginal delivery. Symptoms of incontinence and abnormal urodynamic findings were also found in women who underwent caesarean section. These data explain why caesarean section does not appear to be wholly protective in preventing postpartum incontinence. This suggests that the aetiology of postpartum incontinence is multifactorial and urinary symptoms are misleading in determining the underlying causes.