Risk Factors for Stress Urinary Incontinence Following Vaginal and Caesarean Delivery

Abstract

Objective: To determine the factors that affect the incidence of postpartum stress urinary incontinence. Methods: Women experienced with stress urinary incontinence 3 months after birth vaginally or section caesarean were enrolled in the present cross-sectional study. The strength of the pelvic floor muscle measured with perineometer. All of the women were assessed for SUI using Sandvix Severity Index (SSI) dan The three incontinence question (3IQ) questionnaire. Results: Eighty-four women with stress urinary incontinence (SUI) after vaginal delivery or caesarean section enrolled in the study. There was a significant difference between mode of delivery and SUI following delivery (p<0.05). Perineal tear (grade 1-2), BMI, newborn weight and circumference significantly affect the SUI after vaginal or caesarean section. Perineal tear increase SUI after delivery 7-fold compared to other factors (OR=7.367; 95% CI=1.815-29.904). Conclusions: SUI after delivery affected by mode of delivery, pelvic muscle floor weakness, perineal tear, BMI, newborn weight and head circumference.