TY - JOUR
T1 - Parity and route of delivery
T2 - Does cesarean delivery reduce bladder symptoms later in life?
AU - Handa, Victoria L.
AU - Harvey, Lynn
AU - Fox, Harold E.
AU - Kjerulff, Kristen H.
N1 - Funding Information:
This study was supported by grant HS06865 from the Agency for Health Care Policy and Research.
PY - 2004/8
Y1 - 2004/8
N2 - Objective This study was undertaken to investigate the impact of reproductive factors on the prevalence of urinary symptoms. Study design Participants were women scheduled for hysterectomy (n=1299). Before surgery, urinary symptoms were assessed by questionnaire. Multiple logistic regression analysis was used to investigate the association between bladder symptoms and parity, route of delivery, and other characteristics. Results Stress incontinence and urinary urgency were more prevalent among parous than nulliparous women (P < .01). Controlling for parity and other characteristics, women who had a history of cesarean delivery were significantly less likely to report stress incontinence than women with a history of vaginal delivery (odds ratio 0.60; 95% CI 0.39-0.93). Conclusion Women who have undergone vaginal delivery are more likely to report stress incontinence than women who have delivered by cesarean section. Although this suggests that cesarean delivery might reduce incontinence later in life, further research is needed to clarify the long-term risks, benefits, and costs of cesarean delivery.
AB - Objective This study was undertaken to investigate the impact of reproductive factors on the prevalence of urinary symptoms. Study design Participants were women scheduled for hysterectomy (n=1299). Before surgery, urinary symptoms were assessed by questionnaire. Multiple logistic regression analysis was used to investigate the association between bladder symptoms and parity, route of delivery, and other characteristics. Results Stress incontinence and urinary urgency were more prevalent among parous than nulliparous women (P < .01). Controlling for parity and other characteristics, women who had a history of cesarean delivery were significantly less likely to report stress incontinence than women with a history of vaginal delivery (odds ratio 0.60; 95% CI 0.39-0.93). Conclusion Women who have undergone vaginal delivery are more likely to report stress incontinence than women who have delivered by cesarean section. Although this suggests that cesarean delivery might reduce incontinence later in life, further research is needed to clarify the long-term risks, benefits, and costs of cesarean delivery.
KW - Cesarean delivery
KW - Parity
KW - Urinary incontinence
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U2 - 10.1016/j.ajog.2004.03.031
DO - 10.1016/j.ajog.2004.03.031
M3 - Article
C2 - 15343222
AN - SCOPUS:4444262698
SN - 0002-9378
VL - 191
SP - 463
EP - 469
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 2
ER -