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Evaluation of urinary incontinence risk factors in pregnancy

Dilara Sarikaya Kurt, Yuksel Oguz, Ramazan Erda Pay, Ahmet Kurt, Tugba Kinay, Gulin Feykan Yegin.



Abstract
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The objective of this study was to examine urinary incontinence (UI) during pregnancy. Patients were assessed within 24–48 hours postpartum. Demographic and clinical data were obtained from records. Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) and the Urinary Distress Inventory– 6 (UDI-6) scales were administered. In this cross-sectional study, UI was identified in 43.7% of participants (n = 206). The third trimester was the most common period for UI onset (35.9%). Mean ICIQ-SF and UDI-6 scores varied by trimester (ICIQ-SF: 8.80, 6.27, and 6.93; UDI-6: 44.44, 35.86, and 39.41, respectively; p = 0.001). In multivariable analysis, parity was identified as an independent variable (aOR = 1.40; 95% CI: 1.01–1.95; p = 0.046), and caffeine intake showed a borderline association (aOR = 3.04; 95% CI: 0.99–9.33; p = 0.052). UI affected nearly half of pregnant women in this cohort, with most cases occurring in late gestation. These findings support routine antenatal screening and counselling for pelvic floor symptoms.

Key words: Urinary incontinence, pregnancy, Incontinence Questionnaire-Urinary Incontinence Short Form, Urinary Distress Inventory– 6







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