Urinary incontinence during pregnancy – of predictive value?

Objective: Primary objective was to find the prevalence of urinary incontinence during pregnancy by its type and see how predicative it in long term. Associated risk factors were identified as secondary objectives. Method: Antenatal clinics provide opportunistic screening for diseases breast, heart or even mind. Preventive gynaecological issues could also be addressed likewise. It felt worth investigating without undue harassment patients way a few routinely directed questions about incontinence.This information is rarely volunteered due embarrassment. 867 women attending antenatal led author at teaching hospital Peradeniya, 2007 2008 interviewed those incontinent followed up post-partum 6 weeks,one two years till 2010. Patients inquired regarding predominant incontinence, when symptoms mixed(stress urge both). Results: Of analysed, 209 (24%) had some form incontinence. 110 (52%) affected pure stress, 15 (7%) predominantly The rest 41% mixed picture. 154 still weeks post-partum. proportion changed. 97 (63%) stress (3.9%) urgency 33.1% 47 them complained degree end one year despite interventions pelvic floor exercise (PFE),for urodynamic symptoms. patterns more predominant. 33(70%). 2 (4.2%) 12 (25.5%) pattern. End only 43 1year traceable least over telephone. Only 23 persistence problems. with years, pregnant again. 18 (78%) SI 5 (22%) This indicated that tended persist than probably indicating permanent damage floor. Older higher parity found again possibility such injury. Conclusions: finding initial who leaked urine remained (11%), evidence predictive value likely have term incontinence.The persisted PFE. places doubts on benign physiological hormonal change theories which discussed alongside these findings. Incontinence maybe useful indicator injury sustained providing early warning trouble ahead sphincter mechanism. Questions routine consultations may worthwhile exercise. would take very short time should encouraged percentage PFE not been initiated an ethical intervention.