Risk factors for postpartum stress urinary incontinence: An updated systematic review and meta-analysis
Ainura Veliyeva 1 * , Gulzhakhan Omarova 2 , Tukaz Mustafazade 3 , Islam Magalov 4 , Amina Pulatova 2 , Ravil Ibragimov 5
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1 Department of Obstetrics and Gynecology, Al-Farabi Kazakh National University, Almaty, KAZAKHSTAN2 Department of Obstetrics and Gynecology, Asfendiyarov Kazakh National Medical University, Almaty, KAZAKHSTAN3 Department of Neonatology, Kazakh-Russian Medical University, Almaty, KAZAKHSTAN4 Department of Obstetrics and Gynaecology, Baku Branch of I. M. Sechenov First State Moscow Medical University, Baku, AZERBAYCAN5 Department of Urology, Helmir Hospital, Almaty, KAZAKHSTAN* Corresponding Author

Abstract

Background: The objective of this meta-analysis was to identify and quantify postpartum stress urinary incontinence (SUI) risk factors.
Methods: We systemically searched three electronic databases (PubMed, Scopus, and Web of Science). The evaluated variables as risk factors were pooled as odds ratio (OR) with the corresponding 95% confidence intervals (CI).
Results: 63 studies were included. The analysis found a significant positive association between SUI and vaginal delivery (OR=2.15), age (OR=1.44), BMI (OR=1.19), parity (OR=1.43), and fetal-birth weight (OR=1.08).
Conclusions: Age, parity, delivery with forceps, birth weight, maternal body mass index, induction of labor, length of the second stage of labor, history of prenatal SUI, and vaginal delivery were all risk factors for postpartum SUI.
Scientific novelty: This systematic review and meta-analysis provides the most comprehensive and updated evidence to date.
Practical significance of the results: Healthcare personnel should be taught to recognize and treat postpartum SUI risk factors.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Review Article

ELECTRON J GEN MED, Volume 21, Issue 4, August 2024, Article No: em595

https://doi.org/10.29333/ejgm/14780

Publication date: 09 Jul 2024

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Article Downloads: 114

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