The Impact of Urinary Incontinence on the Quality of Life during Pregnancy among Saudi Women: A Cross-Sectional Study | [Journal of Pioneering Medical Sciences • 2024]

Author(s):

1. Fawaz E Edris: Department of Obstetrics and Gynecology, College of Medicine, Umm Al Qura University,Makkah,Saudi Arabia

2. Shahad Tariq Abdulrahman: Faculty of Medicine, Umm Al-Qura University,Mecca,Saudi Arabia

3. Fatimah Abdulmajeed Klantan: Faculty of Medicine, Umm Al-Qura University,Mecca,Saudi Arabia

4. RN.Fahad Mohammad Khudhri: Maternity and Children Hospital,Makkah, Kingdom of,Saudi Arabia

5. Ayar Abdulmonem Bukhari: Urology department, King Abdulaziz University Hospital,Jeddah,Saudi Arabia

6. Iman Hamid Alenezi: Department of Obstetrics and Gynecology, Ministry of health,Arar , Kingdom of,Saudi Arabia

7. Ahmed Baker A Alshaikh: Department of Obstetrics and Gynecology, College of Medicine, Jouf University,Sakaka, Kingdom of,Saudi Arabia

Abstract:

Objective: To evaluate the prevalence and impact of urinary incontinence (UI) on the quality of life (QOL) of pregnant women in Saudi Arabia. Methods: This cross-sectional study recruited 1,286 pregnant women across Saudi Arabia (January-March 2023).Sociodemographic and obstetric data were collected. Validated instruments assessed UI severity (ICIQ-UI SF) and QOL related to lower urinary tract symptoms (ICIQ-LUTSQoL). Multivariable linear regression analyzed associations between UI and QOL. Results: UI prevalence was 31.3%. Overweight status (35.6%), multiple prior pregnancies (70.6%), vaginal delivery (63.1%), and third-trimester pregnancy (72.9%) significantly associated with UI. Notably, 67.8% of women did not seek medical attention. Regression analysis revealed all UI types (moderate, frequent, constant) independently predicted worseQOL (p<0.001 for all). Conclusions: This study demonstrates a high prevalence of UI among pregnant women in Saudi Arabia, with a significant negative impact on QOL. Increased awareness of UI risk factors, the importance of seeking help, and treatment options are crucial. Educational interventions could be implemented in antenatal care settings and public health campaigns.

Page(s): 18-24

DOI: 10.61091/jpms202413504

Published: Journal: Journal of Pioneering Medical Sciences, Volume: 13, Issue: 5, Year: 2024

Keywords:

Pregnancy , Urinary incontinence , Quality of life

References:

[1] Practice ACOG .2015 .. Obstetrics and Gynecology, 126(5) : e66-e81.

[2] Kegel A. H. .1948 .Progressive resistance exercise in the functional restoration of the perineal muscles. American Journal of Obstetrics and Gynecology, 56(2) : 238-248.

[3] Bakarman M. A.,Al-Ghamdi S. S. .2016 .The effect of urinary incontinence on quality of life of women at childbearing age in Jeddah, Saudi Arabia. Global Journal of Health Science, 8(2) : 281-287.

[4] Dinc A.,Kizilkaya Beji N.,Yalcin O. .2009 .Effect of pelvic floor muscle exercises in the treatment of urinary incontinence during pregnancy and the postpartum period. International Urogynecology Journal, 20 : 1223-1231.

[5] Murukesu R. R.,Singh D. K.,Shahar S. .2019 .Urinary incontinence among urban and rural community dwelling older women: prevalence, risk factors and quality of life. BMC Public Health, 19 : 1-11.

[6] Alghamdi A. A.,Alyousif G. F.,Alghamdi R. L.,Almulhim F. A.,Alsadah H. M.,Almutawaa J. M.,Almansour N. A. .2021 .The prevalence of urinary incontinence symptoms among multiparous women: a survey of Saudi health-care centers. International Urogynecology Journal, 32 : 403-411.

[7] Tähtinen R. M.,Cartwright R.,Tsui J. F.,Aaltonen R. L.,Aoki Y.,Cardenas J. L.,Tikkinen K. A. .2016 .Long-term impact of mode of delivery on stress urinary incontinence and urgency urinary incontinence: a systematic review and meta-analysis. European Urology, 70(1) : 148-158.

[8] van Brummen H. J.,Bruinse H. J.,Heintz A. P. M.,van der Vaart C. H. .2007 .The effect of vaginal and cesarean delivery on lower urinary tract symptoms: what makes the difference?. International Urogynecology Journal, 18 : 133-139.

[9] Blehar M. C.,Spong C.,Grady C.,Goldkind S. F.,Sahin L.,Clayton J. A. .2013 .Enrolling pregnant women: issues in clinical research. Women's Health Issues, 23(1) : e39-e45.

[10] Monz B.,Chartier-Kastler E.,Hampel C.,Samsioe G.,Hunskaar S.,Espuna-Pons M.,Chinn C. .2007 .Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: results from PURE. European Urology, 51(4) : 1073-1082.

Citations

Downloads

Views