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Master Thesis

Incontinence urinaire post-partum et mode d'accouchement, quelle influence de l'incontinence urinaire anténatale ? : une revue systématique et méta-analyse

Abstract : Introduction: The prevalence of urinary incontinence (UI) increases during pregnancy and decreases in the first year postpartum. Vaginal delivery (VD) is the main risk factor for postpartum UI (PPUI). In some studies, it is the UI during pregnancy that appears to be the main risk factor for PPUI, regardless of the mode of delivery. This UI of pregnancy could be indicative of tissue fragility associated with both VD and the occurrence of PPUI. We carried out a meta-analysis evaluating the UI during the first year of PP according to the mode of delivery in 2 groups of primiparous: continent women and incontinent women during pregnancy. Material and methods: A bibliographic search was carried out in PubMed, Embase, CINHAL, Cochrane, and Web of Science. The included studies had to assess the association between mode of delivery and PPUI according to continence status before delivery. Results: Seven studies were included in this review. In women who were incontinent during pregnancy, the odds ratio of PPUI associated with VD was 1,65; IC95% [1,31-2,07] and 2.67; IC95% [2,22-3,19] in continent women during pregnancy (p=0.001). Discussion: The impact of VD is lower in women who are already incontinent during their pregnancy, which would be in line with a constitutional tissue factor expressed even before childbirth. Conclusion: The heterogeneity of the articles included makes it difficult to interpret the results. Additional studies would be useful, particularly to assess long-term influence of antenatal UI.
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https://dumas.ccsd.cnrs.fr/dumas-03157541
Contributor : Ufr Santé Unicaen <>
Submitted on : Wednesday, March 3, 2021 - 11:39:47 AM
Last modification on : Tuesday, April 13, 2021 - 3:29:17 AM

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  • HAL Id : dumas-03157541, version 1

Citation

Camille Le Grand. Incontinence urinaire post-partum et mode d'accouchement, quelle influence de l'incontinence urinaire anténatale ? : une revue systématique et méta-analyse. Médecine humaine et pathologie. 2020. ⟨dumas-03157541⟩

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