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Scientific Articles

Postpartum urinary incontinence among women attending four postnatal clinics

Authors:

H. Himanshika,

National Hospital of Sri Lanka, LK
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D. Samarasinghe,

Colombo South Teaching Hospital, LK
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R. Perera,

National Hospital of Sri Lanka, LK
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N. Liyanage,

De Soyza Maternity Hospital, LK
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M. P. Munasinghe,

Colombo South Teaching Hospital, LK
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I. Prematilleke ,

University of Sri Jayewardenepura, LK
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S. Goonewardena,

University of Sri Jayewardenepura, LK
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A. Abeygunasekara

Colombo South Teaching Hospital, LK
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Abstract

Introduction
Urinary incontinence is a distressing problem after childbirth, but its incidence and risk factors among Sri Lankan women has not been reported.


Materials and Methods
A descriptive cross-sectional study was carried out among 234 women attending postpartum clinics at two tertiary care units and two Medical Officer of Health (MOH) areas in the Colombo district using a validated interviewer administered ICIQ-FLUTS long format questionnaire. Data was analysed using SPSS software package version 26.0. Significance was taken as p<0.05.


Results
The prevalence of postpartum urinary incontinence (PPUI) was 5.6% (13 / 234). Nine of them (69.2%) had mixed incontinence while urge incontinence was seen in three (23.1%) and stress incontinence in one (7.7 %). Patients with chronic respiratory symptoms showed a higher prevalence PPUI (p=0.028). However, birth weight of the baby, mode of delivery, episiotomy, maternal age, parity, and obesity did not show an association with higher prevalence of PPUI (p>0.05).


Conclusion
The prevalence of PPUI was 5.6%. (95% CI 3.0% - 9.3%). It was more common in mothers who had chronic respiratory diseases. The mode of delivery had no influence on PPUI in our study.

How to Cite: Himanshika H, Samarasinghe D, Perera R, Liyanage N, Munasinghe MP, Prematilleke I, et al.. Postpartum urinary incontinence among women attending four postnatal clinics. Sri Lanka Journal of Surgery. 2022;40(1):19–22. DOI: http://doi.org/10.4038/sljs.v40i1.8912
Published on 31 Mar 2022.
Peer Reviewed

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