Stress urinary incontinence 4 years after the first delivery: a retrospective cohort survey.


BACKGROUND:Our aim was to estimate the prevalence of stress urinary incontinence 4 years after the first delivery and analyze its risk factors. METHODS:A retrospective cohort survey was conducted in a French university hospital. The 669 primiparous women who delivered in our department in 1996 a singleton in a vertex position between 37 and 41 weeks of amenorrhea were included. A mailed questionnaire was sent 4 years after the indexed delivery. The main outcome measure was stress urinary incontinence 4 years after the first delivery. RESULTS:Three hundred and seven women replied, 274 had moved and 88 did not respond. Four years after the first delivery, prevalence of stress urinary incontinence was 29% (89/307). According to multiple logistic regression analysis, the independent risk factors were urine leakage before the first pregnancy [odds ratio (OR) 18.7; 95% confidence interval (CI) 3.6-96.4], urine leakage during the first pregnancy (OR 2.5; 95% CI 1.3-4.8), duration of first labor > or = 8 h (OR 3.1; 95% CI 1.7-5.7), mother's age > 30 years at the first delivery (OR 2.4; 95% CI 1.4-4.2) and cesarean section at the first delivery (OR 0.3; 95% CI 0.1-0.9). CONCLUSION:Our results suggest that stress urinary incontinence after pregnancy arises from a multifactorial condition. The main risk factors are: age, previous incontinence (before or during the first pregnancy), prolonged labor and vaginal delivery.


Fritel X,Fauconnier A,Levet C,Bénifla JL




Has Abstract


2004-10-01 00:00:00














  • Vaginal erotic sensitivity by sexological examination.

    abstract::We studied vaginal erotic sensitivity by vaginal sexological examinations as part of the evaluation and treatment process of couples complaining of female coital anorgasmia but readily orgasmic at female self--or partner-performed external genital stimulation. The existence on the anterior vaginal wall of an anatomica...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Hoch Z

    更新日期:1986-01-01 00:00:00

  • How accurate are maternal symptoms in predicting impending complications in women with preeclampsia? A systematic review and meta-analysis.

    abstract:BACKGROUND:Maternal symptoms such as severe headache, nausea and vomiting, visual disturbances and epigastric pain have been associated with complications in women with preeclampsia. OBJECTIVE:To determine the accuracy of maternal symptoms in predicting complications in women with preeclampsia by systematic review. D...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,meta分析,评审


    authors: Thangaratinam S,Gallos ID,Meah N,Usman S,Ismail KM,Khan KS,TIPPS (Tests in Prediction of Pre-eclampsia's Severity) Review Group.

    更新日期:2011-06-01 00:00:00

  • Amenorrhea following oral contraception.

    abstract::In 21 patients with amenorrhea after taking oral contraceptives, the urinary excretion of estrogens and the plasma concentrations of LH, FSH and prolactin were determined. In five of these women the amenorrhea was accompanied by galactorrhea. Ten of the 21 patients had had origomenorrhea before contraceptive therapy. ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Smiljanić N,Ciglar S,Bistricki J

    更新日期:1980-01-01 00:00:00

  • Spontaneous abortion: a prospective cohort study of younger women from the general population in Denmark. Validation, occurrence and risk determinants.

    abstract:OBJECTIVE:To assess the occurrence of spontaneous abortion, comparing two different data sources. To estimate the rate of spontaneous abortion over a 2-year period, and examine potential predictors of the risk for incident spontaneous abortion. METHODS:We used interview data from a population-based prospective cohort ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Buss L,Tolstrup J,Munk C,Bergholt T,Ottesen B,Grønbaek M,Kjaer SK

    更新日期:2006-01-01 00:00:00

  • Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomised controlled trial.

    abstract:BACKGROUND:To assess if acupuncture influences the onset of labour and the need for induction after prelabour rupture of membranes (PROM) in nulliparous women. Further, to investigate a possible effect of acupuncture on the woman's wellbeing. METHODS:In a randomised controlled trial (RCT), 106 nulliparous women with P...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,随机对照试验


    authors: Selmer-Olsen T,Lydersen S,Mørkved S

    更新日期:2007-01-01 00:00:00

  • Pitfalls in diagnosis of interstitial pregnancy.

    abstract:BACKGROUND:To determine the incidence and reasons for misdiagnosis in interstitial ectopic pregnancy. METHODS:We conducted a retrospective study from 1990 to 2001. Women with interstitial pregnancy were identified and their case records retrieved and reviewed. Reasons for delay in diagnosis and associated morbidity we...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Chan LY,Fok WY,Yuen PM

    更新日期:2003-09-01 00:00:00

  • Decreased need for emergency services after changing management for suspected miscarriage.

    abstract::We investigated the effect of a changed routine to identify women with a nonviable pregnancy, in order to utilize health care resources more efficiently during office hours rather than relying on emergency care services. From hospital register data about where and when women with miscarriages were treated, there was a...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Adolfsson A,Tullander-Tjörnstrand K,Larsson PG

    更新日期:2011-08-01 00:00:00

  • Consumption of anti-D in the erythroblastotic fetus.

    abstract:BACKGROUND:Maternal serum anti-D is actively transported across the placenta into the fetal blood where it adheres to D-positive erythrocytes. The anti-D coated red cells attach to Fc-receptors on fetal reticuloendothelial cells and are subsequently phagocytosed and hemolysed. It is not known if anti-D is consumed or r...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Gottvall T,Selbing A

    更新日期:1998-05-01 00:00:00

  • Elevated serum alpha-hydroxybutyrate dehydrogenase in patients with ovarian carcinoma.

    abstract::To differentiate between ovarian carcinoma and benign ovarian tumor, we compared alpha-hydroxybutyrate dehydrogenase (HBD), lactate dehydrogenase (LDH) and its isoenzyme activities in serum in 115 patients with ovarian carcinoma and benign ovarian tumor. Both serum HBD activity and total LDH activity in ovarian cancer...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Kikuchi Y,Momose E,Kizawa I,Kuki E,Kato K

    更新日期:1985-01-01 00:00:00

  • Physical therapy for pregnancy-related low back and pelvic pain: a systematic review.

    abstract:BACKGROUND:A systematic review of prospective controlled clinical trials was performed to assess the effectiveness of physical therapy interventions for the prevention and treatment of pregnancy-related back and pelvic pain. Pregnancy-related low back and pelvic pain has an impact on daily life for many women. Preventi...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审


    authors: Stuge B,Hilde G,Vøllestad N

    更新日期:2003-11-01 00:00:00

  • Feasibility study of using fetal DNA in maternal plasma for non-invasive prenatal diagnosis.

    abstract:BACKGROUND:The discovery of the presence of fetal genetic material in maternal blood has opened up a new approach to prenatal diagnosis. One approach that has been extensively investigated over the past few decades is the isolation of fetal cells from maternal blood (Herzenberg et al. Proc Natl Acad Sci USA. 1979;76:14...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Liu FM,Wang XY,Feng X,Wang W,Ye YX,Chen H

    更新日期:2007-01-01 00:00:00

  • The diagnostic value of amniotic fluid Gram stain examination and limulus amebocyte lysate assay in patients with preterm birth.

    abstract::The purpose of this study was to determine the value of Gram stain examination and Limulus amebocyte lysate (LAL) test in the detection of intraamniotic infection. Ninety women with preterm labor and intact membranes (n = 55) or preterm premature rupture of membranes (PROM) (n = 35) who delivered prematurely were incl...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章


    authors: Hazan Y,Mazor M,Horowitz S,Leiberman JR,Glezerman M

    更新日期:1995-04-01 00:00:00

  • Does single embryo transfer improve the obstetric and neonatal outcome of singleton pregnancy?

    abstract::Singleton pregnancies following in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) are associated with increased risks of abnormal placentation, pre-eclampsia and preterm birth. These risks might partly be a consequence of the number of transferred embryos. In this commentary we summarize the res...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Poikkeus P,Tiitinen A

    更新日期:2008-01-01 00:00:00

  • Menopausal hot flushes do not associate with changes in heart rate variability in controlled testing: a randomized trial on hormone therapy.

    abstract:OBJECTIVE:To compare in controlled cardiovascular autonomic function tests the effects of hormone therapy (HT) on heart rate variability (HRV) responses in postmenopausal women with and without pretreatment hot flushes. DESIGN:A randomized placebo-controlled trial. SETTING:Finland, Helsinki University Central Hospita...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,随机对照试验


    authors: Hautamäki H,Mikkola TS,Sovijärvi AR,Piirilä P,Haapalahti P

    更新日期:2013-08-01 00:00:00

  • Fetal heart rate short term variation during labor in relation to scalp blood lactate concentration.

    abstract:INTRODUCTION:Fetal heart rate short term variation (STV) decreases with severe chronic hypoxia in the antenatal period. However, only limited research has been done on STV during labor. We have tested a novel algorithm for a valid baseline estimation and calculated STV. To explore the value of STV during labor, we comp...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Lu K,Holzmann M,Abtahi F,Lindecrantz K,Lindqvist PG,Nordstrom L

    更新日期:2018-10-01 00:00:00

  • Plasma FSH, LH and prolactin levels in postmenopausal women undergoing cyclofenil treatment.

    abstract::Ten postmenopausal women were studied in an attempt to identify the mechanism of action of cyclofenil, a non-steroidal anti-estrogen which has proved to be effective in the climacteric syndrome. A double-blind inter-patient clinical investigation was undertaken, with patients assigned randomly to treatment for 10 days...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Nencioni T,Miragoli A,Bertaglia MG,Parini J

    更新日期:1982-01-01 00:00:00

  • Anal sphincter tears at spontaneous delivery: a comparison of five hospitals in Norway.

    abstract:OBJECTIVE:To analyze circumstances relating to severe anal sphincter tears occurring at spontaneous delivery, in view of reported differences in practice regarding manual perineal protection during delivery. DESIGN:Cohort study of midwife-conducted non-operative vaginal deliveries. SETTING:Five Norwegian hospitals wi...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Valbø A,Gjessing L,Herzog C,Goderstad JM,Laine K,Valset AM

    更新日期:2008-01-01 00:00:00


    abstract::The effect of single intramuscular injection of 15(S)15 methyl PGF2α . (Prostin 15M, Upjohn) on cervical dilatation was tried in women during first trimester pregnancy. Prostin 15M was given at a dose of 250 µg. Three hours later the cervical dilatation and uterine consistency were assessed and recorded, prior to vacu...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Devi PK,Jain S,Cr K,Ks R

    更新日期:1988-01-01 00:00:00

  • Direct current conversion of maternal supraventricular tachycardia developed during the treatment of a pregnant heroin addict with ritodrine.

    abstract::During ritodrine (UtoparR) treatment for premature labor, a chronic heroin-addicted patient developed supraventricular tachycardia which was treated by direct current (d.c) conversion, d.c. conversion did not affect the fetus, as judged by the cardiotocogram. As heroin addicts run an increased risk or developing cardi...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Fink BJ,Weber T

    更新日期:1981-01-01 00:00:00

  • Effect of althesin anesthesia on blood loss during therapeutic abortion. A comparison with local and thiopental anesthesia.

    abstract::During recent years, the use of steroid anesthesia has rapidly increased. In our hospital, a number of surgical procedures have been performed under Althesin anesthesia, and in some cases the peroperative bleeding seemed to be rather profuse. Blood loss was studied in 90 healthy women in the first trimester of pregnan...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Møller BR,Mommsen S,Bøggild-Madsen NB,Vestersgaard-Andersen TB,Olcott A,Hansen JT

    更新日期:1979-01-01 00:00:00

  • Influence of operations for stress incontinence and/or genital descensus on sexual life.

    abstract::A variety of operations for stress incontinence or genital descensus are performed in gynecological department. The purpose of this study was to find out whether these operations influenced the patients' sexual life. In a prospective study of 55 women, all sexually active prior to the operation, various characteristic...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Haase P,Skibsted L

    更新日期:1988-01-01 00:00:00

  • Triage by HPV-DNA testing: is it useful in women with persistent minor smear abnormalities?

    abstract:BACKGROUND:This study was carried out to evaluate the efficacy of HPV-DNA (Human Papilloma Virus) testing as a triage strategy for persistent borderline and mild cytological abnormalities. METHODS:A prospective cross-sectional study involving 321 women registered between January and December 2001 with two smears showi...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Pisal N,Sindos M,Chow C,Singer A

    更新日期:2003-06-01 00:00:00

  • Oxytocin, somatostatin, insulin and gastrin concentrations vis-à-vis late pregnancy, breastfeeding and oral contraceptives.

    abstract::Oxytocin concentrations increased during pregnancy and during medication with low-dose oral contraceptives (o.c.). Postprandial somatostatin concentrations were lower during medication with o.c. Insulin concentrations were elevated during pregnancy with the same tendency during medication with o.c. Gastrin levels were...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Silber M,Larsson B,Uvnäs-Moberg K

    更新日期:1991-01-01 00:00:00

  • Increasing incidence of ectopic pregnancy in one Norwegian county--a population based study, 1970-1993.

    abstract:OBJECTIVE:To estimate time trends related to ectopic pregnancy while considering the contribution of repeat ectopic pregnancy and changing treatment for infertile couples over the past 24 years. METHODS:Population based incidence data on ectopic pregnancy were collected from the only two hospitals in one Norwegian cou...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Skjeldestad FE,Kendrick JS,Atrash HK,Daltveit AK

    更新日期:1997-02-01 00:00:00

  • Projected cost-effectiveness of repeat high-risk human papillomavirus testing using self-collected vaginal samples in the Swedish cervical cancer screening program.

    abstract:BACKGROUND:Human papillomavirus (HPV) testing is not currently used in primary cervical cancer screening in Sweden, and corresponding cost-effectiveness is unclear. OBJECTIVE:From a societal perspective, to evaluate the cost-effectiveness of high-risk (HR)-HPV testing using self-collected vaginal samples. DESIGN:A co...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Östensson E,Hellström AC,Hellman K,Gustavsson I,Gyllensten U,Wilander E,Zethraeus N,Andersson S

    更新日期:2013-07-01 00:00:00

  • First trimester diagnosis and early in utero treatment of obstructive uropathy.

    abstract::The earliest diagnosis and treatment of obstructed fetal bladder is reported. Placement of vesico-amniotic shunt at 14.5 weeks of gestation enabled preservation of bilateral renal function and maintenance of normal amniotic fluid volume with normal pulmonary development. The shunt functioned adequately for more than 1...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Drugan A,Zador IE,Bhatia RK,Sacks AJ,Evans MI

    更新日期:1989-01-01 00:00:00

  • Evaluation of fetal and neonatal mortality at the University Hospital of Tromsø, Norway, from 1976 to 1989.

    abstract::To investigate developments in perinatal care, all fetal and neonatal deaths among those born after at least 24 weeks of gestation at the University Hospital of Tromsø, Norway from 1976 to 1989, were subjected to medical audit. A decrease in total mortality rate was found when based on maturity (greater than or equal ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Berge LN,Rasmussen S,Dahl LB

    更新日期:1991-01-01 00:00:00

  • Heart frequency of the fetus at birth.

    abstract::Heart frequency was recorded in 10 infants during the delivery and the following day. It was found that during vaginal birth, in cephalic presentation, heart frequency decreased during the last 3 minutes before delivery of the head. In breech presentation the initial deceleration was shorter, while with cesarean secti...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Klebe JG,Espersen T,Poulsen EH

    更新日期:1986-01-01 00:00:00

  • A study of the effect of rotational forceps delivery on fetal acid-base balance.

    abstract:OBJECTIVE:To determine whether Kiellands forceps rotational delivery causes a significant reduction in fetal pH or base excess, as compared to a control group delivered using non-rotational forceps. DESIGN:A prospective observational study. SETTING:A teaching hospital labor ward in the UK. METHODS:Fetal blood sampli...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章


    authors: Baker PN,Johnson IR

    更新日期:1994-11-01 00:00:00

  • Adult granulosa cell tumor of the ovary: 35 cases in a single Korean Institute.

    abstract:BACKGROUND:Adult granulosa cell tumor of the ovary is an uncommon neoplasm. The overall prognosis is favorable. The prognostic factors that are related to survival have not been well defined and are discussed in the literature amidst controversy. METHODS:Thirty-five patients diagnosed with adult granulosa cell tumor o...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章


    authors: Kim YM,Jung MH,Kim KR,Kim JH,Kim YT,Nam JH,Mok JE

    更新日期:2006-01-01 00:00:00