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C 013  Concurrent sessions
Incontinence

02-Jun-2014 11:00 12:30
 
 
Abstract: C 039
Urinary incontinence (UI) in primiparous women before and during early pregnancy – findings from the MAMMI study (UI strand)

Background:

Women reporting occasional urinary incontinence (UI) before their first pregnancy have raised odds of developing UI in pregnancy and UI during the first pregnancy and puerperium predicts an increased risk of having the symptom 5 years later.

Aim:

The aim of the MAMMI (Maternal health And Maternal Morbidity in Ireland) study (UI strand) is to explore urinary health and urinary problems experienced by first-time mothers during pregnancy and up to 6 months postpartum. This presentation will focus on the prevalence of UI before and during early pregnancy.

Methods:

The MAMMI study (UI) strand is a mixed methods cohort study with 1600 primiparous women using self-completed surveys in pregnancy and at 3 and 6 months postpartum, interviews, and data collection from maternity care records. Primiparous women are recruited at their first antenatal booking visit from one maternity hospital in Dublin. Eligible women are aged 18 years or over and able to read and understand English. Data are analysed using SPSS v.18. The MAMMI study commenced in February 2012 and recruitment will be completed by February 2014.

Ethical issues:

Research Ethics Committee approval was granted by the university and site hospital. All women gave informed consent.

Key findings:

Preliminary findings from 725 participants show that stress UI was experienced by 165 participants (22.8%) before pregnancy and 242 (33.5%) in early pregnancy. Before pregnancy, 22 (3%) participants, and during early pregnancy 55 (7.6%) participants, spoke to a healthcare professional about UI.

Implications for practice and policy:

UI is a common but treatable condition for many women. These findings suggest that opportunities for improving women’s urinary continence status in pregnancy, postpartum and in the longer term are not being addressed.

 
Co-authors
Deirdre Daly1, Cecily Begley1, Mike Clarke2.
1Trinity College Dublin, School of Nursing and Midwifery, Dublin, Ireland.
2Queens University Belfast, School of Medicine Dentistry and Biomedical Sciences, Belfast, United Kingdom.

 

Keywords:
 

  
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