Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study
Objectives Urinary incontinence (UI) is prevalent among women, particularly during the postpartum period, impacting various aspects of quality of life (QoL). The objectives of this study are to determine the prevalence of postpartum UI among Palestinian women, explore its relationship with delivery...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e087585.full |
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| author | Zaher Nazzal Bayan Hersh Rawan Shaban |
| author_facet | Zaher Nazzal Bayan Hersh Rawan Shaban |
| author_sort | Zaher Nazzal |
| collection | DOAJ |
| description | Objectives Urinary incontinence (UI) is prevalent among women, particularly during the postpartum period, impacting various aspects of quality of life (QoL). The objectives of this study are to determine the prevalence of postpartum UI among Palestinian women, explore its relationship with delivery mode, identify associated risk factors and assess its impact on QoL.Design A cross-sectional study.Setting and participants The study targeted postpartum women attending primary healthcare centres in the North West Bank of Palestine. Data were collected using interviewer-administered questionnaires. The primary outcome was the prevalence of postpartum UI, and the secondary outcomes included risk factors associated with UI and its impact on QoL. We used multivariate logistic regression analysis to identify factors associated with UI while adjusting for confounding variables. The Institutional Review Board of An-Najah National University approved the study.Results Out of 507 participants, 13.6% (95% CI 10.8% to 16.9%) experienced postpartum UI, with 78.3% reporting moderate-to-severe symptoms. Maternal body mass index (BMI) (adjusted OR (aOR) 1.98; 95% CI 1.1 to 3.7; adjusted p=0.033) and experiencing UI during the last pregnancy (aOR 2.25; 95% CI 1.3 to 3.8; adjusted p=0.003) were significant risk factors for postpartum UI. No significant association was found between the normal vaginal delivery and postpartum UI compared with caesarean section (aOR 1.5; 95% CI 0.90 to 1.5; adjusted p=0.284). Postpartum UI severity significantly correlated with QoL, particularly in social embarrassment (p=0.005), psychosocial impact (p≤0.001) and avoidance and limiting behaviours (p≤0.001).Conclusion The prevalence of postpartum UI in Palestinian women is consistent with global findings. Experiencing UI during the last pregnancy and higher maternal BMI were identified as key risk factors for postpartum UI. These results highlight the need for early detection, intervention and preventive strategies to mitigate the impact of postpartum UI on QoL. |
| format | Article |
| id | doaj-art-1cf53f1bfc354c7283d6f79354836144 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1cf53f1bfc354c7283d6f793548361442025-01-17T19:40:13ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087585Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional studyZaher Nazzal0Bayan Hersh1Rawan Shaban22 Community Medicine, Department of Medicine, An-Najah National University, Nablus, State of Palestine1 Faculty of Medicine and Health Sciences, An-najah National University, Nablus, State of Palestine1 Faculty of Medicine and Health Sciences, An-najah National University, Nablus, State of PalestineObjectives Urinary incontinence (UI) is prevalent among women, particularly during the postpartum period, impacting various aspects of quality of life (QoL). The objectives of this study are to determine the prevalence of postpartum UI among Palestinian women, explore its relationship with delivery mode, identify associated risk factors and assess its impact on QoL.Design A cross-sectional study.Setting and participants The study targeted postpartum women attending primary healthcare centres in the North West Bank of Palestine. Data were collected using interviewer-administered questionnaires. The primary outcome was the prevalence of postpartum UI, and the secondary outcomes included risk factors associated with UI and its impact on QoL. We used multivariate logistic regression analysis to identify factors associated with UI while adjusting for confounding variables. The Institutional Review Board of An-Najah National University approved the study.Results Out of 507 participants, 13.6% (95% CI 10.8% to 16.9%) experienced postpartum UI, with 78.3% reporting moderate-to-severe symptoms. Maternal body mass index (BMI) (adjusted OR (aOR) 1.98; 95% CI 1.1 to 3.7; adjusted p=0.033) and experiencing UI during the last pregnancy (aOR 2.25; 95% CI 1.3 to 3.8; adjusted p=0.003) were significant risk factors for postpartum UI. No significant association was found between the normal vaginal delivery and postpartum UI compared with caesarean section (aOR 1.5; 95% CI 0.90 to 1.5; adjusted p=0.284). Postpartum UI severity significantly correlated with QoL, particularly in social embarrassment (p=0.005), psychosocial impact (p≤0.001) and avoidance and limiting behaviours (p≤0.001).Conclusion The prevalence of postpartum UI in Palestinian women is consistent with global findings. Experiencing UI during the last pregnancy and higher maternal BMI were identified as key risk factors for postpartum UI. These results highlight the need for early detection, intervention and preventive strategies to mitigate the impact of postpartum UI on QoL.https://bmjopen.bmj.com/content/15/1/e087585.full |
| spellingShingle | Zaher Nazzal Bayan Hersh Rawan Shaban Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study BMJ Open |
| title | Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study |
| title_full | Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study |
| title_fullStr | Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study |
| title_full_unstemmed | Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study |
| title_short | Prevalence, determinants and impact of urinary incontinence on quality of life among Palestinian postpartum women: a cross-sectional study |
| title_sort | prevalence determinants and impact of urinary incontinence on quality of life among palestinian postpartum women a cross sectional study |
| url | https://bmjopen.bmj.com/content/15/1/e087585.full |
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