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Prevalence of postpartum urinary incontinence among women attending postnatal clinic at Aminu Kano teaching hospital
Abstract
Background: Involuntary loss of urine has a major impact on the quality of life. The burden of vesico- vaginal fistula in our region obscured other forms and causes of urinary incontinence, We aimed at determining the prevalence of urinary incontinence, other than vesico·vaginal fistula, and their risk factors.
Methods: It was a descriptive study of 257 women attending post natal clinic at Aminu Kano Teaching Hospital over thc period of five months. All consenting women in the clinic were recruited for the study, Administration of the questionnaire was by a trained research assistant. Data were analysed using SPSS version 17 for Windows (SPSS, Inc,. Chicago. Illinois). Comparison of categorical variables was done using Chi Square and Fischer's Exact test. P-value of ≦ 0.05 was considered significant. Ethical approval was obtained from the hospital ethical committee,
Results: Two hundred and fifty seven women were recruited for the study within the study period. The mean age ± standard deviation (SD) was 27,83±5.30 years. The prevalence of postpartum urinary incontinence was 15.20%. There was statistically significant association between BMI and urinary incontinence. BMI of >40 kg/m2 was more associated with urinary incontinence. P ( Fischer's)= 0.000. Stress urinary incontinence constituted 17 (43.59% ), urge incontinence constituted 18 (46.15%) while those with mixed incontinence were 4 ( 10.26%).
Conclusion : Urinary incontinence other than vesico-vaginal fistula is not uncommon among women within puerperium. Risk factors associated with it includes grand multipartys and obesity. Urge incontinence and stress urinary incontinence are the most prevalent among the respondents.
Keywords: prevalence, urinary incontinence. postpartum. Nigeria.
