Comparison Of Prevalence Of Stress Incontinence Among Multiparous And Primiparous Women After One Year Of Delivery

Objective: To find out and compare the frequency of Stress Urinary Incontinence among multiparous and primiparous women.Place of Study: Nishter Hospital, Multan.Study Design: A Cross-Sectional Study.Duration of Study: Sept 2021 to Dec 2021Methodology: After permission from the institutional review committee of Nishter Medical University, Multan, a hospital-based, face-to-face, cross-sectional study was carried out by employing 250 participants as a sample size. The convenience sampling technique was utilized for the recruitment of participants from Nishter Hospital, Multan. All the patients visiting the OPD of the Gynecology department after approximately one year of the last delivery were included in the study. Participants with red flags including urinary tract infection, bladder calculus, prostatic hyperplasia, and neoplasm were omitted from the survey. Data was collected by using a well-developed questionnaire for prevalence containing questions pertaining to age, parity, and symptoms like Loss of urine while, lifting weights, exercising, coughing, sneezing, laughing, and during sexual intercourse to find out the association of symptoms with the parity status of the women. Statistical Package for Social Sciences (SPSS) Version 21 was used to analyze the data. The chi-square test was used to assess the association between urinary incontinence and parity.Results: In this study, 57 women had single children, 39 women had two children, 47 had three children and 107 women had >3 children. Of the women who reported the loss of urine while lifting weights 17.5% (primiparous), 30.8 % (2 children), 36.2 % (3 children), and 47.6% were multiparous. The primiparous Women who reported urine leakage during exercise were 12.2% and multiparous was 30.8%. 17.7% of women >3 children stated un-intentional loss of urine during coughing, sneezing, or laughing while only 8.8% primiparous reported the un-intentional urine loss. During sexual intercourse none of the primiparous experienced leakage of urine while 4.6% of multiparous complained about the loss of urine during sexual intercourse.Conclusion: The prevalence of stress urinary incontinence is strongly associated with the parity status of women.