COMPARISON OF PREVALENCE OF URINARY INCONTINENCE IN WOMEN FOLLOWING SPONTANEOUS VAGINAL DELIVERY AND CESAREAN DELIVERY

Abstract

Objective: To determine and compare frequency of urinary incontinence in women following spontaneous vaginal delivery and cesarean delivery.Study Design:        Descriptive study. Place and Duration of Study:  Department of Obstetrics and Gynaecology at Ziauddin Medical University and Hospital, Karachi, over a period of six months from May 2024 to October 2024. Methodology: Total 81 women aged 18 to 45 years with gestational age more than 37 weeks (by last menstrual period) underwent for delivery irrespective of vaginal and cesarean delivery were included. Women were followed at 6 weeks and 12 weeks after delivery for assessment of urinary incontinence. Data was analysed using statistical package for social sciences 27.  Results: Mean age was 32.44 ± 8.33 years and mean body mass index was 28.86 ± 3.48 kg/m2. Urinary incontinence was present in 39 (48.1%) women. Vaginal delivery was seen in 56 (69.1%) and cesarean delivery in 25 (30.9%). Among vaginal delivery, 33 (58.9%) had urinary incontinence while in cesarean delivery 6 (24.0%) had urinary incontinence. Significant association was found between urinary incontinence and mode of delivery (p = 0.004). Conclusion: Urinary incontinence is common and it is more frequent in women having spontaneous vaginal delivery as compared to cesarean delivery.