Obstetrics & Gynecology

Skip Navigation LinksHome > March 2014 - Volume 123 - Issue 3 > Association of Mode of Delivery With Urinary Incontinence an...
Obstetrics & Gynecology:
doi: 10.1097/AOG.0000000000000141
Contents: Original Research

Association of Mode of Delivery With Urinary Incontinence and Changes in Urinary Incontinence Over the First Year Postpartum

Chang, Shiow-Ru RN, PhD; Chen, Kuang-Ho PhD; Lin, Ho-Hsiung MD, PhD; Lin, Ming-I MD; Chang, Ting-Chen MD; Lin, Wei-An MD

Collapse Box


OBJECTIVE: To examine the association between vaginal or cesarean delivery and urinary incontinence (UI) and identify the trend in the change in UI within the first 12 months postpartum.

METHODS: This was a prospective longitudinal study of 330 of 749 women who completed a UI questionnaire and a personal characteristics questionnaire over five visits in a medical center.

RESULTS: The vaginal delivery group had a significant higher prevalence of any UI at 4–6 weeks and at 3, 6, and 12 months (29.1–40.2% vaginal compared with 14.2–25.5% cesarean); stress urinary incontinence (SUI) at 4–6 weeks and 3 and 12 months (15.9–25.4% vaginal compared with 6.4–15.6% cesarean); and moderate or severe UI at 3–5 days, 4–6 weeks, and 6 months (7.9–18.5% vaginal compared with 4.3–11.3% cesarean); and a significant higher score for interference in daily life at 3–5 days and 4–6 weeks (1.0, 0.7 vaginal compared with 0.7, 0.4 cesarean) compared with those in the cesarean delivery group. Prevalence increased for any UI, SUI, and slight UI (all P<.02) and daily life interference score decreased (P=.02) for women who had a vaginal delivery through 1 year postpartum.

CONCLUSION: Vaginal delivery was associated with higher UI prevalence that persisted for 1 year postpartum, but there was no association with interference in daily life after 6 weeks postpartum. Variation was observed in UI changes within the first year in the vaginal delivery and cesarean delivery groups.


© 2014 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.



Looking for ABOG articles? Visit our ABOG MOC II collection. The selected Green Journal articles are free through the end of the calendar year.


If you are an ACOG Fellow and have not logged in or registered to Obstetrics & Gynecology, please follow these step-by-step instructions to access journal content with your member subscription.

Article Tools


Article Level Metrics