Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine
Abstract Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to...
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doaj-fa51c5e2567e426ab8c31d5bfcf768682021-01-31T16:06:37ZengBMCBMC Pregnancy and Childbirth1471-23932021-01-012111810.1186/s12884-021-03567-1Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from PalestineJaffar H. Saffarini0Qais T. Ahmad1Ahmad M. Samara2Dima S. Jabri3Zaina H. Safarini4Yousra M. Banijaber5Ahmad Jaradat6Faris Abushamma7Sa’ed H. Zyoud8Department of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Medicine, College of Medicine and Health Sciences, An-Najah National UniversityDepartment of Clinical and Community Pharmacy, College of Medicine and Health Sciences, An-Najah National UniversityAbstract Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to assess LUTS among pregnant women in Palestine, in addition to identifying factors that exacerbate LUTS during pregnancy. Methods We devised a cross-sectional, questionnaire-based study that used the Urinary Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) tools to assess LUTS during pregnancy in an antenatal care clinic setting. Multiple linear regressions were conducted to determine variables that significantly related to LUTS (UDI-6 and IIQ-7 scores as dependent variables). Results The study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.9 ± 24.9 out of 100 points (6.7 ± 5.2 out of 21) for the IIQ-7 scale and a mean of 31.2 ± 19.2 out of 100 points (5.6 ± 3.4 out of 18) for the UDI-6 scale. Regression analysis showed that older women (p = 0.031), women with a higher body mass index (p < 0.001), and women in the third trimester of pregnancy (p = 0.023), were independently associated with high UDI score. Multiple linear regression analysis showed that obese and overweight patients (p = 0.006) and multiparity (p = 0.026) were independently associated with high IIQ score. Conclusions High body mass index is independently associated with both UDI and IIQ scores for LUTS. Several strategies should be arranged to raise the awareness of females of childbearing age in Palestine regarding LUTS during pregnancy and factors which may exacerbate LUTS, such as obesity and multiparity. Thus, preventive measures should be implemented, such as serial assessment of LUTS during antenatal care to respond timely to this frequent problem.https://doi.org/10.1186/s12884-021-03567-1PregnancyLower urinary tract symptomsUrinary incontinencePalestine |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jaffar H. Saffarini Qais T. Ahmad Ahmad M. Samara Dima S. Jabri Zaina H. Safarini Yousra M. Banijaber Ahmad Jaradat Faris Abushamma Sa’ed H. Zyoud |
spellingShingle |
Jaffar H. Saffarini Qais T. Ahmad Ahmad M. Samara Dima S. Jabri Zaina H. Safarini Yousra M. Banijaber Ahmad Jaradat Faris Abushamma Sa’ed H. Zyoud Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine BMC Pregnancy and Childbirth Pregnancy Lower urinary tract symptoms Urinary incontinence Palestine |
author_facet |
Jaffar H. Saffarini Qais T. Ahmad Ahmad M. Samara Dima S. Jabri Zaina H. Safarini Yousra M. Banijaber Ahmad Jaradat Faris Abushamma Sa’ed H. Zyoud |
author_sort |
Jaffar H. Saffarini |
title |
Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine |
title_short |
Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine |
title_full |
Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine |
title_fullStr |
Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine |
title_full_unstemmed |
Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine |
title_sort |
assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from palestine |
publisher |
BMC |
series |
BMC Pregnancy and Childbirth |
issn |
1471-2393 |
publishDate |
2021-01-01 |
description |
Abstract Background Women frequently complain of lower urinary tract symptoms (LUTS) during pregnancy due to multiple physiological and potentially pathological changes. Still, there is limited data on the characteristics of LUTS for pregnant women in Palestine. Therefore, this study was designed to assess LUTS among pregnant women in Palestine, in addition to identifying factors that exacerbate LUTS during pregnancy. Methods We devised a cross-sectional, questionnaire-based study that used the Urinary Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ) tools to assess LUTS during pregnancy in an antenatal care clinic setting. Multiple linear regressions were conducted to determine variables that significantly related to LUTS (UDI-6 and IIQ-7 scores as dependent variables). Results The study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.9 ± 24.9 out of 100 points (6.7 ± 5.2 out of 21) for the IIQ-7 scale and a mean of 31.2 ± 19.2 out of 100 points (5.6 ± 3.4 out of 18) for the UDI-6 scale. Regression analysis showed that older women (p = 0.031), women with a higher body mass index (p < 0.001), and women in the third trimester of pregnancy (p = 0.023), were independently associated with high UDI score. Multiple linear regression analysis showed that obese and overweight patients (p = 0.006) and multiparity (p = 0.026) were independently associated with high IIQ score. Conclusions High body mass index is independently associated with both UDI and IIQ scores for LUTS. Several strategies should be arranged to raise the awareness of females of childbearing age in Palestine regarding LUTS during pregnancy and factors which may exacerbate LUTS, such as obesity and multiparity. Thus, preventive measures should be implemented, such as serial assessment of LUTS during antenatal care to respond timely to this frequent problem. |
topic |
Pregnancy Lower urinary tract symptoms Urinary incontinence Palestine |
url |
https://doi.org/10.1186/s12884-021-03567-1 |
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