Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : August | Volume : 11 | Issue : 8 | Page : QC01 - QC03

Gestational Urinary Incontinence in Nulliparous Pregnancy- A Pilot Study

Alp Tuna Beksac, Emine Aydin, Ceren Orhan, Ergun Karaagaoglu, Turkan Akbayrak

1. Research Fellow, Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA. 2. Department of Obstetrics and Gynaecology, Kayseri Education and Research Hospital, Kayseri, Turkey. 3. Physiotherapist, Department of Physiotherapy, Hacettepe University, Ankara, Turkey. 4. Professor, Department of Bioistatistics, Hacettepe University, Ankara, Turkey. 5. Professor, Department of Physiotherapy Hacettepe University, Ankara, Turkey.

Correspondence Address :
Dr. Emine Aydin,
Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri-06230, Turkey.
E-mail: eminebas


Introduction: Urinary Incontinence (UI) in pregnancy is more than a disease; it is a social problem that necessitates special care and management. The exact rationales and biological facts behind urinary incontinence during pregnancy are unclear and multivariate.

Aim: This pilot study was designed to examine the direct effect of gestational factors (e.g., physical and metabolic/hormonal) on the presence of Gestational Urinary Incontinence (GUI), in nulliparous pregnant women.

Materials and Methods: This was a questionnaire-based study comprising of 61 nulliparous pregnant woman who had not experienced any Urinary Incontinence (UI) before their pregnancies. Patients were examined during their pregnancies within the framework of the antenatal care program continued at the Division of Perinatology, Hacettepe University, Ankara, Turkey, between January 2015 and December 2016. A ‘urinary incontinence questionnaire’ was used three times during different periods of gestation (11–14, ~24 and ~37 gestational weeks) for each patient. Statistical analysis was performed using the SPSS software version 20.0. The Chi-Square test or Fisher’s-exact test was used to compare proportions in groups.

Results: The prevalence of total urinary incontinence (stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence) in nulliparous pregnant women was 4.9% (n=3), 9.8% (n=6) and 26.2% (n=16) at 11–14, ~24 and ~37 gestational weeks, respectively. Stress urinary incontinence was found to be 3.3% (n=2), 6.6% (n=4) and 16.4% (n=10) at 11–14, ~24 and ~37 gestational weeks, respectively. Urge urinary incontinence frequency was found to be 1.6% (n=1), 3.3% (n=2), 6.6% (n=4), and mixed urinary incontinence frequency was 0% (n=0), 0% (n=0), 3.3% (n=2) at 11–14, ~24 and ~37 gestational weeks, respectively. Maternal age, birth weight of the neonate and gestational age at birth had no statistically significant effect on GUI.

Conclusion: Urinary incontinence is an important issue during pregnancy and related symptoms are more common in third trimester.


Nulliparity, Stress, Urge

How to cite this article :

Alp Tuna Beksac, Emine Aydin, Ceren Orhan, Ergun Karaagaoglu, Turkan Akbayrak. GESTATIONAL URINARY INCONTINENCE IN NULLIPAROUS PREGNANCY- A PILOT STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2018 Feb 20 ]; 11:QC01-QC03. Available from

DOI and Others

DOI: 10.7860/JCDR/2017/25572.10333

Date of Submission: Nov 22, 2016
Date of Peer Review: Feb 10, 2017
Date of Acceptance: Jul 11, 2017
Date of Publishing: Aug 01, 2017


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