Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine

BackgroundWomen 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 LU...

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Veröffentlicht in:BMC Pregnancy and Childbirth 2021-01, Vol.21 (1), p.84-8, Article 84
Hauptverfasser: Saffarini, Jaffar H., Ahmad, Qais T., Samara, Ahmad M., Jabri, Dima S., Safarini, Zaina H., Banijaber, Yousra M., Jaradat, Ahmad, Abushamma, Faris, Zyoud, Sa'ed H.
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container_start_page 84
container_title BMC Pregnancy and Childbirth
container_volume 21
creator Saffarini, Jaffar H.
Ahmad, Qais T.
Samara, Ahmad M.
Jabri, Dima S.
Safarini, Zaina H.
Banijaber, Yousra M.
Jaradat, Ahmad
Abushamma, Faris
Zyoud, Sa'ed H.
description BackgroundWomen 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.MethodsWe 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).ResultsThe study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.924.9 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
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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.MethodsWe 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).ResultsThe study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.924.9 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&lt;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.ConclusionsHigh 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.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-021-03567-1</identifier><identifier>PMID: 33499816</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Adolescent ; Adult ; Arabs ; Body Mass Index ; Complications and side effects ; Cross-Sectional Studies ; Exercise ; Female ; Health aspects ; Humans ; Life Sciences &amp; Biomedicine ; Lower urinary tract symptoms ; Lower Urinary Tract Symptoms - epidemiology ; Lower Urinary Tract Symptoms - etiology ; Maternal Age ; Obesity - complications ; Obstetrics &amp; Gynecology ; Overweight - complications ; Palestine ; Parity ; Physical fitness ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnant women ; Quality of Life ; Risk factors ; Science &amp; Technology ; Socioeconomic Factors ; Surveys and Questionnaires ; Urinary incontinence ; Urinary Incontinence - epidemiology ; Urinary tract infections ; Urogenital system ; Womens health ; Young Adult</subject><ispartof>BMC Pregnancy and Childbirth, 2021-01, Vol.21 (1), p.84-8, Article 84</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>10</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000613649400001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c563t-ed28d9f6203102d0079bc257f52dd84d607e0cf1c81fc9fbcc6218d1d6d0e8533</citedby><cites>FETCH-LOGICAL-c563t-ed28d9f6203102d0079bc257f52dd84d607e0cf1c81fc9fbcc6218d1d6d0e8533</cites><orcidid>0000-0002-7369-2058</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836150/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7836150/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,2106,2118,27933,27934,39267,53800,53802</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33499816$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saffarini, Jaffar H.</creatorcontrib><creatorcontrib>Ahmad, Qais T.</creatorcontrib><creatorcontrib>Samara, Ahmad M.</creatorcontrib><creatorcontrib>Jabri, Dima S.</creatorcontrib><creatorcontrib>Safarini, Zaina H.</creatorcontrib><creatorcontrib>Banijaber, Yousra M.</creatorcontrib><creatorcontrib>Jaradat, Ahmad</creatorcontrib><creatorcontrib>Abushamma, Faris</creatorcontrib><creatorcontrib>Zyoud, Sa'ed H.</creatorcontrib><title>Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine</title><title>BMC Pregnancy and Childbirth</title><addtitle>BMC PREGNANCY CHILDB</addtitle><addtitle>BMC Pregnancy Childbirth</addtitle><description>BackgroundWomen 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.MethodsWe 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).ResultsThe study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.924.9 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&lt;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.ConclusionsHigh 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arabs</subject><subject>Body Mass Index</subject><subject>Complications and side effects</subject><subject>Cross-Sectional Studies</subject><subject>Exercise</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Lower urinary tract symptoms</subject><subject>Lower Urinary Tract Symptoms - epidemiology</subject><subject>Lower Urinary Tract Symptoms - etiology</subject><subject>Maternal Age</subject><subject>Obesity - complications</subject><subject>Obstetrics &amp; Gynecology</subject><subject>Overweight - complications</subject><subject>Palestine</subject><subject>Parity</subject><subject>Physical fitness</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnant women</subject><subject>Quality of Life</subject><subject>Risk factors</subject><subject>Science &amp; Technology</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - epidemiology</subject><subject>Urinary tract infections</subject><subject>Urogenital system</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNUk1v1DAUjBCIlsIf4IAscaxS_OzYcTggrVZ8VKoEBzhbjj8WrxJ7sZNW--_xbpZVe0M-2H6eGfnNm6p6C_gGQPAPGYgQTY0J1Jgy3tbwrLqEpoWa0I4-f3S-qF7lvMUYWsHwy-qC0qbrBPDLKq1ytjmPNkwoOjTEB5vQnHxQaY-mpPSE8n7cTXHMyBzqG7RLdhNU0PuPSAUU-2zTvZp8DGpAOsWc62z16Z6n2eyRS3FEP9Rg8-SDfV29cGrI9s1pv6p-ffn8c_2tvvv-9Xa9uqs143SqrSHCdI4TTAETg3Hb9Zqw1jFijGgMx63F2oEW4HTneq05AWHAcIOtYJReVbeLrolqK3fJj6UnGZWXx0JMG6nS5PVgpVMMNLOkmGgbwlUvNAXDeqddywUXRevTorWb-9EaXexKangi-vQl-N9yE-9lKygHhovA-5NAin_mYoTcxjkVi7IkTQe07TiGgrpZUJtilvTBxcMIyjJ29DoG63yprzjDDQPBDgSyEI7GJ-vOXwIsDyGRS0hkCYk8hkQeSO8eN3Om_EtFAYgF8GD76LL2Nmh7hmGMOVDedE05YVj76Tj9dZzDVKjX_0-lfwHAKNun</recordid><startdate>20210126</startdate><enddate>20210126</enddate><creator>Saffarini, Jaffar H.</creator><creator>Ahmad, Qais T.</creator><creator>Samara, Ahmad M.</creator><creator>Jabri, Dima S.</creator><creator>Safarini, Zaina H.</creator><creator>Banijaber, Yousra M.</creator><creator>Jaradat, Ahmad</creator><creator>Abushamma, Faris</creator><creator>Zyoud, Sa'ed H.</creator><general>Springer Nature</general><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7369-2058</orcidid></search><sort><creationdate>20210126</creationdate><title>Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine</title><author>Saffarini, Jaffar H. ; Ahmad, Qais T. ; Samara, Ahmad M. ; Jabri, Dima S. ; Safarini, Zaina H. ; Banijaber, Yousra M. ; Jaradat, Ahmad ; Abushamma, Faris ; Zyoud, Sa'ed H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-ed28d9f6203102d0079bc257f52dd84d607e0cf1c81fc9fbcc6218d1d6d0e8533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arabs</topic><topic>Body Mass Index</topic><topic>Complications and side effects</topic><topic>Cross-Sectional Studies</topic><topic>Exercise</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Lower urinary tract symptoms</topic><topic>Lower Urinary Tract Symptoms - epidemiology</topic><topic>Lower Urinary Tract Symptoms - etiology</topic><topic>Maternal Age</topic><topic>Obesity - complications</topic><topic>Obstetrics &amp; Gynecology</topic><topic>Overweight - complications</topic><topic>Palestine</topic><topic>Parity</topic><topic>Physical fitness</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnant women</topic><topic>Quality of Life</topic><topic>Risk factors</topic><topic>Science &amp; Technology</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - epidemiology</topic><topic>Urinary tract infections</topic><topic>Urogenital system</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saffarini, Jaffar H.</creatorcontrib><creatorcontrib>Ahmad, Qais T.</creatorcontrib><creatorcontrib>Samara, Ahmad M.</creatorcontrib><creatorcontrib>Jabri, Dima S.</creatorcontrib><creatorcontrib>Safarini, Zaina H.</creatorcontrib><creatorcontrib>Banijaber, Yousra M.</creatorcontrib><creatorcontrib>Jaradat, Ahmad</creatorcontrib><creatorcontrib>Abushamma, Faris</creatorcontrib><creatorcontrib>Zyoud, Sa'ed H.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile (Gale Reference Complete)</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC Pregnancy and Childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saffarini, Jaffar H.</au><au>Ahmad, Qais T.</au><au>Samara, Ahmad M.</au><au>Jabri, Dima S.</au><au>Safarini, Zaina H.</au><au>Banijaber, Yousra M.</au><au>Jaradat, Ahmad</au><au>Abushamma, Faris</au><au>Zyoud, Sa'ed H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine</atitle><jtitle>BMC Pregnancy and Childbirth</jtitle><stitle>BMC PREGNANCY CHILDB</stitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2021-01-26</date><risdate>2021</risdate><volume>21</volume><issue>1</issue><spage>84</spage><epage>8</epage><pages>84-8</pages><artnum>84</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>BackgroundWomen 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.MethodsWe 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).ResultsThe study recruited 306 pregnant women. Regarding LUTS findings, the participants scored a mean of 31.924.9 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&lt;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.ConclusionsHigh 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.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>33499816</pmid><doi>10.1186/s12884-021-03567-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7369-2058</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Arabs
Body Mass Index
Complications and side effects
Cross-Sectional Studies
Exercise
Female
Health aspects
Humans
Life Sciences & Biomedicine
Lower urinary tract symptoms
Lower Urinary Tract Symptoms - epidemiology
Lower Urinary Tract Symptoms - etiology
Maternal Age
Obesity - complications
Obstetrics & Gynecology
Overweight - complications
Palestine
Parity
Physical fitness
Pregnancy
Pregnancy Complications - epidemiology
Pregnant women
Quality of Life
Risk factors
Science & Technology
Socioeconomic Factors
Surveys and Questionnaires
Urinary incontinence
Urinary Incontinence - epidemiology
Urinary tract infections
Urogenital system
Womens health
Young Adult
title Assessment of lower urinary tract symptoms during pregnancy: an observational cross-sectional study from Palestine
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