{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:07:05Z","timestamp":1784153225826,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T00:00:00Z","timestamp":1592524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Spanish Health Department, Fondo de Investigaci\u00f3n Sanitaria del Instituto de Salud Carlos III","award":["PI070261"],"award-info":[{"award-number":["PI070261"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to investigate constitutional\u2010, pregnancy\u2010, labor\u2010, and delivery\u2010related factors involved in the long\u2010term persistence of stress urinary incontinence (SUI) from 6 months postpartum to 12 years after first delivery. We also evaluated severity and impact on quality of life of persistent SUI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a longitudinal study including primigravid women who gave birth at our Public Health Hospital during 2007. Urinary symptoms were investigated at inclusion, 6 months and 12 years after delivery. Persistent SUI was defined as SUI reported both at 6 months postpartum and 12 years after first delivery. The International Consultation on Incontinence\u2010Urinary Incontinence\u2010Short Form (ICIQ\u2010UI\u2010SF) and the Incontinence Severity Index (ISI) were used to evaluate SUI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the inclusion period, 479 pregnant women were interviewed, 381 attended the 6\u2010month follow\u2010up visit, and 315 formed the study group. SUI persisted in 36 out of 44 (81.8%) women. With the ISI, 52.8% of these women were categorized as having slight, 41.7% moderate, and 5.6% severe incontinence. The mean ICIQ\u2010UI\u2010SF score was 7.13 (SD 3.51). Pregnancy SUI (odds ratio [OR], 4.54; 95% confidence interval [CI], 2.10\u20109.80) and active second stage of labor more than or equal to 1\u2009hour (OR, 3.68; 95% CI, 1.21\u201011.14) were independently associated with persistent SUI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women who reported SUI during pregnancy, and those who had pushed for more than or equal to 1\u2009hour in the second stage of labor were at greater risk of SUI persisting from 6 months postpartum to long after delivery. We found this independent association after controlling for several constitutional\u2010, pregnancy\u2010, labor\u2010, and delivery\u2010related variables.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24442","type":"journal-article","created":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T15:59:51Z","timestamp":1592582391000},"page":"1849-1855","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Factors involved in the persistence of stress urinary incontinence from postpartum to 12 years after first delivery"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8077-6655","authenticated-orcid":false,"given":"Irene","family":"Diez\u2010Itza","sequence":"first","affiliation":[{"name":"Servicio de Obstetricia y Ginecolog\u00eda Hospital Universitario Donostia San Sebasti\u00e1n Guip\u00fazcoa Spain"},{"name":"Departamento de Especialidades M\u00e9dico\u2010Quir\u00fargicas Universidad del Pa\u00eds Vasco\/Euskal Herriko Unibertsitatea Leioa Spain"},{"name":"Grupo de Investigaci\u00f3n de Obstetricia y Ginecolog\u00eda IIS Biodonostia San Sebasti\u00e1n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maitane","family":"Zubikarai","sequence":"additional","affiliation":[{"name":"Servicio de Obstetricia y Ginecolog\u00eda Hospital Universitario Donostia San Sebasti\u00e1n Guip\u00fazcoa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Galan","sequence":"additional","affiliation":[{"name":"Servicio de Obstetricia y Ginecolog\u00eda Hospital Universitario Donostia San Sebasti\u00e1n Guip\u00fazcoa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leire","family":"Ginto","sequence":"additional","affiliation":[{"name":"Servicio de Obstetricia y Ginecolog\u00eda Hospital Universitario Donostia San Sebasti\u00e1n Guip\u00fazcoa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Saro","sequence":"additional","affiliation":[{"name":"Departamento de Especialidades M\u00e9dico\u2010Quir\u00fargicas Universidad del Pa\u00eds Vasco\/Euskal Herriko Unibertsitatea Leioa Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miren","family":"Arrue","sequence":"additional","affiliation":[{"name":"Servicio de Obstetricia y Ginecolog\u00eda Hospital Universitario Donostia San Sebasti\u00e1n Guip\u00fazcoa Spain"},{"name":"Departamento de Especialidades M\u00e9dico\u2010Quir\u00fargicas Universidad del Pa\u00eds Vasco\/Euskal Herriko Unibertsitatea Leioa Spain"},{"name":"Grupo de Investigaci\u00f3n de Obstetricia y Ginecolog\u00eda IIS Biodonostia San Sebasti\u00e1n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,19]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1004","article-title":"Age\u2010 and type\u2010dependent effects of parity on urinary incontinence: the Norwegian EPICONT study","volume":"98","author":"Rortveit G","year":"2001","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e328332a84e"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00372807"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.114501"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00818.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000226860.01127.0e"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13395"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7753(04)74212-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20041"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6777(2000)19:2<137::AID-NAU4>3.0.CO;2-G"},{"key":"e_1_2_8_13_1","unstructured":"WHO Reproductive Health Library. 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