Fetal birthweight and maternal urinary incontinence in Chinese primiparas: a population-based study
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Le résumé fourni par la source
BACKGROUND: Urinary incontinence (UI) is commonly linked to pregnancy and obstetric factors, but the association between fetal birthweight and maternal UI remains contentious. This study investigates the association between fetal birthweight and maternal UI and its subtypes in Chinese primiparas. METHODS: Cross-sectional data from 54,346 women aged 20 years and above were obtained from the 2019-2021 National Urinary Incontinence Survey. Restricted cubic spline (RCS) regression analysis and threshold effect analysis were used to explore the association between fetal birthweight and urinary incontinence and its subtypes. RESULTS: Among 19,365 primiparas, the prevalence of UI was 14.5%. Adjusted analyses revealed that each 1.0 kg increase in birthweight correlated with a 32% (95% CI: 1.21-1.44) increased risk of UI. Categorical analysis indicated that women in the highest birthweight tertile (3.4-6.0 kg) faced a higher risk of UI compared to those in the lowest tertile (0.5-3.0 kg) (adjusted OR, 1.42; 95% CI: 1.28-1.57). RCS regression highlighted non-linear associations between birthweight and the risk of any type of UI, urgency UI (UUI), and mixed UI (MUI), with a significant turning point at 3.9 kg for overall UI risk. Subgroup analyses revealed interactions between birthweight tertiles and modifiable risk factors like physical activity, as well as clinical risk factors like hypertension. CONCLUSIONS: These findings underscore the independent association between fetal birthweight and UI in Chinese primiparas, emphasizing the importance of considering various factors when assessing this relationship. A non-linear association exists between birthweight and any type of UI, UUI, and MUI, respectively. This study offers novel insights into the potential classification strategies for fetal birthweight and call for future research to validate and comprehend the clinical implications.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Fetal birthweight and maternal urinary incontinence in Chinese primiparas: a population-based study
- Date Crossref
- 24/02/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Vanke (China) pays non établi dans la noticeEntreprise
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Tsinghua University Institute for Healthy China pays non établi dans la noticeUniversité ou école supérieure
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University of Liverpool Department of Public Health pays non établi dans la noticeUniversité ou école supérieure
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Chongqing Maternal and Child Health Hospital pays non établi dans la noticeÉtablissement de santé
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Gansu Provincial Maternal and Child Health Hospital pays non établi dans la noticeÉtablissement de santé
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People's Hospital of Xinjiang Uygur Autonomous Region Department of Gynecology pays non établi dans la noticeÉtablissement de santé
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Third Affiliated Hospital of Zhengzhou University Department of Gynecology pays non établi dans la noticeÉtablissement de santé
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School of Medicine Women's Hospital pays non établi dans la noticeÉtablissement de santé
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Hubei Provincial Women and Children's Hospital pays non établi dans la noticeÉtablissement de santé
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Nanjing First Hospital pays non établi dans la noticeÉtablissement de santé
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Nanjing Medical University Department of Gynecology pays non établi dans la noticeUniversité ou école supérieure
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Children's Hospital of Chongqing Medical University Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
Vanke (China), Institute for Healthy China — Tsinghua University et Department of Public Health — University of Liverpool, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.