- 2025-12-27
- International urogynecology journal 37(5)
- De-Feng Chen
- Si-Di Dai
- Hua-Ting Chen
- Yao-Jie Zhai
- Bing Liu
- Tai-Zhen Luo
Study Design
- Type
- Meta-Analysis
- Population
- pregnant women
- Methods
- literature search in Chinese and English databases; included cohort studies, cross-sectional studies
Introduction and hypothesis
Pregnant women's physical health and quality of life are affected by gestational stress urinary incontinence (GSUI), requiring therapeutic attention to this obstetric issue.Methods
To review and analyze the factors influencing GSUI, a literature search was conducted in both Chinese and English databases, including Web of Science, PubMed, Embase, WanFang, and China National Knowledge Infrastructure. Cohort studies, cross-sectional studies, and other studies that fit the population and research focus were included; conference papers and review articles were not.Results
Twenty studies were included. In the univariate analysis, factors influencing GSUI included: previous vaginal delivery, parity, miscarriage, previous infant > 4 kg, age, constipation during pregnancy, pelvic floor muscle training (PFMT), and multiple gravidity. In the multivariate analysis, factors influencing GSUI included previous vaginal delivery, parity, previous infant > 4 kg, age, constipation during pregnancy, PFMT, BMI during pregnancy, and gestational age.Conclusions
Previous vaginal delivery, constipation, and previous infant > 4 kg are key risk factors for GSUI, with PFMT showing a protective effect. Clinicians should integrate preventive strategies into antenatal care to reduce the incidence of GSUI.