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Validation of a Risk Assessment Tool for the Prediction of Postpartum Incontinence

1 May 2005


BACKGROUND AND PURPOSE. Urinary and fecal incontinence are common in women after pregnancy. Our purpose was to validate a risk assessment tool for the development of urinary and/or fecal incontinence in women postpartum to assist in directing therapeutic or medical intervention.

METHODS. Thirty-nine subjects agreed to participate, but only thirty-six completed both the initial questionnaire and the three-month follow-up. The risk assessment tool included twelve items relating to pregnancy and delivery; each item is weighted according to its association with incontinence based' on the literature.

RESULTS. There was no significant difference between the prediction of incontinence and the women who actually had incontinence postpartum using the risk assessment tool The presence of multiparity or a history of incontinence prior to the most recent pregnancy was significantly related to the presence of incontinence postpartum.

DISCUSSION AND CONCLUSION. We were unable to validate the risk assessment tool for postpartum incontinence developed by Dandy, although the need for such an instrument is warranted.


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