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dc.contributor.authorSlavin, Valerie
dc.contributor.authorCreedy, Debra K
dc.contributor.authorGamble, Jenny
dc.date.accessioned2020-02-12T03:41:17Z
dc.date.available2020-02-12T03:41:17Z
dc.date.issued2020
dc.identifier.issn0266-6138
dc.identifier.doi10.1016/j.midw.2020.102628
dc.identifier.urihttp://hdl.handle.net/10072/391351
dc.description.abstractObjective : To evaluate a framework to facilitate standardised reporting of perinatal incontinence. Design : An exploratory, prospective, observational cohort study. Setting : One Australian tertiary maternity referral centre. Participants : Data from 309 pregnant women collected between August 2017 and January 2019. Measurements and findings : A framework was developed using consensus-based terminology and definitions, measures and data-collection time-points. The ICIQ-UI SF and the Wexner Scale were administered during pregnancy (<27 and 36-weeks) and postpartum (6- and 26-weeks). Incidence, trajectory and group differences for urinary incontinence subcategories were evaluated. Stress urinary incontinence was the largest contributor of urinary incontinence during pregnancy (39.2%) followed by mixed (11.3%) and urgency incontinence (7.4%). Factors associated with incontinence subcategories during pregnancy were multiparity (stress: RR 1.74), co-existing anal incontinence (mixed: RR 3.51) and early pregnancy urinary incontinence (stress: RR 2.79; mixed: RR 2.85). Factors postpartum included primiparity (urgency), vaginal birth (stress), induction of labour (stress: RR 2.99; urgency: RR 0.2), waterbirth (urgency: RR 2.66), coexisting anal incontinence (urgency: RR 3.55) and late pregnancy urinary incontinence (mixed: RR 3.97). Low numbers of women with anal incontinence prohibited subcategory analysis. Key conclusions : Findings offer preliminary support for the effectiveness of the framework for the measurement and reporting of urinary incontinence in childbearing women. Future research is needed to evaluate the framework in larger and more diverse maternity populations. Implications for practice : A framework for standardised measurement and reporting of perinatal incontinence will facilitate improved synthesis of research findings with the potential to improve the quality of evidence-based clinical guidelines.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited Kingdom
dc.relation.ispartofjournalMidwifery
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1114
dc.titleBenchmarking outcomes in maternity care: peripartum incontinence - A framework for standardised reporting
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSlavin, V; Creedy, DK; Gamble, J, Benchmarking outcomes in maternity care: peripartum incontinence - A framework for standardised reporting, Midwifery, 2020
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-02-12T01:59:29Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered into Griffith Research Online as an Advanced Online Version
gro.rights.copyright© 2020 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorGamble, Jenny A.
gro.griffith.authorSlavin, Valerie J.
gro.griffith.authorCreedy, Debra K.


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