Association of Quality of Life and Severity of Urinary Incontinence Among Post-Partum Females; A Cross-Sectional Study

Urinary Incontinence Among Post-Partum Females


  • Anum Saeed Hajvery University, Lahore, Pakistan
  • Muhammad Shahzad Qadree College of Medicine and Dentistry, Fatima Memorial Hospital, Lahore, Pakistan
  • Aimen Ghulam Rasool Shaikh Zayed Hospital, Lahore, Pakistan
  • Syed Nasir Ali Shah Sahara College, Narowal, Pakistan
  • Maida Chaudhary Hamza Hospital, Lahore, Pakistan
  • Sana Hanif Bakhtawar Amin College of Rehabilitation Sciences, Multan, Pakistan



association, post-partum, quality of life, urinary incontinence


Background: Urinary incontinence has been known as a widespread problem that has been recognized to affect 20 to 30% of older females globally. The degree of severity and appearance varies from person to person. Objective: To determine the association between quality of life and severity of urinary incontinence among post-partum females. Methods: This is a cross-sectional survey in which non-probability convenient sampling technique was employed for sampling. The data was this study was collected from Medlane Medical Complex. The study was completed within six months after the approval of the synopsis. The age range of 139 females included in this study was 25 to 35 years old. The tools employed in this study were the SF-36 questionnaire and the urinary incontinence index. All the recruited females were asked to fill out the questionnaires. Results: About 59 Participants (42.4%) reported having poor quality of life, 75 (54%) participants reported having moderate quality of life and 5 (3.6%) participants reported having good quality of life. 73 females (52.5%) reported to have mild urinary incontinence, 65 females (46.8%) reported to have moderate urinary incontinence and only 1 (0.7%) female reported to have severe urinary incontinence. A total of one female with severe urinary incontinence, she reported to have moderate quality of life with a p-value of 0.00. Among the total of 65, 59 participants who reported suffering from moderate urinary incontinence had poor quality of life. About 3 had a moderate quality of life and 3 had a good quality of life with a p-value of 0.00. A total of 73 patients with mild urinary incontinence had a poor quality of life, 71 had a moderate quality of life and 2 had a good quality of life with a p-value of 0.00, proving that quality of life and urinary urge score were associated. Conclusion: It concludes that quality of life and urinary incontinence urge score are associated. Our study concludes that if a post-partum female has a poor quality of life, then she might have a greater urinary incontinence urge score and vice versa.


D'Ancona C, Haylen B, Oelke M, et al. The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourology and urodynamics 2019; 38(2): 433-77.

Hammad FT. Prevalence, social impact and help-seeking behaviour among women with urinary incontinence in the Gulf countries: a systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology 2021; 266: 150-6.

Ruiz de Viñaspre Hernández R, Tomas Aznar C, Rubio Aranda E. Factors associated with treatment‐seeking behavior for postpartum urinary incontinence. Journal of Nursing Scholarship 2014; 46(6): 391-7.

Leroy LdS, Lúcio A, Lopes MHBdM. Risk factors for postpartum urinary incontinence. Revista da Escola de Enfermagem da USP 2016; 50: 0200-7.

Zhu L, Li L, Lang J-h, Xu T. Prevalence and risk factors for peri-and postpartum urinary incontinence in primiparous women in China: a prospective longitudinal study. International urogynecology journal 2012; 23: 563-72.

Lopes M. Urinary incontinence in the puerperium and its impact on the health-related quality of life. Revista Latino-Americana de Enfermagem 2012; 20(2): 346-53.

Béchard F, Castelli C, Alonso S, et al. Impact of mode of delivery of twins on the pelvic floor 3 and 12 months post-partum—part II. International Urogynecology Journal 2019; 30: 893-9.

Valeton CT, Do Amaral VF. Evaluation of urinary incontinence in pregnancy and postpartum in Curitiba Mothers Program: a prospective study. International urogynecology journal 2011; 22: 813-8.

Tähtinen RM, Cartwright R, Tsui JF, et al. Long-term impact of mode of delivery on stress urinary incontinence and urgency urinary incontinence: a systematic review and meta-analysis. European urology 2016; 70(1): 148-58.

Martínez-Galiano JM, Hernández-Martínez A, Rodríguez-Almagro J, Delgado-Rodríguez M, Rubio-Alvarez A, Gómez-Salgado J. Women’s quality of life at 6 weeks postpartum: influence of the discomfort present in the puerperium. International Journal of Environmental Research and Public Health 2019; 16(2): 253.

Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary incontinence in women: a review. Jama 2017; 318(16): 1592-604. doi:10.1001/jama.2017.12137

Woodley SJ, Lawrenson P, Boyle R, et al. Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database of Systematic Reviews 2020; (5).

Kristiansson P, Samuelsson E, Schoultz BV, Svärdsudd K. Reproductive hormones and stress urinary incontinence in pregnancy. Acta obstetricia et gynecologica Scandinavica 2001; 80(12): 1125-30.

Yang X, Sayer L, Bassett S, Woodward S. The prevalence, associated factors, and impact of urinary incontinence in pregnant and postpartum women in Nanjing, China: A cross-sectional study. Asian Journal of Urology 2023; 10(3): 337-43.

Zeng J, Lin S, Huang P, Chen J, Chen S, Xie Y. Epidemiological investigation on female stress urinary incontinence at 42 days after delivery [J]. Maternal and Child Health Care of China 2017; 20: 5103-6.

Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pakistan journal of medical sciences 2013; 29(3): 818.

doi: 10.12669/pjms.293.3404

Van de Pol G, Van Brummen H, Bruinse H, Heintz A, Van Der Vaart C. Is there an association between depressive and urinary symptoms during and after pregnancy? International Urogynecology Journal 2007; 18: 1409-15.

Zaidi SF, Mgarry R, Alsanea A, et al. A questionnaire-based survey to assess the level of knowledge and awareness about drug–food interactions among general public in western Saudi Arabia. Pharmacy 2021; 9(2): 76.

Dolan LM, Walsh D, Hamilton S, Marshall K, Thompson K, Ashe RG. A study of quality of life in primigravidae with urinary incontinence. International Urogynecology Journal 2004; 15: 160-4.

Kocaöz S, Talas MS, Atabekoğlu CS. Urinary incontinence in pregnant women and their quality of life. Journal of clinical nursing 2010; 19(23‐24): 3314-23.

Rangraz Jeddi M, Momenyan S, Rasouli A, Seyfzadeh Z, Hedayatizadeh A. Study of the relationship between the severity of postpartum urinary incontinence and parity and the quality of life in multiparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility 2014; 17(105): 18-23.

LoMartire R, Äng BO, Gerdle B, Vixner L. Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain. Pain 2020; 161(1): 83. DOI: 10.1097/j.pain.0000000000001700

Triviño-Juárez J-M, Romero-Ayuso D, Nieto-Pereda B, et al. Health related quality of life of women at the sixth week and sixth month postpartum by mode of birth. Women and Birth 2017; 30(1): 29-39.

Cherif R, Feki I, Gassara H, et al. Symptomatologie dépressive du post-partum: prévalence, facteurs de risque et lien avec la qualité de vie. Gynécologie obstétrique fertilité & sénologie 2017; 45(10): 528-34.

Tyrala-Seweryn K, Seweryn M, Krysta K. Analysis of Urinary Incontinence and Depression among Young Women. Psychiatria Danubina 2017; 29(suppl. 3): 565-7.

Liang Y, Chen Y, Yu X, Li X. Quality of life among women with postpartum urinary incontinence: a cross-sectional study. Gynecology and Obstetrics Clinical Medicine 2021; 1(3): 164-8.

Lin Y-H, Chang S-D, Hsieh W-C, et al. Persistent stress urinary incontinence during pregnancy and one year after delivery; its prevalence, risk factors and impact on quality of life in Taiwanese women: an observational cohort study. Taiwanese Journal of Obstetrics and Gynecology 2018; 57(3): 340-5.

Van der Woude DA, Pijnenborg JM, de Vries J. Health status and quality of life in postpartum women: a systematic review of associated factors. European Journal of Obstetrics & Gynecology and Reproductive Biology 2015; 185: 45-52.

Hermansen IL, O'Connell BO, Gaskin CJ. Women's explanations for urinary incontinence, their management strategies, and their quality of life during the postpartum period. Journal of Wound Ostomy & Continence Nursing 2010; 37(2): 187-92. DOI: 10.1097/WON.0b013e3181cf7946




How to Cite

Saeed, A., Qadree, M. S., Rasool, A. G. ., Shah, S. N. A. ., Chaudhary, M., & Hanif, S. (2023). Association of Quality of Life and Severity of Urinary Incontinence Among Post-Partum Females; A Cross-Sectional Study: Urinary Incontinence Among Post-Partum Females. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 3(10), 862–870.





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