Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey
Purpose:: Pregnancy has been associated with long-term lower urinary tract symptoms such as nocturia. The purpose of this study was to explore potential associations between delivery modality and fetal size during pregnancy and the presence of nocturia. Materials and Methods:: Using the National Hea...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Continence |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973722010438 |
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| author | Lakshay Khosla Aaron J Huang Nikhil Kasarla George Bou Kheir Jason M Lazar Thomas F Monaghan Jeffrey P Weiss Abdo E Kabarriti |
| author_facet | Lakshay Khosla Aaron J Huang Nikhil Kasarla George Bou Kheir Jason M Lazar Thomas F Monaghan Jeffrey P Weiss Abdo E Kabarriti |
| author_sort | Lakshay Khosla |
| collection | DOAJ |
| description | Purpose:: Pregnancy has been associated with long-term lower urinary tract symptoms such as nocturia. The purpose of this study was to explore potential associations between delivery modality and fetal size during pregnancy and the presence of nocturia. Materials and Methods:: Using the National Health and Nutrition Examination Survey (NHANES) database from 2005/06-2017/18, we categorized females by status of prior delivery modalities: nulligravida, vaginal deliveries, and cesarean deliveries. Groups were weighed and case-control matched for age, race, BMI, and number of deliveries. The association of delivery modality and fetal size (≥9 pounds or <5.5 pounds) on odds of nocturia and mean number of nighttime voids was assessed. Results:: Of the 1324 females analyzed (age range 20–49 years), 378 were nulligravida, 473 had vaginal deliveries, and 473 had Cesarean deliveries. Prevalence of nocturia was 18.3% for nulligravida, 24.1% for vaginal deliveries, and 24.1% for Cesarean deliveries subgroups. Both a history of vaginal deliveries (OR = 1.42, p = 0.039) and Cesarean deliveries (OR = 1.42, p = 0.039) showed an association to nocturia, although no differences were seen between the two groups. Number of deliveries or fetal size did not show any associations to nocturia development nor differences in mean number of nighttime voids in comparing the subgroups. Conclusions:: While both delivery modalities were associated with nocturia, the relationship does not differ between vaginal or Cesarean deliveries. No differences in nocturia were seen when the delivery modality groups were further sub-grouped by number of deliveries and fetal size. |
| first_indexed | 2024-04-09T23:38:14Z |
| format | Article |
| id | doaj.art-47a22c6c3da74285b31a1086aaf6dc02 |
| institution | Directory Open Access Journal |
| issn | 2772-9737 |
| language | English |
| last_indexed | 2024-04-09T23:38:14Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj.art-47a22c6c3da74285b31a1086aaf6dc022023-03-20T04:05:17ZengElsevierContinence2772-97372023-03-015100567Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination surveyLakshay Khosla0Aaron J Huang1Nikhil Kasarla2George Bou Kheir3Jason M Lazar4Thomas F Monaghan5Jeffrey P Weiss6Abdo E Kabarriti7Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY, USA; Correspondence to: 450 Clarkson Avenue, Brooklyn, NY 11203, USA.Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY, USADepartment of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY, USADepartment of Urology, Ghent University Hospital, Ghent, BelgiumDivision of Cardiovascular Medicine, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USADepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USADepartment of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY, USADepartment of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY, USAPurpose:: Pregnancy has been associated with long-term lower urinary tract symptoms such as nocturia. The purpose of this study was to explore potential associations between delivery modality and fetal size during pregnancy and the presence of nocturia. Materials and Methods:: Using the National Health and Nutrition Examination Survey (NHANES) database from 2005/06-2017/18, we categorized females by status of prior delivery modalities: nulligravida, vaginal deliveries, and cesarean deliveries. Groups were weighed and case-control matched for age, race, BMI, and number of deliveries. The association of delivery modality and fetal size (≥9 pounds or <5.5 pounds) on odds of nocturia and mean number of nighttime voids was assessed. Results:: Of the 1324 females analyzed (age range 20–49 years), 378 were nulligravida, 473 had vaginal deliveries, and 473 had Cesarean deliveries. Prevalence of nocturia was 18.3% for nulligravida, 24.1% for vaginal deliveries, and 24.1% for Cesarean deliveries subgroups. Both a history of vaginal deliveries (OR = 1.42, p = 0.039) and Cesarean deliveries (OR = 1.42, p = 0.039) showed an association to nocturia, although no differences were seen between the two groups. Number of deliveries or fetal size did not show any associations to nocturia development nor differences in mean number of nighttime voids in comparing the subgroups. Conclusions:: While both delivery modalities were associated with nocturia, the relationship does not differ between vaginal or Cesarean deliveries. No differences in nocturia were seen when the delivery modality groups were further sub-grouped by number of deliveries and fetal size.http://www.sciencedirect.com/science/article/pii/S2772973722010438PregnancyDeliveryObstetricNocturiaLower urinary tract symptomsNutrition surveys |
| spellingShingle | Lakshay Khosla Aaron J Huang Nikhil Kasarla George Bou Kheir Jason M Lazar Thomas F Monaghan Jeffrey P Weiss Abdo E Kabarriti Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey Continence Pregnancy Delivery Obstetric Nocturia Lower urinary tract symptoms Nutrition surveys |
| title | Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey |
| title_full | Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey |
| title_fullStr | Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey |
| title_full_unstemmed | Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey |
| title_short | Impact of delivery method and fetal size on nocturia: An analysis of the national health and nutrition examination survey |
| title_sort | impact of delivery method and fetal size on nocturia an analysis of the national health and nutrition examination survey |
| topic | Pregnancy Delivery Obstetric Nocturia Lower urinary tract symptoms Nutrition surveys |
| url | http://www.sciencedirect.com/science/article/pii/S2772973722010438 |
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