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Exertion Incontinence - A Common Postnatal Problem

According to a new doctoral thesis from Karolinska Institutet, almost quarter of all mothers have problems with exertion incontinence, one year after childbirth.// However, despite many physical ailments, new mothers have better self-rated health than other women in the same age group.

In her thesis, Women’s health after childbirth, postgraduate student and midwife Erica Schytt takes an all-inclusive approach to the question of how childbirth affects mothers’ physical health. Her survey included some 2,500 Swedish women, who were asked to complete a series of questionnaires on physical symptoms and rate their health on a scale of one to five, from the start of their pregnancy until after the delivery.

The thesis shows that most of the women were troubled by at least one symptom for their entire first year, and that a quarter of them had five or more symptoms. The most common complaint was exertion incontinence, which no less than 22% of the women suffered a year after childbirth.

"This is serious, as it’s often a chronic problem," says Dr Schytt.

Women who suffer from obesity or constipation, who have already had a child, or who are older than 35 are at particular risk of developing exertion incontinence, while the chances were lower for those who had had a caesarean. However, Dr Schytt stresses that this is not to be taken as an argument for opting for a caesarean, as the operation has its own dangers.

Other common complaints after delivery were fatigue, headaches, and neck, shoulder or lower back pain. Pain from the caesarean operation, pain during intercourse and haemorrhoids were common after two months, but for most women these problems had ceased after a year.

Despite a number of physical complaints, most of the women described themselves as feeling well. To the question: "All in all, how would you describe your present state of health"", 91% responded "good" or "very good" two months after childbirt
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