Medical record documentation of peripartum urinary incontinence

Fareesa Raza-Khan*, Scott Graziano, Kimberly Kenton, Susan Shott, Linda Brubaker

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

OBJECTIVE: To determine the rate of medical record documentation of urinary incontinence (UI) symptoms during the third trimester of pregnancy and postpartum period. STUDY DESIGN: Third-trimester prenatal patients were invited to participate in an institutional board-approved prospective study. Participants completed the 15-item, validated Medical, Epidemiological and Social Aspects of Aging (MESA) questionnaire. The MESA was readministered to participants during a 6-8-week postpartum visit. Outpatient and inpatient medical records were reviewed to determine whether UI symptoms were documented. RESULTS: One hundred sixty women had antenatal MESA and 90 had postpartum MESAs. Of the 160 women with antenatal MESAs, 118 were symptomatic (73%). Five medical records (3.1%) reflected any assessment of UI. Postpartum, 43% of women were incontinent by MESA. Documentation of incontinence assessment was present in 21% of medical records. CONCLUSION: Medical record documentation of UI symptom screening throughout pregnancy and postpartum rarely occurred in this study population.

Original languageEnglish (US)
Pages (from-to)155-160
Number of pages6
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume53
Issue number3
StatePublished - Mar 1 2008

Keywords

  • Medical records
  • Postpartum period
  • Urinary incontinence

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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