

OBSTETRICIAN AND GYNAECOLOGIST ASPIRING TO ADVANCE EXPERTISE IN REPRODUCTIVE MEDICINE
PAPER PRESENTATION
•TITLE: SOCIO-DEMOGRAPHICS PROFILE OF WOMEN PRESENTING WITH PRETERM LABOUR AT TERTIARY CARE HOSPITAL
PLACE: YUVA FOGSI EAST ZONE 2020 ON 16OCT2020
•CORRELATION OF MATERNAL SERUM IONIC CALCIUM AND MAGNESIUM LEVELS WITH FETAL OUTCOME
PLACE: FOGSI NATIONAL CONFERENCE CONTOVERSIES IN OBS AND GYNAE , 24-26 JUNE2022
•TOPIC: PREVALENCE AND RISK FACTORS OF URINARY INCONTINENCE AMONG WOMEN
PLACE:8THANNUAL CONGRESS OF GLOBAL INTERSTITIAL CYSTITIS SOCIETY, 26 AUG2023 HELD IN NEW DELHI
POSTER PRESENTATION
•URINARY INCONTINENCE AND QUALITY OF LIFE MEASURES
PLACE:YUVA FOGSI WEST ZONE CONFERENCE AND WORKSHOP ONLINE 18-20 NOV, 2022
•SURGICAL METHODS FOR TERMINATION OF PREGNANCY
PLACE: FOGSI PG FORUM NATIONAL CONFERENCE ONLINE 10-11 OCT 2020
AN OBSERVATIONAL STUDY ON IMPACT OF URINARY INCONTINENCE ON QUALITY OF LIFE AND MENTAL HEALTH AMONG WOMEN IN DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY OF SMS MEDICAL COLLEGE, JAIPUR
Topic: An observational study on the impact of urinary incontinence on mental health and quality of life among women
Background: Urinary incontinence (UI) is a common problem affecting about 20–30% of adult women worldwide and is defined by the International Continence Society as 'the complaint of involuntary loss of urine.' Although not life-threatening, it may have social, psychological, occupational, physical, and sexual consequences, and may lead to reduced quality of life, social isolation, restricted lifestyle, shame, and psychological morbidity. This study aims to assess the impact of stress, urge, and mixed urinary incontinence on quality of life and mental health among affected women.
Materials and methods: This cross-sectional observational study was conducted on 100 women presenting with urinary incontinence. The type of urinary incontinence was diagnosed using the QUID questionnaire, and quality of life impairment was assessed using the Incontinence Impact Questionnaire-7 (IIQ-7), while psychological distress was measured using the General Health Questionnaire (GHQ-12). Sociodemographic variables, obstetric history, constipation, smoking status, and previous surgeries were collected. Data were statistically analyzed using descriptive statistics (mean, SD, frequency, percentages), chi-square test to assess associations between categorical variables, Kruskal-Wallis test / ANOVA for between-group score comparison, and Spearman’s rank correlation (rho) to assess the relationship between severity scores and psychological scales. A p-value < 0.05 was considered statistically significant
Results: Stress urinary incontinence was the most common type (48%), followed by urge (30%), and mixed incontinence (22%)
There was a statistically significant association between constipation and type of incontinence (χ² = 13.258, p = 0.010).
A statistically significant association was also found between vaginal hysterectomy and stress urinary incontinence (χ² = 32.782, p < 0.001).
The mean IIQ-7 score was 32.48, with the highest values in the mixed UI group (38.53), followed by stress (31.71), and urge (29.28) Group comparison showed a non-significant difference (χ² = 5.019, p = 0.081).
There was a strong positive correlation between IIQ-7 total score and GHQ-12 social dysfunction score (rho = 0.61, p < 0.001), and between IIQ-7 score and GHQ-12 anxiety score (rho = 0.64, p < 0.001), indicating higher psychological morbidity with increasing symptom severity
The mean GHQ-12 Social Dysfunction score was 7.85 and was statistically different among types of UI (χ² = 7.510, p = 0.023), with the highest scores in the urge group. The mean GHQ-12 Anxiety score was 1.98, highest in the mixed UI group, which was statistically significant (χ² = 15.628, p < 0.001).
Conclusion: Women with urinary incontinence demonstrated reduced mental health and impaired quality of life, with the most significant impact among those with mixed urinary incontinence The severity of symptoms showed a strong correlation with psychological distress and social dysfunction, supporting the need for early screening and integrated clinical and psychological management.
Keywords: urinary incontinence, QUID, IIQ-7, GHQ-12, mental health, quality of life