In all, 333 pregnant women were enrolled in the study and asked to complete the questionnaire one year after delivery, 119 were not eligible (11, 5% were pregnant again). While 214 completed the questionnaire 1 year after birth, corresponding to a response rate of 64.26%.Mean maternal age was 28, 74 ± 5.46 years and 8.4% of women were smokers. As for the type of delivery, about half (43.5%) were vaginal delivery (VD), 19.2% vacuum assisted and 1.9% forceps assisted.Cesarean delivery (CD) was associated with the presence of women health problems during pregnancy (50%, p=0,004) such as hypertension, gestational diabetes and others Storage symptoms were more common than voiding symptoms, the most commonly reported LUTS were nocturia (45.1%), followed by urgency (20.7%),9.4%em had urge urinary incontinence and 23.5% had some degree of stress urinary incontinence (11.7% mild)Regarding perineal state after vaginal delivery, 27 women had ≥2nd degree tear, 13 of them presenting urinary incontinence. The prevalence of LUTS according to the delivery mode a year after delivery is shown in Figure 1 and 2.

The incidence of nocturia and urgency, was significantly lower in the VD group than the CD (P =0.014 and P= 0,02 respectively). The incidence of nocturia and urgency, was significantly lower in the VD group than the CD (P =0.014 and P= 0,02 respectively). There were no significant differences between the groups in terms of urinary frequency.Urgency was referred to as the most severe and impacting symptom in women with caesarean section with a frequency of 30.3% vs. 15.2% in vaginal deliveries. Despite this, the frequency of urge urinary incontinence is higher in vaginal delivery but without a statistically significant difference. Compared women with normal vaginal delivery, women with operative vaginal delivery had a higher prevalence of UI and urgency. The extent to which women were bothered by each symptom, no bother and minor bother were the most common responses reported  SUI, nocturia, and urgency were most frequently considered moderate or severe bother nevertheless no association was found between the severity of LUTS and the degree of botherless. Incontinence was more frequent in the three subtypes (urgency, stress and mixed) in the VD group with significant differences only when considering stress incontinence (p=0.011) with severe incontinence in only 4.3% of cases.In the literature, recent studies have shown the protective effect of CD on the pelvic floor. VD is an independent risk factor for damage to the pelvic floor muscles after the fetus passing through the soft birth canal can directly damage the pelvic floor muscles.  Our results are in line with the findings from a number of previous studies; low degree of perineal injury, birth weight, length and head circumference seem to be of minor importance for the incidence of UI postpartum.  As LUTS can have a negative impact on women’s psychological wellbeing, it is important that they are encouraged to seek health care. It should be acknowledged that this is not an inevitable and acceptable consequence of childbirth Asking women to recall symptoms is subject to bias, and may have led to over- or underestimation. Information on pelvic floor exercises would have been interesting, to investigate any associations with LUTS.