Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus
Clinics
;
66(8): 1341-1346, 2011. ilus, tab
Artigo
em Inglês
| LILACS
| ID: lil-598373
ABSTRACT
OBJECTIVE:
To assess the prevalence of urinary incontinence and associated vaginal squeeze pressure in primiparous women with and without previous gestational diabetes mellitus two years post-cesarean delivery.METHODS:
Primiparous women who delivered by cesarean two years previously were interviewed about the delivery and the occurrence of incontinence. Incontinence was reported by the women and vaginal pressure evaluated by a Perina perineometer. Sixty-three women with gestational diabetes and 98 women without the disease were screened for incontinence and vaginal pressure. Multiple logistic regression models were used to evaluate the independent effects of gestational diabetes.RESULTS:
The prevalence of gestational incontinence was higher among women with gestational diabetes during their pregnancies (50.8 percent vs. 31.6 percent) and two years after a cesarean (44.8 percent vs. 18.4 percent). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9 percent vs. 37.8 percent). Maternal weight gain and newborn weight were risk factors for decreased vaginal pressure. Maternal age, gestational incontinence and decreased vaginal pressure were risk factors for incontinence two years after a cesarean. In a multivariate logistic model, gestational diabetes was an independent risk factor for gestational incontinence.CONCLUSIONS:
The prevalence of incontinence and decreased vaginal pressure two years post-cesarean were elevated among women with gestational diabetes compared to women who were normoglycemic during pregnancy. We confirmed an association between gestational diabetes mellitus and a subsequent decrease of vaginal pressure two years post-cesarean. These results may warrant more comprehensive prospective and translational studies.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Incontinência Urinária
/
Vagina
/
Cesárea
/
Diabetes Gestacional
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Recém-Nascido
/
Gravidez
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Estados Unidos
Instituição/País de afiliação:
Cornell University/US
/
Universidade Estadual Paulista/BR
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