دورية أكاديمية
The impact of gestational diabetes mellitus on postpartum urinary incontinence: a longitudinal cohort study on singleton pregnancies.
| العنوان: | The impact of gestational diabetes mellitus on postpartum urinary incontinence: a longitudinal cohort study on singleton pregnancies. |
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| المؤلفون: | Chuang CM; Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei, Taiwan., Lin IF, Horng HC, Hsiao YH, Shyu IL, Chou P |
| المصدر: | BJOG : an international journal of obstetrics and gynaecology [BJOG] 2012 Oct; Vol. 119 (11), pp. 1334-43. Date of Electronic Publication: 2012 Aug 20. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 100935741 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-0528 (Electronic) Linking ISSN: 14700328 NLM ISO Abbreviation: BJOG Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Oxford [England] : Blackwell Science, [2000]- |
| مواضيع طبية MeSH: | Diabetes, Gestational*, Diabetes Complications/*epidemiology , Pregnancy Complications/*etiology , Puerperal Disorders/*etiology , Urinary Incontinence/*etiology, Adolescent ; Adult ; Female ; Humans ; Logistic Models ; Longitudinal Studies ; Middle Aged ; Postpartum Period ; Pregnancy ; Risk Factors ; Severity of Illness Index ; Surveys and Questionnaires ; Young Adult |
| مستخلص: | Objective: To determine whether gestational diabetes mellitus (GDM) is an independent risk factor for postpartum urinary incontinence in singleton pregnancies. Design: A longitudinal cohort study. Setting: A single tertiary-care hospital in Taiwan. Population: Pregnant women with term deliveries between 2002 and 2007 (n = 6653) were consecutively recruited. Methods: Logistic regression models were fitted based on generalised estimating equation methods to derive odds ratios for occurrences of type-specific urinary incontinence in the third trimester and at four time-points over 2 years during the postpartum period. Main Outcome Measures: Evaluation of whether GDM is an independent risk factor for postpartum urinary incontinence. Results: The full model analysis revealed that GDM was an independent risk factor for all type-specific urinary incontinence (odds ratio [95% confidence interval]: 1.97 [1.56-2.51], 3.11 [2.18-4.43] and 2.73 [1.70-4.40] for stress, urge and mixed incontinence, respectively]. Compared with women without GDM, women with GDM tended to exhibit more severe symptoms of stress incontinence for up to 2 years postpartum, whereas for urge or mixed incontinence, more severe symptoms were found only for 6 months postpartum. Evaluation of quality of life using the Incontinence Impact Questionnaire 7 suggested that women with GDM requiring insulin treatment had a higher likelihood of functional impairment than women with GDM requiring conservative treatment only or women without GDM (P < 0.05, by the chi-square test for trend). Conclusions: GDM was found to be an independent risk factor for postpartum urinary incontinence and had a significant impact on quality of life. Women with GDM should be provided with timely consultation and support once urinary incontinence occurs. (© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.) |
| التعليقات: | Comment in: Evid Based Nurs. 2014 Jan;17(1):10-1. (PMID: 23504034) |
| تواريخ الأحداث: | Date Created: 20120821 Date Completed: 20121210 Latest Revision: 20220330 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1111/j.1471-0528.2012.03468.x |
| PMID: | 22901044 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1471-0528 |
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| DOI: | 10.1111/j.1471-0528.2012.03468.x |