Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800006 http://hdl.handle.net/11449/12151 |
Resumo: | 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% vs. 31.6%) and two years after a cesarean (44.8% vs. 18.4%). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%). 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. |
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Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitusCesarean deliveryGestational diabetes mellitusVaginal squeeze pressurePregnantUrinary incontinenceOBJECTIVE: 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% vs. 31.6%) and two years after a cesarean (44.8% vs. 18.4%). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%). 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.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Estadual Paulista, Botucatu Med Sch, Dept Gynecol & Obstet, Botucatu, SP, BrazilCornell Univ, New York, NY 10021 USAUniv Estadual Paulista, Botucatu Med Sch, Dept Gynecol & Obstet, Botucatu, SP, BrazilUniversidade de São Paulo (USP), Faculdade de MedicinaUniversidade Estadual Paulista (Unesp)Cornell UniversityBarbosa, Angélica Mércia Pascon [UNESP]Dias, Adriano [UNESP]Marini, Gabriela [UNESP]Calderon, Iracema de Mattos Paranhos [UNESP]Witkin, Steven Sol [UNESP]Rudge, Marilza Vieira Cunha [UNESP]2014-05-20T13:35:21Z2014-05-20T13:35:21Z2011-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1341-1345application/pdfhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800006Clinics. São Paulo: Hospital Clinicas, Univ São Paulo, v. 66, n. 8, p. 1341-1345, 2011.1807-5932http://hdl.handle.net/11449/1215110.1590/S1807-59322011000800006S1807-59322011000800006WOS:000294822800006WOS000294822800006.pdf0679387622604743675868038883507829668464060628360000-0002-9227-832X0000-0001-6895-372XWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengClinics1.2450,536info:eu-repo/semantics/openAccess2024-08-16T14:12:38Zoai:repositorio.unesp.br:11449/12151Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:12:38Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
title |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
spellingShingle |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus Barbosa, Angélica Mércia Pascon [UNESP] Cesarean delivery Gestational diabetes mellitus Vaginal squeeze pressure Pregnant Urinary incontinence |
title_short |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
title_full |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
title_fullStr |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
title_full_unstemmed |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
title_sort |
Urinary incontinence and vaginal squeeze pressure two years post-cesarean delivery in primiparous women with previous gestational diabetes mellitus |
author |
Barbosa, Angélica Mércia Pascon [UNESP] |
author_facet |
Barbosa, Angélica Mércia Pascon [UNESP] Dias, Adriano [UNESP] Marini, Gabriela [UNESP] Calderon, Iracema de Mattos Paranhos [UNESP] Witkin, Steven Sol [UNESP] Rudge, Marilza Vieira Cunha [UNESP] |
author_role |
author |
author2 |
Dias, Adriano [UNESP] Marini, Gabriela [UNESP] Calderon, Iracema de Mattos Paranhos [UNESP] Witkin, Steven Sol [UNESP] Rudge, Marilza Vieira Cunha [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Cornell University |
dc.contributor.author.fl_str_mv |
Barbosa, Angélica Mércia Pascon [UNESP] Dias, Adriano [UNESP] Marini, Gabriela [UNESP] Calderon, Iracema de Mattos Paranhos [UNESP] Witkin, Steven Sol [UNESP] Rudge, Marilza Vieira Cunha [UNESP] |
dc.subject.por.fl_str_mv |
Cesarean delivery Gestational diabetes mellitus Vaginal squeeze pressure Pregnant Urinary incontinence |
topic |
Cesarean delivery Gestational diabetes mellitus Vaginal squeeze pressure Pregnant Urinary incontinence |
description |
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% vs. 31.6%) and two years after a cesarean (44.8% vs. 18.4%). Decreased vaginal pressure was also significantly higher among women with gestational diabetes (53.9% vs. 37.8%). 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. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 2014-05-20T13:35:21Z 2014-05-20T13:35:21Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800006 Clinics. São Paulo: Hospital Clinicas, Univ São Paulo, v. 66, n. 8, p. 1341-1345, 2011. 1807-5932 http://hdl.handle.net/11449/12151 10.1590/S1807-59322011000800006 S1807-59322011000800006 WOS:000294822800006 WOS000294822800006.pdf 0679387622604743 6758680388835078 2966846406062836 0000-0002-9227-832X 0000-0001-6895-372X |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000800006 http://hdl.handle.net/11449/12151 |
identifier_str_mv |
Clinics. São Paulo: Hospital Clinicas, Univ São Paulo, v. 66, n. 8, p. 1341-1345, 2011. 1807-5932 10.1590/S1807-59322011000800006 S1807-59322011000800006 WOS:000294822800006 WOS000294822800006.pdf 0679387622604743 6758680388835078 2966846406062836 0000-0002-9227-832X 0000-0001-6895-372X |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Clinics 1.245 0,536 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1341-1345 application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo (USP), Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo (USP), Faculdade de Medicina |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128184841928704 |