Gestational diabetes is associated with increased risk of urinary incontinence up to 2 years postpartum
- 1University of Michigan Medical School, Ann Arbor, Michigan, USA
- 2Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA
- Correspondence to: Dr Jeanette Sara Brown
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, Obstetrics, Gynecology, and Reproductive Sciences 1635 Divisadero Street, Suite 600, San Francisco, CA 94115, USA; brownj{at}obgyn.ucsf.edu
Commentary on Chuang CM, Lin IF, Horng HC, et al. The impact of gestational diabetes mellitus on postpartum urinary incontinence: a longitudinal cohort study on singleton pregnancies. BJOG 2012;119:1334–43.
Implications for practice and research
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Gestational diabetes mellitus (GDM) is an independent risk factor for stress, urge and mixed urinary incontinence (UI), up to 2 years postpartum.
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Postpartum UI and its effects on quality of life are more severe in women with GDM.
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Women with GDM should be informed of an increased risk of postpartum UI.
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Postpartum UI may be a strong motivating factor to increase control of GDM and, later, prevent the development of type 2 diabetes mellitus (DM).
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Research should compare those with good GDM control versus poor control to demonstrate the effect on postpartum UI.
Context
UI affects up to …
