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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
Gestational diabetes mellitus (GDM) is an independent risk factor for stress, urge and mixed urinary incontinence (UI), up to 2 years postpartum.
Postpartum UI and its effects on quality of life are more severe in women with GDM.
Women with GDM should be informed of an increased risk of postpartum UI.
Postpartum UI may be a strong motivating factor to increase control of GDM and, later, prevent the development of type 2 diabetes mellitus (DM).
Research should compare those with good GDM control versus poor control to demonstrate the effect on postpartum UI.
UI affects up to …
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