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Gestational diabetes is associated with increased risk of urinary incontinence up to 2 years postpartum
  1. Julia Erin Fehniger1,
  2. Jeanette Sara Brown2
  1. 1University of Michigan Medical School, Ann Arbor, Michigan, USA
  2. 2Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA
  1. 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

http://dx.doi.org/10.1136/eb-2012-101155

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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.

Context

UI affects up to …

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