| Autor: |
Raghavendra Hallur Lakshmana Shetty, Zsuzsanna Ilona Katalin de Jármy Di Bella, Adriely Bittencourt Morgenstern Magyori, Iracema de Mattos Paranhos Calderon, Luiz Takano, Carlos Izaias Sartorão Filho, Marilza Vieira Cunha Rudge, Fabiane A. Pinheiro, Baerbel Junginger, Angélica Barbosa, Claudia Garcia Magalhães, Sthefanie K. Nunes |
| Rok vydání: |
2021 |
| Předmět: |
|
| Popis: |
Background Gestational Diabetes Mellitus and long-term urinary incontinence (UI) have a severe impact on women's health. New methods to identify pregnant predictor risk factors of UI are needed. Our study investigated clinical and pelvic floor 3D-ultrasound markers in pregnant women at the second and third trimesters to predict 6-18 months postpartum UI. Methods This ongoing prospective cohort study included one hundred five nulliparous pregnant women with universal GDM screening and diagnosis, treated with nutritional and healthy lifestyle intervention. Pelvic floor 3DUltrasound was performed at the second and third trimesters of gestation. Clinical and pelvic floor 3DUltrasound biometry were collected. The ICIQ-SF and ISI questionnaires for UI were applied in the third trimester and 6-18 months postpartum. We performed univariate analysis (PPP:.034). In addition, higher hiatal area distension at rest from the second to the third trimester was negatively correlated with 6-18 months postpartum UI (Adjusted RR 0.966; 95%CI 0.93-0.99; P: .023). Conclusion Gestational Diabetes Mellitus was positively correlated with 6-18 months postpartum UI, and a higher hiatal area distension was negatively correlated with 6-18 months postpartum UI development. Trial registration: Regulatory approval was obtained from the Institutional Review Board (number 1.716.895) by “Botucatu Medical School of São Paulo State University (Unesp)” Ethics Committee. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
