Valério PM1, Gonçalves VE1, Guirro ECO1
1Ribeirão Preto Medical School, Health Sciences, Ribeirão Preto, Brazil
Background: Urinary incontinence in diabetic pregnant women has gaps in the literature.
Purpose: The objective of this study was to evaluate the presence and symptoms of UI and among pregnant women with and without type 1 diabetes.
Methods: The study was conducted at the Clinics Hospital of the Medical School of Ribeirão Preto. The study included women in the third trimester of pregnancy with and without a diagnosis of type 1 diabetes, aged between 18-40 years. Participants were divided into two groups: GDM: pregnant women with type 1 diabetes (n = 11) and GC: pregnant women without diabetes (n = 11). The questionnaire International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) was applied, revealing the classification in continental or incontinent, the types of prevalent symptoms and their scores ranging from 1 to 21, with the intervals being classified as 1-5: weightless, 6-12: moderate, 13-18: severe and, 19-21: very severe impact on the life.
Results: Twenty-two pregnant womens participated in the study. The partial data analysis presents a statistically significant difference between the groups in the ICIQ-SF questionnaire score (p=0.02), for GDM the prevalence of urinary incontinence was 63.6% while GC was 9%. Of the incontinent pregnant women, in GDM 58% reported losses by effort, 14% by urgency and 28% of mixed form, while in GC 100% presented in mixed form. The impact of the symptoms ware classified 43% as severe, 43% moderate and mild 14% in GDM and 100% severe in GC.
Conclusion(s): It is concluded that pregnant women with type 1 diabetes were more affected by urinary incontinence and worse severity of symptoms than with non-diabetic pregnant women.
Implications: With the results of the study, physiotherapeutic approaches can be implemented to meet this population and new studies should be done to further understand urinary incontinence in diabetic pregnant women.
Keywords: Urinary incontinence, Type 1 diabetes, Pregnancy
Funding acknowledgements: Foundation to Support Teaching, Research and Assistance - RPMS/USP
Purpose: The objective of this study was to evaluate the presence and symptoms of UI and among pregnant women with and without type 1 diabetes.
Methods: The study was conducted at the Clinics Hospital of the Medical School of Ribeirão Preto. The study included women in the third trimester of pregnancy with and without a diagnosis of type 1 diabetes, aged between 18-40 years. Participants were divided into two groups: GDM: pregnant women with type 1 diabetes (n = 11) and GC: pregnant women without diabetes (n = 11). The questionnaire International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) was applied, revealing the classification in continental or incontinent, the types of prevalent symptoms and their scores ranging from 1 to 21, with the intervals being classified as 1-5: weightless, 6-12: moderate, 13-18: severe and, 19-21: very severe impact on the life.
Results: Twenty-two pregnant womens participated in the study. The partial data analysis presents a statistically significant difference between the groups in the ICIQ-SF questionnaire score (p=0.02), for GDM the prevalence of urinary incontinence was 63.6% while GC was 9%. Of the incontinent pregnant women, in GDM 58% reported losses by effort, 14% by urgency and 28% of mixed form, while in GC 100% presented in mixed form. The impact of the symptoms ware classified 43% as severe, 43% moderate and mild 14% in GDM and 100% severe in GC.
Conclusion(s): It is concluded that pregnant women with type 1 diabetes were more affected by urinary incontinence and worse severity of symptoms than with non-diabetic pregnant women.
Implications: With the results of the study, physiotherapeutic approaches can be implemented to meet this population and new studies should be done to further understand urinary incontinence in diabetic pregnant women.
Keywords: Urinary incontinence, Type 1 diabetes, Pregnancy
Funding acknowledgements: Foundation to Support Teaching, Research and Assistance - RPMS/USP
Topic: Women's & men's pelvic health
Ethics approval required: Yes
Institution: Ribeirão Preto Medical School, University of São Paulo
Ethics committee: Ethics Committee on Human Research at Ribeirão Preto Medical School
Ethics number: 13810/2016
All authors, affiliations and abstracts have been published as submitted.
