RBGO Gynecology & Obstetrics · 6 authors, 3 centres
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This cross-sectional study of 539 pregnant women at 34 weeks gestation found that overall prevalence of pregnancy-specific urinary incontinence was 70.87% with no difference between glycemic/obesity groups, but the hyperglycemic obese group had significantly higher odds of severe and very severe forms with greater perceived impact on daily life.
Validated questionnaires (ICIQ-SF and ISI) assessed urinary incontinence prevalence and severity. However, the hyperglycemic obese group had significantly higher odds of severe and very severe urinary incontinence after adjustment for confounders (age, gestational age, parity, previous newborn weight, hypertension, newborn weight, and classification) compared to normoglycemic lean women, including higher odds of severe forms on the ICIQ-SF and ISI and greatest perceived impact on daily life. Limitations include the cross-sectional design precluding causal inference, the absence of objective UI measures such as pad tests or urodynamic testing, and a sample size that may have limited statistical power.
