Department of Obstetrics and Gynecology, Peking University People's Hospital, No.11, Xi-Zhi-Men South Street, Xi Cheng District, Beijing, 100044, China.
The Key Laboratory of Female Pelvic Floor Disorders, Beijing, China.
Int Urogynecol J. 2023 Jul;34(7):1619-1626. doi: 10.1007/s00192-022-05438-5. Epub 2023 Jan 18.
With the significant increase in its incidence, gestational diabetes mellitus (GDM) has received growing attention for its effect on pelvic floor function. This study was aimed at investigating the association of GDM with pelvic floor function and diastasis recti abdominis (DRA) in postpartum women.
This is a retrospective cohort study. At 6 weeks postpartum, 1,133 postpartum women with vaginal delivery underwent routine examinations including measurement of the pelvic floor muscle (PFM) strength and endurance, determination of the stress urinary incontinence (SUI) by questionnaire, quantification of pelvic organ prolapse (POP) and assessment of DRA. Statistical analysis was performed using binary logistic regression and multiple linear regression analysis.
One hundred and seventy-six (176) of the 1,133 women were confirmed to be suffering from GDM, with a rate of 15.53% (176 out of 1,133). The age and pre-pregnancy body mass index of the GDM group were significantly higher than those without GDM (p < 0.05). The GDM group was more likely to have smaller gestational age and a higher chance of having to undergo a lateral episiotomy. No statistically significant differences are found in PFM endurance (B: -0.025, p = 0.462) or PFM strength (B: -0.001, p = 0.979) between women with and without GDM. And these two groups are not significantly different in terms of the prevalence of SUI (19.3% vs 20.4%), POP (35.8% vs 37.5%) and DRA (29.0% vs 25.8%; p > 0.05).
Pelvic floor muscle function and SUI/POP/DRA prevalence of women at 6 weeks postpartum are not significantly affected by GDM.
随着发病率的显著增加，妊娠糖尿病（GDM）因其对盆底功能的影响而受到越来越多的关注。本研究旨在探讨 GDM 与产后妇女盆底功能和腹直肌分离（DRA）的关系。
这是一项回顾性队列研究。在产后 6 周，1133 名阴道分娩的产后妇女接受了常规检查，包括盆底肌（PFM）力量和耐力测量、问卷调查确定压力性尿失禁（SUI）、盆腔器官脱垂（POP）定量和 DRA 评估。采用二项逻辑回归和多元线性回归分析进行统计分析。
1133 名妇女中，有 176 名（176 名）被确诊为 GDM，患病率为 15.53%（176 名）。GDM 组的年龄和孕前体重指数明显高于非 GDM 组（p<0.05）。GDM 组的胎龄较小，行侧会阴切开术的可能性较高。GDM 组与非 GDM 组的 PFM 耐力（B：-0.025，p=0.462）或 PFM 强度（B：-0.001，p=0.979）差异无统计学意义。两组 SUI（19.3% vs 20.4%）、POP（35.8% vs 37.5%）和 DRA（29.0% vs 25.8%；p>0.05）的发生率也无显著差异。
产后 6 周妇女的盆底肌肉功能和 SUI/POP/DRA 患病率不受 GDM 影响。
