Document Detail

Anal incontinence after childbirth: incidence in the Korean population.
MedLine Citation:
PMID:  18667835     Owner:  NLM     Status:  MEDLINE    
AIMS: To investigate the incidence and risk factors for anal incontinence after childbirth in Korea. METHODS: We retrospectively examined the records of 1,123 unselected women who delivered live infants at the KyungHee University Hospital between January 2006 and December 2006. Symptoms of anal incontinence were assessed by telephone interview using standard questionnaires. RESULTS: A total of 966 women (86%) responded to the survey, and the overall incidence of anal incontinence was 6.1% (9 fecal and flatal incontinence, 50 flatal incontinence). Of the study population, 562 (58.2%) had vaginal deliveries and 404 (41.8%) had cesarean sections. Vacuum extraction was used in 160 (28.5%) cases, and sphincter tears occurred in 16 (2.8%). Multivariate analysis showed that anal incontinence was associated with multiparity [2.75 (1.17-6.47)], maternal weight increase >or=15 kg [2.11 (1.03-4.31)], vaginal delivery with vacuum extraction [2.74 (1.23-6.14)], sphincter laceration [14.74 (4.69-46.27)], and cesarean section after second-stage labor [16.82 (4.61-61.40)]. CONCLUSION: Koreans had a lower incidence of post-birth anal incontinence than Westerners (6.1 and 29.3%, respectively), even though the risk factors were similar. These findings suggest that further studies examining differences in the incidence of anal incontinence based on ethnicity are warranted as such information may provide clues in terms of prevention and management of this disorder.
Eui Jung; Chu Yeop Huh; Bong-Keun Choe
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-07-31
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  66     ISSN:  1423-002X     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-28     Completed Date:  2009-02-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  248-52     Citation Subset:  IM    
Copyright Information:
(c) 2008 S. Karger AG, Basel.
Department of Obstetrics and Gynecology, College of Medicine, KyungHee University, Seoul, Korea.
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MeSH Terms
Birth Weight
Body Mass Index
Cohort Studies
Delivery, Obstetric / adverse effects
Fecal Incontinence / epidemiology*,  etiology
Infant, Newborn
Korea / epidemiology
Logistic Models
Maternal Age
Retrospective Studies
Risk Factors

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