Document Detail

Epidural anesthesia during labor and stress incontinence after delivery.
MedLine Citation:
PMID:  8233276     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To test the hypothesis that epidural anesthesia during labor prevents the development of stress incontinence after vaginal birth. METHODS: We interviewed 208 primiparas about stress incontinence 3 months postpartum. The women who developed stress incontinence after delivery were interviewed again 1 year postpartum. RESULTS: Twelve of 45 women (27%) who had epidural anesthesia developed stress incontinence de novo after vaginal delivery, versus 21 of 163 (13%) who did not receive epidural anesthesia, a marginally significant difference (P = .05). Those who had epidural anesthesia also had a significantly longer first stage of labor. One year after delivery, three of 42 (7%) in the epidural anesthesia group had stress incontinence, compared with five of 163 (3%) in the control group. CONCLUSION: Our results do not support the hypothesis that epidural anesthesia protects against the development of stress incontinence after vaginal delivery.
L Viktrup; G Lose
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  82     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1993-12-21     Completed Date:  1993-12-21     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  984-6     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Glostrup Hospital, University of Copenhagen, Denmark.
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MeSH Terms
Anesthesia, Epidural*
Labor, Obstetric*
Puerperal Disorders / prevention & control*
Urinary Incontinence, Stress / prevention & control*

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