Document Detail


Frequency and predictors for postpartum fecal incontinence.
MedLine Citation:
PMID:  12748479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The goal of this study was to describe the frequency of postpartum fecal incontinence and to examine associated delivery events in a group of women participating in a validation study of a postpartum fecal incontinence survey. STUDY DESIGN: A self-administered survey of fecal incontinence symptoms and delivery events was administered to 50 women seen for their 6-week postpartum appointments. An analysis of association between postpartum fecal incontinence and individual delivery characteristics was performed. RESULTS: The frequency of at least one fecal incontinence symptom post partum was 38%. Specifically, 24% of women reported incontinence to flatus and 10% incontinence to stool. Vaginal delivery and perineal laceration were associated with an increased risk of reporting at least one symptom. Neither infant birth weight nor parity was associated with an increased risk of postpartum fecal incontinence. Cesarean delivery was associated with a lower frequency of overall fecal incontinence symptoms. CONCLUSION: The frequency of postpartum fecal incontinence was higher than previously reported. Similar to other studies, perineal laceration, especially extension into the anal sphincter, was an important risk factor for postpartum fecal incontinence.
Authors:
Wendy Hall; Karen McCracken; Patricia Osterweil; Jeanne-Marie Guise
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  188     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-15     Completed Date:  2003-06-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1205-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road L466, Portland, OR 97201, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anal Canal / injuries
Delivery, Obstetric / adverse effects
Fecal Incontinence / epidemiology*,  etiology*
Female
Humans
Incidence
Lacerations / complications,  surgery
Perineum / injuries
Prognosis
Puerperal Disorders / epidemiology*,  etiology*
Questionnaires
Risk Factors
Grant Support
ID/Acronym/Agency:
5R01 HD 41139-02/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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