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Fecal and urinary incontinence in primiparous women.

Publication ,  Journal Article
Borello-France, D; Burgio, KL; Richter, HE; Zyczynski, H; Fitzgerald, MP; Whitehead, W; Fine, P; Nygaard, I; Handa, VL; Visco, AG; Weber, AM ...
Published in: Obstet Gynecol
October 2006

OBJECTIVE: To prospectively investigate the relationship between anal sphincter tears and postpartum fecal and urinary incontinence. METHODS: The Childbirth and Pelvic Symptoms study was a prospective cohort study performed by the Pelvic Floor Disorders Network to estimate the prevalence of postpartum fecal and urinary incontinence in primiparous women: 407 with clinically recognized anal sphincter tears during vaginal delivery, 390 without recognized sphincter tears (vaginal controls), and 124 delivered by cesarean before labor. Women were recruited postpartum while hospitalized and interviewed by telephone 6 weeks and 6 months postpartum. We assessed fecal and urinary incontinence symptoms using the Fecal Incontinence Severity Index and the Medical, Epidemiological, and Social Aspects of Aging Questionnaire, respectively. Odds ratios were adjusted for age, race, and clinical site. RESULTS: Compared with the vaginal control group, women in the sphincter tear cohort reported more fecal incontinence (6 weeks, 26.6% versus 11.2%; adjusted odds ratio [AOR] 2.8, 95% confidence interval [CI] 1.8-4.3; 6 months, 17.0% versus 8.2%; AOR 1.9, 95% CI 1.2-3.2), more fecal urgency and flatal incontinence, and greater fecal incontinence severity at both times. Urinary incontinence prevalence did not differ between the sphincter tear and vaginal control groups. Six months postpartum, 22.9% of women delivered by cesarean reported urinary incontinence, whereas 7.6% reported fecal incontinence. CONCLUSION: Women with clinically recognized anal sphincter tears are more than twice as likely to report postpartum fecal incontinence than women without sphincter tears. Cesarean delivery before labor is not entirely protective against pelvic floor disorders. LEVEL OF EVIDENCE: II-3.

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Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

October 2006

Volume

108

Issue

4

Start / End Page

863 / 872

Location

United States

Related Subject Headings

  • Urinary Incontinence
  • Surveys and Questionnaires
  • Pregnancy
  • Postpartum Period
  • Perineum
  • Parity
  • Obstetrics & Reproductive Medicine
  • Lacerations
  • Humans
  • Flatulence
 

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Borello-France, D., Burgio, K. L., Richter, H. E., Zyczynski, H., Fitzgerald, M. P., Whitehead, W., … Pelvic Floor Disorders Network, . (2006). Fecal and urinary incontinence in primiparous women. Obstet Gynecol, 108(4), 863–872. https://doi.org/10.1097/01.AOG.0000232504.32589.3b
Borello-France, Diane, Kathryn L. Burgio, Holly E. Richter, Halina Zyczynski, Mary Pat Fitzgerald, William Whitehead, Paul Fine, et al. “Fecal and urinary incontinence in primiparous women.Obstet Gynecol 108, no. 4 (October 2006): 863–72. https://doi.org/10.1097/01.AOG.0000232504.32589.3b.
Borello-France D, Burgio KL, Richter HE, Zyczynski H, Fitzgerald MP, Whitehead W, et al. Fecal and urinary incontinence in primiparous women. Obstet Gynecol. 2006 Oct;108(4):863–72.
Borello-France, Diane, et al. “Fecal and urinary incontinence in primiparous women.Obstet Gynecol, vol. 108, no. 4, Oct. 2006, pp. 863–72. Pubmed, doi:10.1097/01.AOG.0000232504.32589.3b.
Borello-France D, Burgio KL, Richter HE, Zyczynski H, Fitzgerald MP, Whitehead W, Fine P, Nygaard I, Handa VL, Visco AG, Weber AM, Brown MB, Pelvic Floor Disorders Network. Fecal and urinary incontinence in primiparous women. Obstet Gynecol. 2006 Oct;108(4):863–872.
Journal cover image

Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

October 2006

Volume

108

Issue

4

Start / End Page

863 / 872

Location

United States

Related Subject Headings

  • Urinary Incontinence
  • Surveys and Questionnaires
  • Pregnancy
  • Postpartum Period
  • Perineum
  • Parity
  • Obstetrics & Reproductive Medicine
  • Lacerations
  • Humans
  • Flatulence