Objective To investigate the incidence and degree of anal incontinence after vaginal delivery among primiparous women and to define associated risk factors.
Design Prospective observational study.
Setting Karolinska Institutet, Danderyd Hospital, Sweden, a university hospital.
Participants Three hundred and forty-nine primiparous women.
Methods Questionnaires distributed within the first days after delivery and re-distributed five and nine months postpartum.
Analysis of delivery records.
Results Eighty percent of the women answered all questionnaires.
At five months postpartum, 2% of the women had symptoms of faecal incontinence and 25% had symptoms of involuntary flatus.
At nine months postpartum, 1% of the women had symptoms of faecal incontinence and 26% had symptoms of involuntary flatus.
The majority of the women had infrequent symptoms and a decrease in severity was noted at nine months.
Symptoms of incontinence were more common in women who sustained a sphincter tear at delivery.
Risk factors for incontinence at five months included maternal age, duration of the second stage of labour, instrumental vaginal delivery, and clinically diagnosed sphincter tear at delivery.
Development of incontinence at nine months was associated with maternal age and clinically diagnosed sphincter tear at delivery.
Conclusions The present study demonstrates that infrequent involuntary flatus is a common symptom after vaginal delivery in primiparous women. (...)
Mots-clés Pascal : Accouchement, Voie vaginale, Incontinence anale, Primiparité, Epidémiologie, Incidence, Facteur risque, Indice gravité, Homme, Femelle, Prospective, Gestation, Appareil digestif pathologie, Intestin pathologie, Anorectale pathologie
Mots-clés Pascal anglais : Delivery, Vaginal route, Anal incontinence, Primiparity, Epidemiology, Incidence, Risk factor, Severity score, Human, Female, Prospective, Pregnancy, Digestive diseases, Intestinal disease, Anorectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0208085
Code Inist : 002B20G03. Création : 16/11/1999.