The impact of fecal and urinary incontinence on quality of life 6 months after childbirth.

Abstract:

OBJECTIVE:The objective of the study was to investigate the impact of postpartum fecal incontinence (FI) and urinary incontinence (UI) on quality of life (QOL). STUDY DESIGN:Seven hundred fifty-nine primiparous women in the Childbirth and Pelvic Symptoms study were interviewed 6 months postpartum. FI and UI were assessed with validated questionnaires. We measured QOL with SF-12 summary scores, health utility index score (a measure of self-rated overall health), and the modified Manchester Health Questionnaire. RESULTS:Women with FI had worse self-rated health utility index scores (85.1 +/- 9.8 vs 88.0 +/- 11.6, P = .02) and Medical Outcomes Study Short Form Health Survey (SF-12) mental summary scores (46.8 +/- 9.2 vs 51.1 +/- 8.7, P < .0001) than women without FI or flatal incontinence. Women with UI had worse SF-12 mental summary scores (48.3 +/- 9.8 vs 51.6 +/- 7.8, P < .01) and self-rated health utility index scores (84.1 +/- 12.5 vs 88.7 +/- 10.1, P < .01) than women without UI. Women with both FI and UI had the lowest SF-12 mental summary scores (44.5 +/- 9.0). CONCLUSION:Six months after delivery, women experiencing FI or UI reported negative effects on health-related QOL. FI and UI together have a greater impact than either condition alone.

journal_name

Am J Obstet Gynecol

authors

Handa VL,Zyczynski HM,Burgio KL,Fitzgerald MP,Borello-France D,Janz NK,Fine PM,Whitehead W,Brown MB,Weber AM,Pelvic Floor Disorders Network.

doi

10.1016/j.ajog.2007.08.020

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

636.e1-6

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(07)00986-6

journal_volume

197

pub_type

杂志文章
  • Early menopause and the risk of myocardial infarction.

    abstract::We evaluated the relation between age at menopause and the risk of nonfatal myocardial infarction (MI) among 121,964 nurses who responded to a mail questionnaire. Of 279 women who reported having been hospitalized for MI, 123 (44%) were postmenopausal (i.e., no longer menstruating) at the time of hospitalization, comp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(81)90410-5

    authors: Rosenberg L,Hennekens CH,Rosner B,Belanger C,Rothman KJ,Speizer FE

    更新日期:1981-01-01 00:00:00

  • Preterm premature rupture of membranes: vascular endothelial growth factor and its association with histologic chorioamnionitis.

    abstract:OBJECTIVE:We hypothesize that vascular endothelial growth factor, a known angiogenic and permeability factor that is locally expressed in fetal membranes and decidua, may be the primary regulator in the pathway that eventually leads to preterm premature rupture of membranes. Our objective was to test the hypothesis tha...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.127145

    authors: Daneshmand SS,Chmait RH,Moore TR,Bogic L

    更新日期:2002-11-01 00:00:00

  • Oxytocin and vasopressin binding sites in human and bovine ovaries.

    abstract::Human ovarian tissue and bovine ovarian stroma and follicles bound tritiated oxytocin and tritiated arginine vasopressin with similar affinity, whereas bovine corpora lutea bound tritiated oxytocin only. Competition for the binding of tritiated oxytocin by various agonists and antagonists was suggestive of receptor fu...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90781-2

    authors: Fuchs AR,Behrens O,Helmer H,Vangsted A,Ivanisevic M,Grifo J,Barros C,Fields M

    更新日期:1990-12-01 00:00:00

  • Ultrasonographic assessment of placental abnormalities.

    abstract::Current ultrasonographic techniques offer a novel approach for the identification of a wide variety of placental abnormalities usually described postnatally by the pathologist. Placental vascular lesions, placental tumors, and abnormal placentation are potentially associated with perinatal complications and their diag...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9378(90)90645-n

    authors: Jauniaux E,Campbell S

    更新日期:1990-11-01 00:00:00

  • The maternal childbirth experience more than a decade after delivery.

    abstract:BACKGROUND:Maternal satisfaction with the birth experience is multidimensional and influenced by many factors, including mode of delivery. To date, few studies have investigated maternal satisfaction outside of the immediate postpartum period. OBJECTIVE:This study investigated whether differences in satisfaction based...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2017.04.027

    authors: Bossano CM,Townsend KM,Walton AC,Blomquist JL,Handa VL

    更新日期:2017-09-01 00:00:00

  • Factors that affect the quality of cytologic cervical cancer screening along the Mexico-United States border.

    abstract:OBJECTIVE:The purpose of this study was to identify the factors that affect the quality of cytologic cervical cancer screening conducted in public sector clinics in Sonora, Mexico. STUDY DESIGN:We assessed the quality of cervical cytology before and after a 2-hour training session and the implementation of cervical sp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/s0002-9378(03)00490-3

    authors: Garcia F,Mendez de Galaz E,Baldwin S,Papenfuss M,Giuliano AR,Hatch K,Davis J

    更新日期:2003-08-01 00:00:00

  • The diagnosis of polycystic ovary syndrome in adolescents.

    abstract::In women, the definition of polycystic ovary syndrome (PCOS) has become broad and includes several possible phenotypes. Because several features of PCOS may be in evolution in adolescents, we suggest that only firm criteria should be used to make a diagnosis of PCOS during adolescence. Hyperandrogenism, oligomenorrhea...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2010.03.008

    authors: Carmina E,Oberfield SE,Lobo RA

    更新日期:2010-09-01 00:00:00

  • The mechanisms of preterm labor: common genital tract pathogens do not metabolize arachidonic acid to prostaglandins or to other eicosanoids.

    abstract:OBJECTIVE:Our aim was to determine the ability of pathogens commonly associated with genital tract infection and preterm labor to incorporate arachidonic acid and to metabolize it to prostaglandins or to other eicosanoids. STUDY DESIGN:Four common genital tract pathogens, Escherichia coli, Streptococcus viridans, Bact...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(92)91631-j

    authors: Bennett PR,Elder MG

    更新日期:1992-05-01 00:00:00

  • Fetal acoustic stimulation test: stimulus features of three artificial larynges recorded in sheep.

    abstract:OBJECTIVE:The purpose of the current study was to evaluate the characteristics of vibroacoustic devices used for fetal stimulation. STUDY DESIGN:Intrauterine sound pressure levels over a frequency range of 40 to 5000 Hz were measured with hydrophones in anesthetized sheep. Stimulators included the AT&T (Martinsburg, W...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90618-5

    authors: Abrams RM,Gerhardt KJ,Rosa C,Peters AJ

    更新日期:1995-11-01 00:00:00

  • Randomized comparative trial of indomethacin and ritodrine for the long-term treatment of preterm labor.

    abstract::A randomized prospective trial was performed to compare the efficacy and safety of ritodrine and indomethacin in the long-term treatment of preterm labor. Forty patients with intact membranes in preterm labor at 23 to 34 weeks' gestation were randomized to receive either intravenous ritodrine or oral indomethacin as t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(91)90569-d

    authors: Besinger RE,Niebyl JR,Keyes WG,Johnson TR

    更新日期:1991-04-01 00:00:00

  • Demographic and obstetric factors influencing pregnancy outcome in twin gestations.

    abstract:OBJECTIVE:Our purpose was to identify the influence of parity and previous preterm delivery on pregnancy outcome in twin gestations. STUDY DESIGN:A retrospective comparative analysis of women with twin gestations completing an outpatient preterm labor surveillance program between April 1995 and February 2000 was perfo...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.123989

    authors: Tarter JG,Khoury A,Barton JR,Jacques DL,Sibai BM

    更新日期:2002-05-01 00:00:00

  • Concept mapping: a tool to bridge the disciplinary divide.

    abstract::The American College of Women's Health Physicians has been exploring an on-line educational tool-concept mapping-to facilitate the development of an interdisciplinary and woman-centered women's health curriculum, and to implement The Women's Health Care Competencies for Medical Students. By using an on-line concept ma...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.127360

    authors: Hoffman E,Trott J,Neely KP

    更新日期:2002-09-01 00:00:00

  • Ascending group B streptococcal genital infection in the rabbit model.

    abstract:OBJECTIVE:We investigated in a pregnant rabbit model the effects of intravaginal inoculation of type la group B streptococci and antibiotic intervention. STUDY DESIGN:We inoculated 10(4) to 10(6) cfu of type la group B streptococci into the upper vagina hysteroscopically at day 21 to 27 of a 31-day gestation. Initiall...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70153-9

    authors: McDuffie RS Jr,Gibbs RS

    更新日期:1996-08-01 00:00:00

  • Diagnostic procedures in female urology.

    abstract::Diagnostic procedures in gynecologic urology are no longer limited to the medical history, physical examination, and Marshall test. Newer diagnostic procedures include urethroscopy, urodynamics with cystometry, urethral closure pressure profiles, uroflowmetry, electromyography of the pelvic floor musculature, and radi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(80)91119-9

    authors: Ostergard DR,McCarthy TA

    更新日期:1980-06-15 00:00:00

  • Persistence of fimbrial tissue on the ovarian surface after salpingectomy.

    abstract:BACKGROUND:Salpingectomy is recommended as a risk-reducing strategy for epithelial tubo-ovarian cancer. The gold standard procedure is complete tubal excision. OBJECTIVE:The purpose of this study was to assess the presence of residual fimbrial/tubal tissue on ovarian surfaces after salpingectomy. STUDY DESIGN:Prospec...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2017.06.004

    authors: Gan C,Chenoy R,Chandrasekaran D,Brockbank E,Hollingworth A,Vimplis S,Lawrence AC,Jeyarajah AR,Oram D,Deo N,Saravanamuthu J,Lam SS,Faruqi A,Singh N,Manchanda R

    更新日期:2017-10-01 00:00:00

  • The distribution, practice, and attitudes of maternal-fetal medicine specialists.

    abstract:OBJECTIVES:This study was carried out to determine the distribution of maternal-fetal medicine (MFM) subspecialists and to profile MFM subspecialists' (1) target patient populations, (2) practice organization, (3) workloads, (4) services provided, and (5) job satisfaction. STUDY DESIGN:The membership of the Society fo...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.119719

    authors: Coustan DR,Schwartz RM,Gagnon DE,VanDorsten JP,Society for Maternal-Fetal Medicine.

    更新日期:2001-11-01 00:00:00

  • Intrauterine contraceptive devices.

    abstract::The Supreme IUD has given 100% excellent results with 1000 insertions during 1 year with a complication rate of 1/1000. It is suggested that these results are due to the side rims of the IUD lying 1-3 mm from the uterine side wall, completely covering the upper 50-75% of the uterine side walls. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(73)90929-0

    authors: Knoch MH

    更新日期:1973-06-15 00:00:00

  • Bacterial flora of the cervix in women using different methods of contraception.

    abstract::Bacteriologic culture samples were taken from the cervix in three groups of 10 healthy, sexually active women using barrier contraception, oral contraceptives, or a levonorgestrel-releasing intrauterine contraceptive device. Culture samples for Candida albicans and Trichomonas vaginalis were taken, a cytologic vaginal...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90594-6

    authors: Haukkamaa M,Stranden P,Jousimies-Somer H,Siitonen A

    更新日期:1986-03-01 00:00:00

  • Comparison of autologous rectus fascia and cadaveric fascia in pubovaginal sling continence outcomes.

    abstract:OBJECTIVE:The purpose of this study was to compare autologous versus cadaveric grafts in pubovaginal slings. STUDY DESIGN:Women who had pubovaginal slings from 1994 to 2003 completed history, questionnaires, prolapse staging, and cough stress testing. Failure was defined by recurrent urinary incontinence symptoms and ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.01.058

    authors: Howden NS,Zyczynski HM,Moalli PA,Sagan ER,Meyn LA,Weber AM

    更新日期:2006-05-01 00:00:00

  • Comparison of pregnancy dating by last menstrual period, ultrasound scanning, and their combination.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the accuracy of algorithms for the assignment of gestational age with the use of the last menstrual period and early ultrasound information. STUDY DESIGN:Gestational age estimates that are based on last menstrual period, ultrasound scanning, or their combination were...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.127601

    authors: Savitz DA,Terry JW Jr,Dole N,Thorp JM Jr,Siega-Riz AM,Herring AH

    更新日期:2002-12-01 00:00:00

  • Gonorrhea and female infertility in rural Uganda.

    abstract::We studied sociocultural and medical factors in the Teso District in eastern Uganda and the Ankole District in western Uganda to discover the cause of the low and high fertility rates in these respective districts. The findings related to gonorrhea in women are presented in this article. Gonococcal cervicitis and clin...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(80)91083-2

    authors: Arya OP,Taber SR,Nsanze H

    更新日期:1980-12-01 00:00:00

  • Uterine prolapse complicated by endometrial cancer.

    abstract:OBJECTIVE:An infrequent clinical dilemma arises when a patient with uterine prolapse that is best treated vaginally is discovered to have coexisting endometrial cancer. Often the underlying cancer is only discovered intraoperatively or postoperatively. We have reviewed our experience in this situation in an effort to e...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9378(95)91399-8

    authors: Cliby WA,Dodson MK,Podratz KC

    更新日期:1995-06-01 00:00:00

  • The effect of live and web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios.

    abstract:OBJECTIVE:Visual estimation of blood loss has been shown to be inaccurate. The objective of this study was to evaluate the impact of a didactic training program on the accuracy of the estimation of blood loss and to compare the effectiveness of training provided by a web-based vs live session. STUDY DESIGN:Multidiscip...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.10.881

    authors: Toledo P,McCarthy RJ,Burke CA,Goetz K,Wong CA,Grobman WA

    更新日期:2010-04-01 00:00:00

  • Vaginal progesterone combined with cervical pessary: A chance for pregnancies at risk for preterm birth?

    abstract:BACKGROUND:Precocious cervical ripening, as defined by cervical shortening on transvaginal sonography, has prompted a broad evaluation of secondary strategies (such as cerclage, vaginal progesterone, or a cervical pessary) to prevent preterm delivery. However, there is still a lack of direct comparisons between individ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2015.12.007

    authors: Stricker N,Timmesfeld N,Kyvernitakis I,Goerges J,Arabin B

    更新日期:2016-06-01 00:00:00

  • Transfer of urea, sodium, and chloride across the perfused human placenta.

    abstract::Clearance indices (clearance of experimental material: clearance of antipyrine, CI) across the perfused human placenta were determined for urea, sodium, and chloride. The selected materials are of relatively small molecular weight and are water soluble. Clearance of urea was determined under conditions of net transfer...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(15)33310-x

    authors: Dancis J,Kammerman S,Jansen V,Schneider H,Levitz M

    更新日期:1981-11-15 00:00:00

  • Determination of fetal acidemia at birth from a remote umbilical arterial blood gas analysis.

    abstract:OBJECTIVE:Sampling of the umbilical artery for determination of acid-base status is performed within 60 minutes of birth, but is not feasible in all hospitals on a 24-hour basis. A desirable alternative would be to perform the arterial cord blood gas analysis hours after the sample was obtained at delivery with reliabl...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chauhan SP,Cowan BD,Meydrech EF,Magann EF,Morrison JC,Martin JN Jr

    更新日期:1994-06-01 00:00:00

  • Cervical wet mount as a negative predictor for gonococci- and Chlamydia trachomatis-induced cervicitis in a gravid population.

    abstract:OBJECTIVE:The purpose of this study was to determine whether a wet mount preparation of endocervical secretions from obstetric patients can accurately rule out the presence of gonococci and Chlamydia trachomatis. STUDY DESIGN:Gravid patients were screened for gonococci and C trachomatis with a deoxyribonucleic acid pr...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(99)70549-1

    authors: Bohmer JT,Schemmer G,Harrison FN Jr,Kreft W,Elliot M

    更新日期:1999-08-01 00:00:00

  • Elective cesarean hysterectomy--revisited.

    abstract::A review of 80 cases of planned or anticipated cesarean hysterectomies done at major centers in the greater Los Angeles area is presented. There were no deaths and five cases of morbidity. Nineteen percent, or one of five cases, required blood transfusions. According to the recommendation of the American Association o...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(84)90287-4

    authors: McNulty JV

    更新日期:1984-05-01 00:00:00

  • Third-generation oral contraceptive and deep venous thrombosis: from epidemiologic controversy to new insight in coagulation.

    abstract::Four epidemiologic studies showed a twofold increase in risk of deep venous thrombosis with the use of oral contraceptives containing third-generation progestins, relative to second-generation products. These findings have been strongly debated ever since, and new studies have been added. In the current article we exa...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9378(97)70289-8

    authors: Vandenbroucke JP,Helmerhorst FM,Bloemenkamp KW,Rosendaal FR

    更新日期:1997-10-01 00:00:00

  • Comparing pregnancy outcomes and loss rates in elective twin pregnancy reduction with ongoing twin gestations in a large contemporary cohort.

    abstract:BACKGROUND:As compared with singleton gestations, twin pregnancies are associated with a significantly higher risk of preterm birth and maternal complications as well as fetal and neonatal morbidity and mortality. Multifetal pregnancy reduction is a technique developed in the 1980s to reduce the fetal number in higher-...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2019.04.001

    authors: Vieira LA,Warren L,Pan S,Ferrara L,Stone JL

    更新日期:2019-09-01 00:00:00