Obstetrical anal sphincter laceration and anal incontinence 5-10 years after childbirth.

Abstract:

OBJECTIVE:The purpose of this study was to investigate the long-term impact of anal sphincter laceration on anal incontinence. STUDY DESIGN:Five to 10 years after first delivery, anal incontinence and other bowel symptoms were measured with the Epidemiology of Prolapse and Incontinence Questionnaire and the short form of the Colorectal-Anal Impact Questionnaire. Obstetric exposures were assessed with review of hospital records. Symptoms and quality-of-life impact were compared among 90 women with at least 1 anal sphincter laceration, 320 women who delivered vaginally without sphincter laceration, and 527 women who delivered by cesarean delivery. RESULTS:Women who sustained an anal sphincter laceration were most likely to report anal incontinence (odds ratio, 2.32; 95% confidence interval, 1.27-4.26) and reported the greatest negative impact on quality of life. Anal incontinence and quality-of-life scores were similar between women who delivered by cesarean section and those who delivered vaginally without sphincter laceration. CONCLUSION:Anal sphincter laceration is associated with anal incontinence 5-10 years after delivery.

journal_name

Am J Obstet Gynecol

authors

Evers EC,Blomquist JL,McDermott KC,Handa VL

doi

10.1016/j.ajog.2012.06.055

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

425.e1-6

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)00669-2

journal_volume

207

pub_type

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