Anal Problems During Pregnancy and Postpartum: A Prospective Cohort Study

Dorreman, Yaliva; Roelens, Kristien; Ceelen, Wim; Weyers, Steven; Vlierberghe, Hans Van; Looze, Danny De

doi:10.1016/s0016-5085(17)34333-0

Cited by 2 publications

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“…First, we powered our study based on an anticipated prevalence of AI of 7.9%. 25 For a power of 90% and a precision of 4% (when prevalence is less than 10%, a precision of half of the prevalence is advised), 26 a minimum of 174 participants were required to detect a relative risk (RR) of 2 for BID in women with AI. Upon reaching this sample size, we continued collecting outcomes and a total of 305 patients were recruited.…”

Section: Discussionmentioning

confidence: 99%

Body image and pelvic floor dysfunction in pregnancy and postpartum: A prospective one‐year follow‐up cohort study

Cattani,

Van Schoubroeck,

De Bruyn

et al. 2024

BJOG

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ObjectiveTo determine the prevalence of pelvic floor dysfunction (PFD) among pregnant women, their clustering and their association with body image disturbance (BID) up to 1 year postpartum.DesignMonocentric prospective cohort study.SettingUniversity Hospitals Leuven.PopulationPregnant women attending for pregnancy care, first assessed prior to 14 weeks of gestation and agreeing to follow‐up until 1 year postpartum.MethodsStandardised questionnaires reporting on PFD and BID at 12–14 and 28–32 weeks of gestation, and again at 6–8 weeks and 1 year postpartum. We calculated the prevalence of PFD, how the cases clustered and how the cases correlated with BID using a linear mixed‐model analysis. A minimum of 174 women with complete follow‐up were required.Main Outcome MeasuresThe questionnaires used were the International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form (ICIQ‐UI SF), St. Mark's Incontinence Score (SMIS), Patient Assessment of Constipation Symptoms (PAC‐SYM), Pelvic Organ Prolapse Distress Inventory (POPDI), Pelvic Organ Prolapse/Incontinence Sexual Questionnaire IUGA Revised (PISQ‐IR) and the Body Image Disturbance Questionnaire (BIDQ).ResultsOut of 208 women, 92.8% reported one or multiple symptoms of PFD at 28–32 weeks of gestation, dropping to 73.6% by 1 year postpartum. The most common symptoms were constipation (65.3% at 28–32 weeks of gestation and 42.8% at 1 year postpartum) and urinary incontinence (56.8% at 28–32 weeks of gestation and 35.1% at 1 year postpartum). After correcting for body mass index, parity and mode of delivery, the severity of BID was associated with the ICIQ‐UI SF score (β = 0.016, range 0.007–0.024), the PAC‐SYM score (β = 0.006, range 0.002–0.011) and the POPDI score (β = 0.009, range 0.005–0.012), but not with the SMIS score (β = 0.015, range −0.001 to 0.031) or the PISQ‐IR score, in sexually active women.ConclusionsUrinary incontinence, constipation and symptoms of prolapse have a measurable impact on BID.

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Section: Discussionmentioning

confidence: 99%

Body image and pelvic floor dysfunction in pregnancy and postpartum: A prospective one‐year follow‐up cohort study

Cattani,

Van Schoubroeck,

De Bruyn

et al. 2024

BJOG

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“…3 Two-third of the pregnant women suffers from anorectal symptoms either due to hemorrhoids and fissure. 1 Whereas anorectal abscess is relatively a rare condition seen in only 5% of pregnant women. Perianal pain, bleeding per rectum, pus discharge, prolapse, pruritus, constipation, incontinence are the different anorectal symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Anal infections such as abscesses and fistulas are relatively uncommon. 1 Anorectal abscess originates from an acute infection in the cryptoglandular epithelium in the anal canal and spread into adjacent spaces. The infection traverses through the external anal sphincter and infects the postanal space to form a posterior abscess and further extends into both ischiorectal fossae which develop to form a horseshoelike abscess.…”

Section: Introductionmentioning

confidence: 99%

Horse shoe anorectal abscess in pregnancy: fetus vs abscess

2022

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Anorectal diseases such as hemorrhoids and anal fissures are the common entities encountered during pregnancy. However anorectal abscess is uncommon condition warrants emergency surgery. There is a significant risk of adverse outcomes, premature birth, and fetal loss due to surgery. A strategic approach considering risk and benefit is required in managing such conditions. We report one such case of horseshoe abscess in a 19 years old pregnant lady.

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Anal Problems During Pregnancy and Postpartum: A Prospective Cohort Study

Cited by 2 publications

References 0 publications

Body image and pelvic floor dysfunction in pregnancy and postpartum: A prospective one‐year follow‐up cohort study

Body image and pelvic floor dysfunction in pregnancy and postpartum: A prospective one‐year follow‐up cohort study

Horse shoe anorectal abscess in pregnancy: fetus vs abscess

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