Faecal incontinence 20 years after one birth: a comparison between vaginal delivery and caesarean section

Gyhagen, Maria; Bullarbo, Maria; Nielsen, Thorkild F.; Milsom, Ian

doi:10.1007/s00192-014-2390-1

Cited by 41 publications

(32 citation statements)

References 28 publications

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“…A registry-based national cohort study of primiparous women giving birth between 1985 and 1988 and having no further births reported that prevalent fecal incontinence 20 years later was more common after vaginal delivery than cesarean section (14.5 versus 10.6%, OR 1.43, 95% CI 1.16-1.77) [19]. The long-term effects of mode of delivery and anal sphincter trauma have been investigated in several recent studies.…”

Section: Risk Factors For Accidental Bowel Leakage (Fecal Incontinence)mentioning

confidence: 99%

Risk factors for urinary, fecal, or double incontinence in women

Matthews¹

2014

Current Opinion in Obstetrics &Amp; Gynecology

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Section: Risk Factors For Accidental Bowel Leakage (Fecal Incontinence)mentioning

confidence: 99%

Risk factors for urinary, fecal, or double incontinence in women

Matthews¹

2014

Current Opinion in Obstetrics &Amp; Gynecology

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“…The prevalence of PFD varies widely according to the population studied and the definition used and is reported to be 3–12% for symptomatic pelvic organ prolapse, 15–35% for urinary incontinence and 3–14% for fecal incontinence . Overlapping of symptoms of two or three conditions is common .…”

Section: Introductionmentioning

confidence: 99%

Pelvic organ prolapse and incontinence 15–23 years after first delivery: a cross‐sectional study

Volløyhaug

Mørkved

Salvesen

et al. 2015

BJOG

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Objective To study the association between pelvic floor dysfunction (PFD) and mode of delivery and to calculate the risks of PFD comparing caesarean delivery and operative vaginal delivery to normal vaginal delivery 15-23 years after childbirth. A subgroup analysis comparing forceps and vacuum delivery was planned.Design Cross-sectional study.Setting Postal questionnaire.Population 1641 (53%) of 3115 women who delivered their first child in Trondheim, Norway, between January 1990 and December 1997.Methods A questionnaire including questions on symptomatic pelvic organ prolapse, urinary and fecal incontinence and surgery for these conditions.Main outcome measures Prevalence of PFD measured by symptomatic pelvic organ prolapse or surgery (sPOP), urinary incontinence or surgery (UI) and fecal incontinence or surgery (FI).Results When caesarean delivery was compared to normal vaginal delivery the adjusted odds ratio (aOR) for sPOP was 0.42 (95% confidence interval, CI, 0.21-0.86) and the aOR for UI was 0.65 (95% CI 0.46-0.92). Operative vaginal delivery was associated with increased risk of sPOP (aOR 1.73, 95% CI 1.21-2.48) and FI (aOR 1.96, 95% CI 1.26-3.06) when compared with normal vaginal delivery. There were no differences in sPOP, UI or FI in a subgroup analysis comparing forceps and vacuum delivery.Conclusions Caesarean delivery was associated with decreased risk and operative vaginal delivery with increased risk of pelvic floor dysfunction 15-23 years after first delivery, but there were no differences between forceps and vacuum delivery.Keywords Fecal incontinence, forceps delivery, pelvic floor dysfunction, pelvic organ prolapse, urinary incontinence, vacuum delivery.Linked article This article is commented on by R Rogers, p. 972 in this issue. To view this mini commentary visit http:// dx.doi.org/10.1111/1471-0528.13318.Please cite this paper as: Volløyhaug I, Mørkved S, Salvesen Ø, Salvesen KÅ . Pelvic organ prolapse and incontinence 15-23 years after first delivery: a crosssectional study . BJOG 2015;122:964-971.

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“…However, urinary symptoms start during pregnancy due to an increase in urine production, increased cardiac output, and the weight of the pregnant uterus pressing on the bladder. The key risk factor associated with the development of UI is childbirth and in particular, the trauma associated with the first vaginal birth, however, there are other epidemiological factors during pregnancy that predict the development of UI such as parity, hereditary factors, ethnicity, and obesity …”

Section: Methodsmentioning

confidence: 99%

Recommendations and future research initiative to optimize bladder management in pregnancy and childbirth International Consultation on Incontinence ‐ Research society 2018

Rantell

Veit‐Rubin

Giarenis

et al. 2019

Neurourology and Urodynamics

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With increasing birth rates globally, obstetric bladder care and long term pelvic floor dysfunction continues to be a issue. This paper aims to provide an overview of the concerns in the antenatal, intrapartum an post partum periods and presents recommendation for the research requirements necessary and education to challenge current practice. K E Y W O R D Sbladder care, catheterization, intrapartum, obstetric bladder management, postpartum

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Faecal incontinence 20 years after one birth: a comparison between vaginal delivery and caesarean section

Abstract: Late FI and AI prevalences were higher after VD compared with CS. Perineal tear (≥second degree) versus no tear doubled the prevalence of FI. FI prevalence was similar after a CS and a VD combined with episiotomy.

Cited by 41 publications

References 28 publications

Risk factors for urinary, fecal, or double incontinence in women

Risk factors for urinary, fecal, or double incontinence in women

Pelvic organ prolapse and incontinence 15–23 years after first delivery: a cross‐sectional study

Recommendations and future research initiative to optimize bladder management in pregnancy and childbirth International Consultation on Incontinence ‐ Research society 2018

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