Symptoms of Anal and Urinary Incontinence Following Cesarean Section or Spontaneous Vaginal Delivery

Altman, Daniel; Ekström, Åsa; Forsgren, Catharina; Nordenstam, Johan; Zeterström, Jan

doi:10.1097/01.ogx.0000300963.11067.32

Cited by 21 publications

(39 citation statements)

References 24 publications

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“…27 In a study, it was found that cesarean section didn't decrease the risk of urinary or fecal incontinence compared to vaginal delivery. 28 In our study, no statistically significant link between mode of delivery and UI was found, but there was a significant relation between parity and UI. We believe that pregnancy itself causes UI regardless of delivery type.…”

Section: Discussioncontrasting

confidence: 63%

Lower Urinary Tract Symptoms and Urinary Incontinence During Pregnancy

Balık

et al. 2014

LUTS

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Lower urinary tract symptoms are commonly seen among pregnant women and these symptoms negatively affect the quality of life of pregnant women. Advanced age, smoking and multiparity were risk factors associated with urinary incontinence and LUTS. Obstetricians should be on the lookout for individual urological problems in pregnancy. Resolving any urological issues and cessation of smoking for the affected individuals will help alleviate the problem.

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Section: Discussioncontrasting

confidence: 63%

Lower Urinary Tract Symptoms and Urinary Incontinence During Pregnancy

Balık

et al. 2014

LUTS

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“…Most studies have been conducted in Caucasian populations. Studies have shown that symptoms of incontinence and pelvic organ prolapse are more common after vaginal delivery than after Cesarean section. There is limited information on the health‐related quality of life of these women when comparing the two types of instrumental delivery.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of levator ani muscle injury and health-related quality of life in primiparous Chinese women after instrumental delivery

Chung

Wan

Cheung

et al. 2015

Ultrasound Obstet Gynecol

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“…[7][8][9] Several authors suggest that pregnancy-related changes to the pelvic floor muscles' neuromuscular function is of greater importance than changes or injuries occurring during delivery; however, faecal urgency has been shown to be less prevalent among women with caesarean section than with vaginal deliveries. [10][11][12][13][14][15] Previous findings indicate that nearly 30-50% of pregnant women experience AI in late pregnancy; however, the prevalence of AI is markedly reduced 6-12 months after delivery. 10,13,16,17 Due to the complexity of maintaining continence, it is suggested that the individual perception and experience of AI may contribute more to the impact on QoL than the objective severity of AI.…”

Section: Introductionmentioning

confidence: 99%

Anal incontinence and Quality of Life in late pregnancy: a cross‐sectional study

Johannessen

Mørkved

Stordahl

et al. 2014

BJOG

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Objective To evaluate the association between different types of anal incontinence (AI) and Quality of Life (QoL) in late pregnancy.Design Cross-sectional study.Setting Two maternity units in Norway 2009-2010.Population Primiparae aged 18 or over.Methods Participants answered questions about AI during the last 4 weeks of pregnancy on the St. Mark's score and impact of QoL in the Fecal Incontinence QoL score. Socioeconomic data were obtained from hospital records.Main outcome measures Self-reported AI and impact on QoL.Results 1571 primiparae responded; 573 (37%) had experienced AI during the last 4 weeks of pregnancy. One third of the incontinent women reported reduced QoL in the domain 'Coping'. 'Women experiencing urgency alone reported markedly better QoL compared to any other AI symptoms. AI appeared to have the strongest impact on the domains 'Coping' and 'Embarrassment'. Depression was only associated with experiencing the combination of all three symptoms [odds ratio (OR) 13; 95%confidence interval (CI) 3.2-51]. Experiencing flatus alone weekly or more was associated with the highest impact on 'Embarrassment' (OR 20; 95%CI 6.4-61) compared with all other symptoms or combination of AI symptoms, except the combination of all three AI symptoms.Conclusions Between 3 and 10% of the primiparae in this material experienced AI to such a extent that it affected QoL. The greatest impact was seen in the QoL domain 'Coping'. These findings highlight the importance of an increased awareness of AI in late pregnancy among health professionals and the need to implement routine discussions about AI with expectant and new mothers.

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Symptoms of Anal and Urinary Incontinence Following Cesarean Section or Spontaneous Vaginal Delivery

Cited by 21 publications

References 24 publications

Lower Urinary Tract Symptoms and Urinary Incontinence During Pregnancy

Lower Urinary Tract Symptoms and Urinary Incontinence During Pregnancy

Prevalence of levator ani muscle injury and health-related quality of life in primiparous Chinese women after instrumental delivery

Anal incontinence and Quality of Life in late pregnancy: a cross‐sectional study

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