Urinary and anal incontinence after vacuum delivery

Peschers, Ursula; Sultan, Abdul H.; Jundt, Katharina; Mayer, Achim; Drinovac, V.; Dimpfl, T.

doi:10.1016/s0301-2115(03)00111-8

Cited by 38 publications

(17 citation statements)

References 17 publications

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“…No relevant systematic reviews was identified. Eighteen studies [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] with 12 237 participants met the inclusion criteria, of which seventeen (94%) were from the past 10 years. Study characteristics are shown in (Table 1).…”

Section: Resultsmentioning

confidence: 99%

Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review

Pretlove

Thompson

Toozs‐Hobson

et al. 2008

BJOG

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Objectives To assess if mode of delivery is associated with increased symptoms of anal incontinence following childbirth.Design Systematic review of all relevant studies in English.Data sources Medline, Embase, Cochrane Library, bibliographies of retrieved primary articles and consultation with experts.Study selection and data extraction Data were extracted on study characteristics, quality and results. Exposure to risk factors was compared between women with and without anal incontinence. Categorical data in 2 · 2 contingency tables were used to generate odds ratios.Results Eighteen studies met the inclusion criteria with 12 237 participants. Women having any type of vaginal delivery compared with a caesarean section have an increased risk of developing symptoms of solid, liquid or flatus anal incontinence. The risk varies with the mode of delivery ranging from a doubled risk with a forceps delivery (OR 2.01, 95% CI 1.47-2.74, P < 0.0001) to a third increased risk for a spontaneous vaginal delivery (OR 1.32, 95% CI 1.04-1.68, P = 0.02). Instrumental deliveries also resulted in more symptoms of anal incontinence when compared with spontaneous vaginal delivery (OR 1.47, 95% CI 1.22-1.78). This was statistically significant for forceps deliveries alone (OR 1.5, 95% CI 1.19-1.89, P = 0.0006) but not for ventouse deliveries (OR 1.31, 95% CI 0.97-1.77, P = 0.08). When symptoms of solid and liquid anal incontinence alone were assessed, these trends persisted but were no longer statistically significant.Conclusion Symptoms of anal incontinence in the first year postpartum are associated with mode of delivery.

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Section: Resultsmentioning

confidence: 99%

Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review

Pretlove

Thompson

Toozs‐Hobson

et al. 2008

BJOG

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“…Burgio et al [12] on the contrary, found that smoking increased the risk of urinary incontinence due to coughing. Peschers et al [15] established that there was no relationship between age, BMI and urinary incontinence. Education is an important determining factor in epidemiological studies.…”

Section: Discussionmentioning

confidence: 99%

“…Delivery, in fact, is one of the most important risk factors identified with urinary incontinence [8,11,12] . In addition, assisted vaginal deliveries [13][14][15] , episiotomy [16] , spontaneous perineal tears [17] and a high number of pregnancies have all been suggested as factors that increase the risk of urinary incontinence [18,19] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Urinary Incontinence in the 12-Month Postpartum Period and Related Risk Factors in Turkey

et al. 2008

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Aim: The purpose of this study is to determine the prevalence of urinary incontinence in the 12-month postpartum period and the risk factors related to this condition. Methods: The research is a cross-sectional study of 1,749 first-year postpartum women living in the metropolis of Konya and presenting at seven city health centers. The statistical methods used were the χ², the Student’s t test and logistic regression analysis. Results: Of the women in the study who were in their 12-month postpartum periods, 19.5% were experiencing varying degrees of urinary incontinence. While 42.2% of the women suffered from stress incontinence, 10.3% had urge incontinence, 47.5% complained of a mixed type of urinary incontinence, 7.3% reported leakage of urine during sexual intercourse and 14.4% reported the need to use protective pads. It was found that 12.3% of the women were performing pelvic floor muscle exercises and only 15.2% had consulted their doctors about urinary incontinence. Conclusion: It was seen that urinary incontinence is a serious health problem in the postpartum period, that it disrupts a woman’s daily activities, affects her sex life but that despite this, women do not receive needed medical assistance.

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“…The occurrence of these changes may be the result of vaginal delivery alone, but may also be affected by other obstetric variables such as operative vaginal delivery [4,14,26,27], episiotomy [2], long second stage of labor [2], and infant birth weight [2,28]. Some studies, however, were not able to find significant obstetric relationships [13,29,30].…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas

2006

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Urinary and anal incontinence after vacuum delivery

Cited by 38 publications

References 17 publications

Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review

Does the mode of delivery predispose women to anal incontinence in the first year postpartum? A comparative systematic review

Prevalence of Urinary Incontinence in the 12-Month Postpartum Period and Related Risk Factors in Turkey

Urinary incontinence symptoms during and after pregnancy in continent and incontinent primiparas

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