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

被引：85

作者：

Evers, Emily C. ^{[1
]}

Blomquist, Joan L. ^{[2
]}

McDermott, Kelly C. ^{[3
]}

Handa, Victoria L. ^{[1
]}

机构：

[1] Johns Hopkins Sch Med, Dept Gynecol & Obstet, Baltimore, MD USA

[2] Greater Baltimore Med Ctr, Dept Obstet & Gynecol, Baltimore, MD USA

[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 207卷 / 05期

基金：

美国国家卫生研究院;

关键词：

anal incontinence; cesarean delivery; obstetrical anal sphincter laceration; quality of life; PELVIC FLOOR DISORDERS; FECAL INCONTINENCE; URINARY-INCONTINENCE; WOMEN; EPIDEMIOLOGY;

D O I：

10.1016/j.ajog.2012.06.055

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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.

引用

页数：6

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