Pregnancy and Postpartum Bowel Changes: Constipation and Fecal Incontinence

被引：66

作者：

Shin, Grace Hewon ^{[1
]}

Toto, Erin Lucinda ^{[1
]}

Schey, Ron ^{[1
]}

机构：

[1] Temple Univ, Sch Med, Gastroenterol Sect, Dept Med, Philadelphia, PA 19140 USA

来源：

AMERICAN JOURNAL OF GASTROENTEROLOGY | 2015年 / 110卷 / 04期

关键词：

ANAL-SPHINCTER MORPHOLOGY; PELVIC FLOOR DISORDERS; VAGINAL DELIVERY; 3RD-DEGREE TEARS; MODE; URINARY; 1ST; PREVALENCE; PARITY; WOMEN;

D O I：

10.1038/ajg.2015.76

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Pregnancy and the postpartum period are often associated with many gastrointestinal complaints, including nausea, vomiting, and heartburn; however, the most troublesome complaints in some women are defecatory disorders such as constipation and fecal incontinence, especially postpartum. These disorders are often multifactorial in etiology, and many studies have looked to see what risk factors lead to these complications. This review discusses the current knowledge of pelvic floor and anorectal physiology, especially during pregnancy, and reviews the current literature on causes and treatments of postpartum bowel symptoms of constipation and fecal incontinence.

引用

页码：521 / 530

页数：10

共 65 条

[1] Individualized Treatment for Iron-deficiency Anemia in Adults [J].

Alleyne, Michael ;

Horne, McDonald K. ;

Miller, Jeffery L. .

AMERICAN JOURNAL OF MEDICINE, 2008, 121 (11) :943-948

[2] Anorectal Anatomy and Physiology [J].

Barleben, Andrew ;

Mills, Steven .

SURGICAL CLINICS OF NORTH AMERICA, 2010, 90 (01) :1-+

[3] Epidemiology, Pathophysiology, and Classification of Fecal Incontinence: State of the Science Summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Workshop [J].

Bharucha, Adil E. ;

Dunivan, Gena ;

Goode, Patricia S. ;

Lukacz, Emily S. ;

Markland, Alayne D. ;

Matthews, Catherine A. ;

Mott, Louise ;

Rogers, Rebecca G. ;

Zinsmeister, Alan R. ;

Whitehead, William E. ;

Rao, Satish S. C. ;

Hamilton, Frank A. .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2015, 110 (01) :127-136

[4] A systematic review of etiological factors for postpartum fecal incontinence [J].

Bols, Esther M. J. ;

Hendriks, Erik J. M. ;

Berghmans, Bary C. M. ;

Baeten, Cor G. M. I. ;

Nijhuis, Jan G. ;

De Bie, Rob A. .

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2010, 89 (03) :302-314

[5] Gastrointestinal and Liver Disease in Pregnancy [J].

Boregowda, Geethanjali ;

Shehata, Hassan A. .

BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY, 2013, 27 (06) :835-853

[6] Fecal and urinary incontinence in primiparous women [J].

Borello-France, Diane ;

Burgio, Kathryn L. ;

Richter, Holly E. ;

Zyczynski, Halina ;

FitzGerald, Mary Pat ;

Kitehead, William ;

Fine, Paul ;

Nygaard, Ingrid ;

Handa, Victoria L. ;

Visco, Anthony G. ;

Weber, Anne M. ;

Brown, Morton B. .

OBSTETRICS AND GYNECOLOGY, 2006, 108 (04) :863-872

[7] Pelvic floor muscle training for prevention and treatment of urinary and fecal incontinence in antenatal and postnatal women: A short version Cochrane review [J].

Boyle, Rhianon ;

Hay-Smith, E. Jean C. ;

Cody, June D. ;

Morkved, Siv .

NEUROUROLOGY AND URODYNAMICS, 2014, 33 (03) :269-276

[8] Fecal Incontinence During the First 12 Months Postpartum Complex Causal Pathways and Implications for Clinical Practice [J].

Brown, Stephanie J. ;

Gartland, Deirdre ;

Donath, Susan ;

MacArthur, Christine .

OBSTETRICS AND GYNECOLOGY, 2012, 119 (02) :240-249

[9] Long-term outcome of stapled hemorrhoidopexy for Grade III and Grade IV hemorrhoids [J].

Ceci, Francesco ;

Picchio, Marcello ;

Palimento, Domenico ;

Cali, Benedetto ;

Corelli, Sergio ;

Spaziani, Erasmo .

DISEASES OF THE COLON & RECTUM, 2008, 51 (07) :1107-1112

[10] Gastric emptying and orocecal transit time in pregnancy [J].

Chiloiro, M ;

Darconza, G ;

Piccioli, E ;

De Carne, M ;

Clemente, C ;

Riezzo, G .

JOURNAL OF GASTROENTEROLOGY, 2001, 36 (08) :538-543

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