Literature DB >> 19481750

Fecal incontinence in pregnancy and post partum.

Cynthia Brincat1, Christina Lewicky-Gaupp, Divya Patel, Carolyn Sampselle, Janis Miller, John O L Delancey, Dee E Fenner.   

Abstract

OBJECTIVE: To assess the prevalence of fecal incontinence (FI) during pregnancy and post partum, and to determine any associations with demographic and birth variables.
METHODS: Secondary analysis of 240 primiparous women conducted during pregnancy and post partum. Women were asked at various time points if they had lost control over their stool or bowel movements, and if they were practicing Kegel exercises. Associations of bowel symptoms with demographic and birth data were evaluated.
RESULTS: Most participants were white (87%), with a median age of 30 years (range, 18-42 years). Women who reported fecal incontinence at 1 year were more educated than those who did not report it. No other demographic or birth data were associated with fecal incontinence at 1 year.
CONCLUSIONS: Prevalence of FI during pregnancy and post partum is low and not linked to low-risk birth. Furthermore, when FI occurs it is often sporadic. This should be reassuring to patients and providers alike.

Entities:  

Mesh:

Year:  2009        PMID: 19481750      PMCID: PMC2752744          DOI: 10.1016/j.ijgo.2009.04.018

Source DB:  PubMed          Journal:  Int J Gynaecol Obstet        ISSN: 0020-7292            Impact factor:   3.561


  15 in total

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Authors:  C M Sampselle
Journal:  J Obstet Gynecol Neonatal Nurs       Date:  1990 Sep-Oct

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Review 3.  Anal sphincter tears at vaginal delivery: risk factors and clinical outcome of primary repair.

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Journal:  Obstet Gynecol       Date:  1999-07       Impact factor: 7.661

4.  Anal incontinence after vaginal delivery: a prospective study in primiparous women.

Authors:  J P Zetterström; A López; B Anzén; A Dolk; M Norman; A Mellgren
Journal:  Br J Obstet Gynaecol       Date:  1999-04

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Authors:  Erica Eason; Michel Labrecque; Sylvie Marcoux; Myrto Mondor
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7.  U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact.

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8.  Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States.

Authors:  Dee E Fenner; Becky Genberg; Pavna Brahma; Lorri Marek; John O L DeLancey
Journal:  Am J Obstet Gynecol       Date:  2003-12       Impact factor: 8.661

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Journal:  N Engl J Med       Date:  1993-12-23       Impact factor: 91.245

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Journal:  JAMA       Date:  1995-08-16       Impact factor: 56.272

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5.  Understanding what impacts on disclosing anal incontinence for women when comparing bowel-screening tools: a phenomenological study.

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