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Tytuł:
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Prevalence of anal incontinence among mothers of multiples and analysis of risk factors.
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Autorzy:
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Goldberg RP; Evanston Continence Center, Northwestern University Medical School, 1000 Central Street, Suite 730, Evanston, IL 60201, USA. />Kwon C
Gandhi S
Atkuru LV
Sorensen M
Sand PK
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Źródło:
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American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2003 Dec; Vol. 189 (6), pp. 1627-30; discussion 1630-1.
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Typ publikacji:
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Comparative Study; Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: <2005->: New York : Elsevier
Original Publication: St. Louis.
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MeSH Terms:
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Pregnancy, Multiple*
Delivery, Obstetric/*adverse effects
Fecal Incontinence/*epidemiology
Adult ; Age Factors ; Analysis of Variance ; Cesarean Section/adverse effects ; Cesarean Section/methods ; Cohort Studies ; Delivery, Obstetric/methods ; Fecal Incontinence/etiology ; Female ; Follow-Up Studies ; Humans ; Logistic Models ; Multivariate Analysis ; Pregnancy ; Prevalence ; Risk Factors ; Surveys and Questionnaires ; Triplets ; Twins
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Entry Date(s):
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Date Created: 20040108 Date Completed: 20040130 Latest Revision: 20151119
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Update Code:
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20240104
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DOI:
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10.1016/j.ajog.2003.09.012
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PMID:
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14710087
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Objective: The object of this study was to determine the prevalence of anal incontinence among women with previous multiple pregnancy and childbirth and assess risk factors.
Study Design: A 77-item questionnaire was administered to 769 mothers of multiples. Statistical analyses included chi(2), Student t test, and logistic regression.
Results: Seven hundred thirty-three (95.3%) women completed the survey, 94% of them white, with a median age of 37 years. Fecal incontinence affected 10% (6.3% arose during pregnancy, 40.6% after delivery, 53.1% unrelated to childbirth). Although delivery by cesarean section only was associated with lower prevalence in univariate analysis (5.8% vs 11%, P=.02), age was the only significant covariate in multivariate regression (P=.0001). Flatal incontinence affected 25.2% (21.2% during pregnancy, 30.3% after delivery, 48.5% unrelated), increasing with age (P=.0001). Soiling affected 10%, increasing with age (P=.0001).
Conclusion: Mothers of multiples reported substantial rates of fecal (10%) and flatal (25.2%) incontinence. Advancing age was the major risk factor. Delivery by cesarean section only was not significantly protective, although elective (before labor) cesarean deliveries were not separately assessed.
