Original ArticlesAntenatal prediction of postpartum urinary and fecal incontinence1☆,
Section snippets
Methods
We interviewed consecutive women who were nulliparous, English-speaking, and had singleton pregnancies in the third trimester. A structured questionnaire was completed by each woman for this pilot study, and each signed an informed consent. Exclusion criteria included active urinary tract infection, history of urinary tract abnormality, recurrent urinary tract infection, history of anorectal surgery or trauma, and active anorectal infection. The women were interviewed during their routine
Results
Five hundred forty-nine women were interviewed antenatally and all completed postpartum follow-up. The ethnic distribution was 382 white (69.6%), 82 black (14.9%), 84 Asian (15.3%), and one Southeast Asian (0.2%), which was similar to that of the institution. The obstetric and neonatal data of the study population were compared with those of the overall nulliparous, registered population delivered over the same period, and there were no statistically significant differences (Table 1). The mean
Discussion
Our study confirmed previous reports of a high prevalence of urinary and fecal incontinence related to pregnancy and childbirth.12, 13 None of these women complained voluntarily or sought medical help, which is not surprising because these symptoms are embarrassing and known to be underreported.14 Although data regarding prepregnancy symptoms were retrospective, the low incidence of incontinence agrees with previous data linking parity to incontinence.12, 15, 16 We chose not to do objective
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2021, European Journal of Obstetrics and Gynecology and Reproductive BiologyCitation Excerpt :Moderate correlations were observed between posterior vaginal descent and anorectal symptoms, and between the changes in genital hiatus and prolapse symptoms. In review of the literature regarding pelvic organ support changes evaluated by the POPQ examination, PFMS and PFDI and other validated questionnaires during the first pregnancy, the existing few studies have reported controversial results [8–13,17–25] (Table 4). Similar to our study, O’Boyle et al., reported significant descent of all the vaginal POPQ points except point D showing a cranial shift, and lengthening of the genital hiatus, perineal body and transvaginal length [10,11].
Birthweight and urinary incontinence after childbirth: a systematic review and meta-analysis
2020, European Journal of Obstetrics and Gynecology and Reproductive Biology: XThe effect of childbirth on urinary incontinence: a matched cohort study in women aged 40–64 years
2019, American Journal of Obstetrics and GynecologyCitation Excerpt :Earlier studies have shown that almost 100% of nulliparous women with UI continued to leak during and after pregnancy; among continent nulliparous women, the incidence during pregnancy was about 1 in 5, and in more than every second instance, the onset occurred during the third trimester.16,17 This indicates that gestational incontinence largely depends on distension exerted by intraabdominal pressure and is also supported by the observation that, after CS, postpartum UI and stress UI rapidly decreased towards prepregnancy rates.18–20 A few studies have followed UI in primiparous women during the first year after childbirth and have found that UI and stress UI were relatively stable but higher after VD compared with CS.21
Internal anal sphincter: Clinical perspective
2017, SurgeonPostpartum Care and Long-Term Health Considerations
2016, Obstetrics: Normal and Problem Pregnancies
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Supported by the South Thames Project Grant Scheme.
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The authors thank Professor Martin Bland for advice regarding statistical analysis of the data.