Anal incontinence: Relationship to pregnancy, vaginal delivery, and cesarean section

被引:13
作者
Fenner, Dee [1 ]
机构
[1] Univ Michigan, Dept Obstet & Gynecol, Womens Hosp L4000, Ann Arbor, MI 48109 USA
关键词
anal incontinence; fetal incontinence; birth;
D O I
10.1053/j.semperi.2006.07.006
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To review the current literature concerning anal incontinence (AI), pregnancy, and route of delivery. Finding: AI is the involuntary loss of flatus, liquid, or solid stool that is a social or hygienic problem. AI has been reported in 5% to 26% of women during the first year following vaginal delivery. AI is strongly associated with occult and overt sphincter lacerations and operative vaginal delivery. The role of pregnancy itself and the impact of cesarean delivery on AI are unclear. Elective cesarean section has not been shown to decrease the risk of AI. Conclusion: The majority of current studies lack the power, matched controls, and long-term follow up to make recommendations concerning the mode of delivery and prevention of AI. The natural history of AI and development of symptoms as women age also remains unclear. © 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:261 / 266
页数:6
相关论文
共 37 条
[1]   Risk factors for female anal incontinence: New insight through the Evanston-Northwestern Twin Sisters Study [J].
Abramov, Y ;
Sand, PK ;
Botros, SM ;
Gandhi, S ;
Miller, JJR ;
Nickolov, A ;
Goldberg, RP .
OBSTETRICS AND GYNECOLOGY, 2005, 106 (04) :726-732
[2]  
ABRAMOWITZ L, 2000, DIS COLON RECTUM, V43, P1537
[3]  
ABRAMS P, 2005, INCONTINENCE
[4]   RISKS OF ANAL INCONTINENCE FROM SUBSEQUENT VAGINAL DELIVERY AFTER A COMPLETE OBSTETRIC ANAL-SPHINCTER TEAR [J].
BEK, KM ;
LAURBERG, S .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1992, 99 (09) :724-726
[5]   Anal sphincter damage after vaginal delivery: functional outcome and risk factors for fecal incontinence [J].
de Leeuw, JW ;
Vierhout, ME ;
Struijk, PC ;
Hop, WCJ ;
Wallenburg, HCS .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2001, 80 (09) :830-834
[6]   Obstetric events leading to anal sphincter damage [J].
Donnelly, V ;
Fynes, M ;
Campbell, D ;
Johnson, H ;
O'Connell, PR ;
O'Herlihy, C .
OBSTETRICS AND GYNECOLOGY, 1998, 92 (06) :955-961
[7]  
Eason E, 2002, CAN MED ASSOC J, V166, P326
[8]   Rupture of the sphincter ani: the recurrence rate in second delivery [J].
Elfaghi, L ;
Johansson-Ernste, B ;
Rydhstroem, H .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2004, 111 (12) :1361-1364
[9]   Diagnosis of anal sphincter tears by postpartum endosonography to predict fecal incontinence [J].
Faltin, DL ;
Boulvain, M ;
Irion, O ;
Bretones, S ;
Stan, C ;
Weil, A .
OBSTETRICS AND GYNECOLOGY, 2000, 95 (05) :643-647
[10]   Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States [J].
Fenner, DE ;
Genberg, B ;
Brahma, P ;
Marek, L ;
DeLancey, JOL .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 189 (06) :1543-1549