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Related Experiment Videos

Does cesarean delivery prevent anal incontinence?

Mira Lal1, Christopher H Mann, Roger Callender

  • 1Department of Obstetrics and Gynecology, Wordsley Hospital, Dudley Group of Hospitals, National Health Service Trust, Stourbridge, West Midlands, United Kingdom. mira@miralal.freeserve.co.uk

Obstetrics and Gynecology
|February 11, 2003
PubMed
Summary

Pregnancy may cause pelvic floor disorders, leading to anal incontinence in some mothers. A second-degree tear significantly increases the risk of developing postpartum anal incontinence.

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Area of Science:

  • Obstetrics and Gynecology
  • Pelvic Floor Disorders
  • Maternal Health

Background:

  • Pelvic floor disorders, including anal incontinence, can affect women postpartum.
  • The impact of delivery mode on anal incontinence incidence and severity requires further investigation.

Purpose of the Study:

  • To compare the incidence and severity of anal incontinence in primiparas after cesarean delivery versus spontaneous vaginal delivery.

Main Methods:

  • 184 primiparas after cesarean delivery and 100 after vaginal delivery were interviewed 10 months postpartum.
  • A comprehensive bowel function questionnaire assessed symptoms like urgency, flatus, and incontinence.
  • Obstetric records confirmed delivery details and perineal outcomes.

Main Results:

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  • Anal incontinence incidence was 5% after cesarean and 8% after vaginal delivery.
  • Severe symptoms were rare but noted after elective cesarean and vaginal delivery.
  • A second-degree tear was significantly associated with new-onset anal incontinence (23% vs. 3%).

Conclusions:

  • Pregnancy itself may contribute to pelvic floor disorders, including anal incontinence.
  • Second-degree tears are a significant risk factor for postpartum anal incontinence.
  • Screening and interventions for anal incontinence should encompass all mothers, regardless of delivery mode.