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Frequency and predictors for postpartum fecal incontinence
Wendy Hall1, Karen McCracken, Patricia Osterweil
1Department of Obstetrics and Gynecology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road L466, Portland, OR 97201, USA.
American Journal of Obstetrics and Gynecology
|May 16, 2003
Summary
Postpartum fecal incontinence affects 38% of women, with vaginal delivery and perineal tears increasing risk. Cesarean delivery showed a lower incidence of these symptoms.
Area of Science:
- Obstetrics and Gynecology
- Pelvic Floor Disorders
- Women's Health
Background:
- Postpartum fecal incontinence (FI) is a common yet often underreported condition.
- Previous estimates of postpartum FI prevalence may not fully capture its occurrence.
- Understanding risk factors is crucial for prevention and management.
Purpose of the Study:
- To determine the frequency of postpartum fecal incontinence.
- To investigate the association between delivery events and postpartum FI.
- To validate a survey for assessing postpartum FI.
Main Methods:
- A self-administered survey on fecal incontinence symptoms and delivery events was given to 50 women at their 6-week postpartum check-up.
- Statistical analysis was performed to identify associations between postpartum FI and delivery characteristics.
Main Results:
- 38% of women reported at least one symptom of postpartum fecal incontinence.
- Incontinence to flatus occurred in 24%, and incontinence to stool in 10% of women.
- Vaginal delivery and perineal laceration were linked to higher risks, while cesarean delivery was associated with lower symptom frequency.
Conclusions:
- The prevalence of postpartum fecal incontinence is higher than previously documented.
- Perineal laceration, particularly with anal sphincter involvement, is a significant risk factor for postpartum FI.
- Cesarean delivery appears to be protective against postpartum fecal incontinence symptoms.