Does cesarean protect against fecal incontinence in primiparous women?

Jeanne-Marie Guise, Sarah Hamilton Boyles, Patricia Osterweil, Hong Li, Karen Eden, Motomi (Tomi) Mori

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3-6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio = 1.45; 95% confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index ≥30 kg/m2), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p <0.05) regardless of route of delivery. This study provides important data to inform counseling and management of primiparous women.

Original languageEnglish (US)
Pages (from-to)61-67
Number of pages7
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume20
Issue number1
DOIs
StatePublished - 2009

Fingerprint

Fecal Incontinence
Postpartum Period
Lacerations
Constipation
Counseling
Body Mass Index
Logistic Models
Odds Ratio
Regression Analysis
Parturition
Confidence Intervals
Population

Keywords

  • Cesarean section
  • Delivery
  • Epidemiologic studies
  • Fecal incontinence
  • Pregnancy
  • Risk factors

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

Does cesarean protect against fecal incontinence in primiparous women? / Guise, Jeanne-Marie; Boyles, Sarah Hamilton; Osterweil, Patricia; Li, Hong; Eden, Karen; Mori, Motomi (Tomi).

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 20, No. 1, 2009, p. 61-67.

Research output: Contribution to journalArticle

@article{8ff01fab4b804f399d14fe3ade26223b,
title = "Does cesarean protect against fecal incontinence in primiparous women?",
abstract = "The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3-6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio = 1.45; 95{\%} confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index ≥30 kg/m2), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p <0.05) regardless of route of delivery. This study provides important data to inform counseling and management of primiparous women.",
keywords = "Cesarean section, Delivery, Epidemiologic studies, Fecal incontinence, Pregnancy, Risk factors",
author = "Jeanne-Marie Guise and Boyles, {Sarah Hamilton} and Patricia Osterweil and Hong Li and Karen Eden and Mori, {Motomi (Tomi)}",
year = "2009",
doi = "10.1007/s00192-008-0729-1",
language = "English (US)",
volume = "20",
pages = "61--67",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",
number = "1",

}

TY - JOUR

T1 - Does cesarean protect against fecal incontinence in primiparous women?

AU - Guise, Jeanne-Marie

AU - Boyles, Sarah Hamilton

AU - Osterweil, Patricia

AU - Li, Hong

AU - Eden, Karen

AU - Mori, Motomi (Tomi)

PY - 2009

Y1 - 2009

N2 - The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3-6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio = 1.45; 95% confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index ≥30 kg/m2), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p <0.05) regardless of route of delivery. This study provides important data to inform counseling and management of primiparous women.

AB - The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3-6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio = 1.45; 95% confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index ≥30 kg/m2), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p <0.05) regardless of route of delivery. This study provides important data to inform counseling and management of primiparous women.

KW - Cesarean section

KW - Delivery

KW - Epidemiologic studies

KW - Fecal incontinence

KW - Pregnancy

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=57549092670&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=57549092670&partnerID=8YFLogxK

U2 - 10.1007/s00192-008-0729-1

DO - 10.1007/s00192-008-0729-1

M3 - Article

C2 - 18949441

AN - SCOPUS:57549092670

VL - 20

SP - 61

EP - 67

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

IS - 1

ER -