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 language | English (US) |
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Pages (from-to) | 61-67 |
Number of pages | 7 |
Journal | International Urogynecology Journal |
Volume | 20 |
Issue number | 1 |
DOIs | |
State | Published - 2009 |
Keywords
- Cesarean section
- Delivery
- Epidemiologic studies
- Fecal incontinence
- Pregnancy
- Risk factors
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Urology