Quality of life in women with postpartum anal incontinence

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: To estimate the effect of anal incontinence on postpartum quality of life (QOL). Methods: We conducted a longitudinal follow-up study of women reporting anal incontinence on a statewide postpartum survey to estimate the effect of anal incontinence on QOL up to 2 years postpartum. Quality of life was assessed every 6 months for 2 years based on the Uebersax incontinence impact questionnaire. The effect of severe anal incontinence on QOL was determined by multivariate logistic regression. Results: A total of 1,050 women reported persistent anal incontinence and returned at least two completed QOL surveys during the 2-year study period. Among women with anal incontinence, 51% reported frustration caused by anal incontinence, 26% reported that anal incontinence affected their emotional health, 18.5% reported anal incontinence affected their child-caring abilities, and 16.2% reported a negative effect on social activities. One in three women with anal incontinence reported severe symptoms. Compared with women with mild anal incontinence, women with severe anal incontinence were four to seven times as likely to report that anal incontinence affected emotional health and the ability to perform daily activities. However, only 10% of women sought medical help for anal incontinence at 6 months, 13.5% at 1 year, and 16.7% at 2 years. Conclusion: Even 2 years after delivery, more than a quarter of women who experience a new onset of anal incontinence after childbirth report persistently negative QOL. Despite this, few women discuss anal incontinence with their medical providers.

Original languageEnglish (US)
Pages (from-to)809-814
Number of pages6
JournalObstetrics and Gynecology
Volume115
Issue number4
DOIs
StatePublished - Apr 2010
Externally publishedYes

Fingerprint

Postpartum Period
Quality of Life
Aptitude
Frustration
Health
Logistic Models
Parturition
Surveys and Questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Quality of life in women with postpartum anal incontinence. / Lo, Jamie; Osterweil, Patty; Li, Hong; Mori, Motomi (Tomi); Eden, Karen; Guise, Jeanne-Marie.

In: Obstetrics and Gynecology, Vol. 115, No. 4, 04.2010, p. 809-814.

Research output: Contribution to journalArticle

@article{bb74c22d7d8b49408c878677babfaf34,
title = "Quality of life in women with postpartum anal incontinence",
abstract = "Objective: To estimate the effect of anal incontinence on postpartum quality of life (QOL). Methods: We conducted a longitudinal follow-up study of women reporting anal incontinence on a statewide postpartum survey to estimate the effect of anal incontinence on QOL up to 2 years postpartum. Quality of life was assessed every 6 months for 2 years based on the Uebersax incontinence impact questionnaire. The effect of severe anal incontinence on QOL was determined by multivariate logistic regression. Results: A total of 1,050 women reported persistent anal incontinence and returned at least two completed QOL surveys during the 2-year study period. Among women with anal incontinence, 51{\%} reported frustration caused by anal incontinence, 26{\%} reported that anal incontinence affected their emotional health, 18.5{\%} reported anal incontinence affected their child-caring abilities, and 16.2{\%} reported a negative effect on social activities. One in three women with anal incontinence reported severe symptoms. Compared with women with mild anal incontinence, women with severe anal incontinence were four to seven times as likely to report that anal incontinence affected emotional health and the ability to perform daily activities. However, only 10{\%} of women sought medical help for anal incontinence at 6 months, 13.5{\%} at 1 year, and 16.7{\%} at 2 years. Conclusion: Even 2 years after delivery, more than a quarter of women who experience a new onset of anal incontinence after childbirth report persistently negative QOL. Despite this, few women discuss anal incontinence with their medical providers.",
author = "Jamie Lo and Patty Osterweil and Hong Li and Mori, {Motomi (Tomi)} and Karen Eden and Jeanne-Marie Guise",
year = "2010",
month = "4",
doi = "10.1097/AOG.0b013e3181d4160d",
language = "English (US)",
volume = "115",
pages = "809--814",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Quality of life in women with postpartum anal incontinence

AU - Lo, Jamie

AU - Osterweil, Patty

AU - Li, Hong

AU - Mori, Motomi (Tomi)

AU - Eden, Karen

AU - Guise, Jeanne-Marie

PY - 2010/4

Y1 - 2010/4

N2 - Objective: To estimate the effect of anal incontinence on postpartum quality of life (QOL). Methods: We conducted a longitudinal follow-up study of women reporting anal incontinence on a statewide postpartum survey to estimate the effect of anal incontinence on QOL up to 2 years postpartum. Quality of life was assessed every 6 months for 2 years based on the Uebersax incontinence impact questionnaire. The effect of severe anal incontinence on QOL was determined by multivariate logistic regression. Results: A total of 1,050 women reported persistent anal incontinence and returned at least two completed QOL surveys during the 2-year study period. Among women with anal incontinence, 51% reported frustration caused by anal incontinence, 26% reported that anal incontinence affected their emotional health, 18.5% reported anal incontinence affected their child-caring abilities, and 16.2% reported a negative effect on social activities. One in three women with anal incontinence reported severe symptoms. Compared with women with mild anal incontinence, women with severe anal incontinence were four to seven times as likely to report that anal incontinence affected emotional health and the ability to perform daily activities. However, only 10% of women sought medical help for anal incontinence at 6 months, 13.5% at 1 year, and 16.7% at 2 years. Conclusion: Even 2 years after delivery, more than a quarter of women who experience a new onset of anal incontinence after childbirth report persistently negative QOL. Despite this, few women discuss anal incontinence with their medical providers.

AB - Objective: To estimate the effect of anal incontinence on postpartum quality of life (QOL). Methods: We conducted a longitudinal follow-up study of women reporting anal incontinence on a statewide postpartum survey to estimate the effect of anal incontinence on QOL up to 2 years postpartum. Quality of life was assessed every 6 months for 2 years based on the Uebersax incontinence impact questionnaire. The effect of severe anal incontinence on QOL was determined by multivariate logistic regression. Results: A total of 1,050 women reported persistent anal incontinence and returned at least two completed QOL surveys during the 2-year study period. Among women with anal incontinence, 51% reported frustration caused by anal incontinence, 26% reported that anal incontinence affected their emotional health, 18.5% reported anal incontinence affected their child-caring abilities, and 16.2% reported a negative effect on social activities. One in three women with anal incontinence reported severe symptoms. Compared with women with mild anal incontinence, women with severe anal incontinence were four to seven times as likely to report that anal incontinence affected emotional health and the ability to perform daily activities. However, only 10% of women sought medical help for anal incontinence at 6 months, 13.5% at 1 year, and 16.7% at 2 years. Conclusion: Even 2 years after delivery, more than a quarter of women who experience a new onset of anal incontinence after childbirth report persistently negative QOL. Despite this, few women discuss anal incontinence with their medical providers.

UR - http://www.scopus.com/inward/record.url?scp=77949892298&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77949892298&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e3181d4160d

DO - 10.1097/AOG.0b013e3181d4160d

M3 - Article

C2 - 20308843

AN - SCOPUS:77949892298

VL - 115

SP - 809

EP - 814

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 4

ER -