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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 30 Jan 2018
Modified on : 30 Jan 2018

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Bibliographical entry (without author) :

The prevalence of fecal incontinence and urinary incontinence in primiparous postpartum Chinese women.Eur J Obstet Gynecol Reprod Biol. 2010

Author(s) :

Yang X., Zhang HX, Yu HY, Gao XL, Yang HX, Dong Y.

Year of publication :


URL(s) :

Résumé (français)  :

Abstract (English)  :


This study investigated the prevalence of fecal incontinence (FI) and urinary incontinence (UI) in primiparous postpartum Chinese women.

Questionnaires about FI and UI symptoms were completed via telephone interviews conducted within 6 months postpartum.


A total of 1889 primiparous postpartum women were asked to participate in this investigation. Only 13 (0.69%) of them had FI within 6 months after parturition, including loss of flatus in six women (0.32%), loss of solid stool in one (0.05%), loss of liquid stool in two (0.11%) and fecal urgency in four (0.21%). Bivariate logistic regression analysis showed that FI was significantly associated with forceps delivery OR=37.91 (95% CI 4.20-342.18, P=0.001) and medio-lateral episiotomy OR=11.79 (95% CI 1.47-94.46, P=0.02). The prevalence of UI, stress urinary incontinence (SUI), urge urinary incontinence (UUI) and mixed urinary incontinence (MUI) was 9.9% (186), 8.0% (151), 1.0% (18) and 0.9% (17), respectively. Multinomial logistic regression analysis found that SUI prevalence was related to age OR=1.08 (95% CI 1.04-1.12, P=0.000), maternal weight OR=1.04 (95% CI 1.02-1.06, P=0.001), neonate head circumference OR=1.17 (95% CI 1.01-1.36, P=0.043), spontaneous labor OR=5.42 (95% CI 2.60-11.32, P=0.000), forceps delivery OR=7.0 (95% CI 2.40-20.41, P=0.000), and medio-lateral episiotomy OR=5.24 (95% CI 3.15-8.72, P=0.000).

1. FI and UI prevalence was lower in our department than reported in previous studies in other areas. 2. Vaginal delivery has a risk impact on women’s FI and UI, especially forceps delivery and medio-lateral episiotomy. 3. Maternal age, weight, newborn head circumference, spontaneous vaginal delivery, forceps delivery, and medio-lateral episiotomy increase the risk of UI.

Sumário (português)  :

Comments :

Argument (français) :

taux d’incontinence fécale et urinaire associés massivement aux forceps et à l’épisio médiolatérale. L’age maternel, le poids, le PC, l’acc. vaginal, le forceps et l’épisio médio latérales augmentent les risques d“incontinence urinaire.

Argument (English):

Argumento (português):

Keywords :

➡ episiotomy ; forceps delivery ; incontinence/prolapsus

Author of this record :

Alison Passieux — 30 Jan 2018

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