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

Description of this bibliographical database (AFAR website)
Currently 3059 records
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https://afar.info/id=2906

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

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Bibliographical entry (without author) :

Does cesarean protect against fecal incontinence in primiparous women? Int Urogynecol J Pelvic Floor Dysfunct. 2009

Author(s) :

Guise JM, Boyles SH, Osterweil P, Li H, Eden KB, Mori M.

Year of publication :

2009

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/18949441
https://doi.org/10.1007/s00192-008-0729-1

Résumé (français)  :

Etude de la survenue d’une incontinence anale sur 6,152 primipares réinterrogées à 3-6 months en postpartum avec la survenue pour 2,482 d’entre elles, d’une incontinence suite à l’accouchement.
L’accouchement vaginal est associé à un taux plus élevé d’incontinence fécale. Cependant le risque est le même pour un accouchement vaginal sans instrument que dans le cas d’une césarienne.
En revanche, le surpoids, pousser pendant plus de 2h, la constipation sont associées à une survenue d’incontinence anale quelle que soit la voie d’accouchement.

Abstract (English)  :

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/m(2)), 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.

Sumário (português)  :

Comments :

Argument (français) :

Acc. vaginal associé à un taux plus élevé d’incontinence fécale. Cependant le risque est le même pour un acc. vaginal sans instrument que ds le cas d’une césarienne. en revanche, le surpoids, pousser pendant plus de 2h, la constipation sont associées à une survenue d’incontinence anale quelle que soit la voie d’accouchement.

Argument (English):

Argumento (português):

Keywords :

➡ c-section/caesarean ; forceps delivery ; incontinence/prolapsus

Author of this record :

Alison Passieux — 30 Jan 2018

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This database is managed by Alliance francophone pour l'accouchement respecté (AFAR, https://afar.info)
affiliated with Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
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