Multiple vaginal deliveries increase the risk of permanent incontinence of flatus and urine in normal premenopausal women

This study was undertaken to evaluate the risk of permanent flatus or urinary incontinence after repeated vaginal deliveries. In 1989 a questionnaire on obstetric history and urinary and fecal incontinence was sent to a sample of 304 women selected from the birth records from 1976 to 1988; 242 respo...

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Veröffentlicht in:Diseases of the colon & rectum 1995-11, Vol.38 (11), p.1206-1209
Hauptverfasser: RYHAMMER, A. M, BEK, K. M, LAURBERG, S
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container_title Diseases of the colon & rectum
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creator RYHAMMER, A. M
BEK, K. M
LAURBERG, S
description This study was undertaken to evaluate the risk of permanent flatus or urinary incontinence after repeated vaginal deliveries. In 1989 a questionnaire on obstetric history and urinary and fecal incontinence was sent to a sample of 304 women selected from the birth records from 1976 to 1988; 242 responded (80 percent). Participants had one, two, or three vaginal deliveries, all without an obstetric tear of the anal sphincter. After the first, second, and third deliveries, 1.2, 1.5, and 8.3 percent developed permanent flatus incontinence. The risk was significantly increased after the third delivery compared with the first and second deliveries (odds ratio, 6.6; confidence interval, 2.4-18.3). Permanent urinary incontinence after the first, second, and third delivery developed in 3.3, 1.0, and 6.8 percent. The risk was significantly increased after the third delivery compared with the first and second (odds ratio, 3.2; confidence interval, 1.1-9.1). These results indicate that repeated vaginal deliveries increase the risk of minor anal and urinary incontinence, which were found to be a common problem in premenopausal women.
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source MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Adolescent
Adult
Biological and medical sciences
Case-Control Studies
Delivery, Obstetric
Fecal Incontinence - etiology
Female
Flatulence
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Medical sciences
Other diseases. Semiology
Parity
Pregnancy
Premenopause
Risk Factors
Statistics as Topic
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Urinary Incontinence - etiology
title Multiple vaginal deliveries increase the risk of permanent incontinence of flatus and urine in normal premenopausal women
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