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 |
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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. |
doi_str_mv | 10.1007/bf02048338 |
format | Article |
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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.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/bf02048338</identifier><identifier>PMID: 7587765</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>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</subject><ispartof>Diseases of the colon & rectum, 1995-11, Vol.38 (11), p.1206-1209</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-bf12d5351dff0268aa414bd4d51571ace3c3e5582da6b2abc886212f2731aa923</citedby><cites>FETCH-LOGICAL-c377t-bf12d5351dff0268aa414bd4d51571ace3c3e5582da6b2abc886212f2731aa923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2921328$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7587765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RYHAMMER, A. M</creatorcontrib><creatorcontrib>BEK, K. M</creatorcontrib><creatorcontrib>LAURBERG, S</creatorcontrib><title>Multiple vaginal deliveries increase the risk of permanent incontinence of flatus and urine in normal premenopausal women</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Delivery, Obstetric</subject><subject>Fecal Incontinence - etiology</subject><subject>Female</subject><subject>Flatulence</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Premenopause</subject><subject>Risk Factors</subject><subject>Statistics as Topic</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Urinary Incontinence - etiology</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1L7TAQxYM88V0_Nu4fZPFwIVTzcdPEpYpfoLjRdZmmE42maU1axf_eXLy6mjlzfgycQ8g-Z0ecMX3cOibY0khpNsiCK8kqJpX5QxaMcVFJzeq_ZDvnlyILqLfIllZG61otyOfdHCY_BqTv8OQjBNph8O-YPGbqo00IGen0jDT5_EoHR0dMPUSM08oe4uTLbnHluADTnCnEjs6pnAtA41DoQMeEPcZhhDkX9TEUsUs2HYSMe-u5Qx4vLx7Or6vb-6ub89Pbykqtp6p1XHRKKt65krI2AEu-bLtlp7jSHCxKK1EpIzqoWwGtNaYWXDihJQc4EXKHHHz_HdPwNmOemt5niyGUEMOcm1UPUjJdwMNv0KYh54SuGZPvIX02nDWrnpuzy5-eC_xv_XVue-x-0XWxxf-_9iFbCC5BtD7_YuJEcCmM_AK6CIbV</recordid><startdate>19951101</startdate><enddate>19951101</enddate><creator>RYHAMMER, A. M</creator><creator>BEK, K. M</creator><creator>LAURBERG, S</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19951101</creationdate><title>Multiple vaginal deliveries increase the risk of permanent incontinence of flatus and urine in normal premenopausal women</title><author>RYHAMMER, A. M ; BEK, K. M ; LAURBERG, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-bf12d5351dff0268aa414bd4d51571ace3c3e5582da6b2abc886212f2731aa923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Delivery, Obstetric</topic><topic>Fecal Incontinence - etiology</topic><topic>Female</topic><topic>Flatulence</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Premenopause</topic><topic>Risk Factors</topic><topic>Statistics as Topic</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Urinary Incontinence - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RYHAMMER, A. M</creatorcontrib><creatorcontrib>BEK, K. M</creatorcontrib><creatorcontrib>LAURBERG, S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RYHAMMER, A. M</au><au>BEK, K. M</au><au>LAURBERG, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple vaginal deliveries increase the risk of permanent incontinence of flatus and urine in normal premenopausal women</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1995-11-01</date><risdate>1995</risdate><volume>38</volume><issue>11</issue><spage>1206</spage><epage>1209</epage><pages>1206-1209</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>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.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>7587765</pmid><doi>10.1007/bf02048338</doi><tpages>4</tpages></addata></record> |
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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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