scholarly journals Incidence and Predictors of Anal Incontinence After Obstetric Anal Sphincter Injury in Primiparous Women

2015 ◽  
Vol 21 (4) ◽  
pp. 182-189 ◽  
Author(s):  
Holly E. Richter ◽  
Charles W. Nager ◽  
Kathryn L. Burgio ◽  
Ryan Whitworth ◽  
Alison C. Weidner ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Primiparous Women

scholarly journals Prevalence and Risk Indicators for Anal Incontinence among Pregnant Women

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Katariina Laine ◽  
Finn Egil Skjeldestad ◽  
Leiv Sandvik ◽  
Anne Cathrine Staff
Keyword(s):  
Urinary Incontinence ◽  
Pregnant Women ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Ultrasound Examination ◽  
Obstetric Anal Sphincter Injury ◽  
Minor Effect ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Nulliparous Women

The aim of this study was to assess the prevalence and risk factors of anal incontinence in an unselected pregnant population at second trimester. A survey of pregnant women attending a routine ultrasound examination was conducted in a university hospital in Oslo, Norway. A questionnaire consisting of 105 items concerning anal incontinence (including St. Mark’s score), urinary incontinence, medication use, and comorbidity was posted to women when invited to the ultrasound examination. Results. Prevalence of self-reported anal incontinence (St. Mark’s score ≥ 3) was the lowest in the group of women with a previous cesarean section only (6.4%) and the highest among women with a previous delivery complicated by obstetric anal sphincter injury (24.4%). Among nulliparous women the prevalence of anal incontinence was 7.7% and was associated to low educational level and comorbidity. Prevalence of anal incontinence increased with increasing parity. Urinary incontinence was associated with anal incontinence in all parity groups. Conclusions. Anal incontinence was most frequent among women with a history of obstetric anal sphincter injury. Other obstetrical events had a minor effect on prevalence of anal incontinence among parous women. Prevention of obstetrical sphincter injury is likely the most important factor for reducing bothersome anal incontinence among fertile women.

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