Specific obstetrical risk factors for urinary versus anal incontinence 4years after first delivery. - Inserm - Institut national de la santé et de la recherche médicale Accéder directement au contenu
Article Dans Une Revue Progrès en Urologie Année : 2013

Specific obstetrical risk factors for urinary versus anal incontinence 4years after first delivery.

Xavier Fritel
Connectez-vous pour contacter l'auteur
Babak Khoshnood
  • Fonction : Auteur
  • PersonId : 896886

Résumé

AIM: Delivery can be complicated by urinary or anal incontinence (UI or AI). We hypothesized that the mechanisms of injury may differ for UI and AI. Hence, obstetrical risk factors may be specific for different types of incontinence. DESIGN: Data on maternal characteristics were collected at first delivery. Data on incontinence were obtained by a questionnaire completed by 627 women 4years after first delivery. UI was defined by "Do you have involuntary loss of urine" and AI by "Do you have involuntary loss of flatus or stool". A multinomial logistic regression analysis was conducted to assess risk factors for UI only, AI only, and UI+AI. RESULTS: Twenty-two percent of women reported UI only, 6.5% AI only, and 6.5% both. Risk factors associated with UI only were age (at first delivery)≥30 (OR 2.27 [95% CI 1.47-3.49]), pre-existing UI (6.44 [2.19-19.0]) and pregnancy UI (3.64 [2.25-5.91]). Risk factors associated with AI only were length of the second active stage>20minutes (2.86 [1.15-7.13]) and third degree perineal tear (20.9 [1.73-252]). Significant predictors of UI+AI were age≥30 (2.65 [1.29-5.46]), no epidural (4.29 [1.65-11.1]), third degree perineal tear (20.0 [1.28-314]), and UI before pregnancy (32.9 [9.00-120]). Cesarean delivery was not significantly associated with UI, AI, or UI+AI, although for all three outcomes, the adjusted odds ratios were substantially less than one. CONCLUSION: We found specific associations between obstetrical risk factors and urinary versus anal incontinence 4years after first delivery. Our results are consistent with the hypothesis that the underlying mechanisms of injury differ for UI and AI.
Fichier principal
Vignette du fichier
Article_IUvsIA_v89.pdf (164 Ko) Télécharger le fichier
Origine : Fichiers produits par l'(les) auteur(s)
Loading...

Dates et versions

inserm-00870500 , version 1 (07-10-2013)

Identifiants

Citer

Xavier Fritel, Babak Khoshnood, Arnaud Fauconnier. Specific obstetrical risk factors for urinary versus anal incontinence 4years after first delivery.. Progrès en Urologie, 2013, 23 (11), pp.911-6. ⟨10.1016/j.purol.2013.06.009⟩. ⟨inserm-00870500⟩
239 Consultations
318 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More