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Mode of delivery and fecal incontinence at midlife: a study of 2,640 women in the Gazel cohort.

Abstract : OBJECTIVE: To estimate obstetric risk factors of fecal incontinence among middle-aged women. METHODS: We conducted a mail survey of the Gazel cohort of volunteers for epidemiologic research. In 2000, a questionnaire on anal incontinence was mailed to 3,114 women who were then between the ages of 50 and 61 years; 2,640 (85%) women returned the completed questionnaire. Fecal incontinence was defined by involuntary loss of stool. Logistic regression was used to estimate the effect of obstetric and general risk factors. RESULTS: Prevalence of fecal incontinence in the past 12 months was 9.5% (250). Significant risk factors for fecal incontinence were completion of high school (adjusted odds ratio [OR] 1.5, 95% confidence interval [CI] 1.1-2.0), self-reported depression (OR 2.1, 95% CI 1.6-2.7), overweight or obesity measured by body mass index (BMI) (OR 1.5 for BMI of 25-30, 95% CI 1.1-2.0; OR 1.6 for BMI more than 30, 95% CI 1.1-2.5), surgery for urinary incontinence (OR 3.5, 95% CI 2.0-6.1), and anal surgery (OR 1.7, 95% CI 1.1-2.9). No obstetric variable (parity, mode of delivery, birth weight, episiotomy, or third-degree perineal tear) was significant. Prevalence of fecal incontinence was similar for nulliparous, primiparous, secundiparous, and multiparous women (11.3%, 9.0%, 9.0%, and 10.4%, respectively), and among parous women, it was similar for women with spontaneous vaginal, instrumental (at least one), or only cesarean deliveries (9.3%, 10.0%, and 6.6%, respectively). CONCLUSION: In our population of women in their 50s, fecal incontinence was not associated with either parity or mode of delivery.
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https://www.hal.inserm.fr/inserm-00356851
Contributor : Xavier Fritel <>
Submitted on : Wednesday, January 28, 2009 - 6:18:35 PM
Last modification on : Wednesday, October 14, 2020 - 3:43:41 AM
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Xavier Fritel, Virginie Ringa, Noëlle Varnoux, Marie Zins, Gérard Bréart. Mode of delivery and fecal incontinence at midlife: a study of 2,640 women in the Gazel cohort.. Obstetrics and Gynecology, Lippincott, Williams & Wilkins, 2007, 110 (1), pp.31-8. ⟨10.1097/01.AOG.0000266981.69332.db⟩. ⟨inserm-00356851⟩

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