Mode of delivery and fecal incontinence at midlife: a study of 2,640 women in the Gazel cohort. - Archive ouverte HAL Access content directly
Journal Articles Obstetrics and Gynecology Year : 2007

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

(1) , (1) , (1) , (2, 3) , (1)
1
2
3

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.
Fichier principal
Vignette du fichier
Anal_Incon_revised_Xf_v7.pdf (167.59 Ko) Télécharger le fichier
Vignette du fichier
inserm-00356851_edited.pdf (147.06 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Origin : Files produced by the author(s)

Dates and versions

inserm-00356851 , version 1 (28-01-2009)

Identifiers

Cite

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, 2007, 110 (1), pp.31-8. ⟨10.1097/01.AOG.0000266981.69332.db⟩. ⟨inserm-00356851⟩
200 View
757 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More