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DOI	10.1111/1471-0528.16322
	Evolution and risk factors of anal incontinence during the first 6 years after first delivery: a prospective cohort study
	Johannessen, H. H.1,2; Morkved, S.3; Stordahl, A.1; Wibe, A.4,5; Falk, R. S.6
通讯作者	Johannessen, H. H.
来源期刊	BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
ISSN	1470-0328
EISSN	1471-0528
出版年	2020
卷号	127 期号:12 页码:1499-1506
英文摘要	Objective To explore changes in prevalence of anal incontinence (AI) from late first pregnancy to 6 years postpartum, and to evaluate possible risk factors for changes in AI during the 6-year period. Design Prospective longitudinal cohort study. Setting Two Norwegian health regions. Population or sample Women with first deliveries between May 2009 and December 2010. Methods Participants reported AI in late pregnancy, 6 months, 1 and 6 years after first delivery using postal or digital questionnaires. AI prevalence was calculated, and mixed effects Poisson regression analyses with robust variance were applied. Main outcome measures AI from late pregnancy to 6 years postpartum. Results Among 1571 participants, 65% had normal vaginal first deliveries, 20% had vaginal deliveries complicated by instrumental intervention and/or obstetric anal sphincter injury (IVD +/- OASIS). Nearly 1 in 10 women reported persistent incontinence during the 6 years. The overall AI prevalence was reduced from late pregnancy to 1 year postpartum for all modes of delivery. At 6 years postpartum, women with IVD +/- OASIS had a higher AI prevalence (23%; 95% CI 16-30%) compared with women with caesarean section (8%; 95% CI 2-13%) or normal vaginal delivery (12%; 95% CI 9-16%). Moreover, women who were <23 years, >= 34 years, unemployed during first pregnancy, who had active bowel disease (PR: 2.4; 95% CI 2.0-2.7), or bowel evacuation problems during the 6-year period had higher AI prevalence. Conclusions Mode of first delivery modified AI prevalence during the 6-year period, whereas age, bowel disease and bowel evacuation problems were associated with higher prevalence of AI from late first pregnancy to 6 years postpartum. Tweetable abstract Complicated vaginal delivery, age and bowel emptying problems increase the risk of long-term anal incontinence.
英文关键词	Anal incontinence long-term postpartum risk factors
类型	Article
语种	英语
国家	Norway
开放获取类型	hybrid, Green Published
收录类别	SCI-E
WOS记录号	WOS:000538915300001
WOS关键词	FECAL INCONTINENCE ; CESAREAN-SECTION ; VAGINAL DELIVERY ; PREVALENCE ; MODE ; POSTPARTUM ; PREDICTORS ; URINARY ; BIRTH ; OASIS
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/319308
作者单位	1.Ostfold Hosp Trust, Dept Phys Med & Rehabil, Sarpsborg, Norway; 2.Ostfold Univ Coll, Dept Hlth & Welf, POB 700, NO-1757 Halden, Norway; 3.Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, Trondheim, Norway; 4.Norwegian Univ Sci & Technol, Dept Clin & Mol Med, Trondheim, Norway; 5.Trondheim Reg & Univ Hosp, St Olays Hosp, Dept Surg, Trondheim, Norway; 6.Oslo Univ Hosp, Oslo Ctr Biostat & Epidemiol, Oslo, Norway
推荐引用方式 GB/T 7714	Johannessen, H. H.,Morkved, S.,Stordahl, A.,et al. Evolution and risk factors of anal incontinence during the first 6 years after first delivery: a prospective cohort study[J],2020,127(12):1499-1506.
APA	Johannessen, H. H.,Morkved, S.,Stordahl, A.,Wibe, A.,&Falk, R. S..(2020).Evolution and risk factors of anal incontinence during the first 6 years after first delivery: a prospective cohort study.BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY,127(12),1499-1506.
MLA	Johannessen, H. H.,et al."Evolution and risk factors of anal incontinence during the first 6 years after first delivery: a prospective cohort study".BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY 127.12(2020):1499-1506.