干旱区生态环境知识资源中心(Arid): Anal incontinence after obstetrical anal sphincter injury significantly impacts quality of life for women: a cohort study

Arid

DOI	10.1007/s00423-024-03257-4
	Anal incontinence after obstetrical anal sphincter injury significantly impacts quality of life for women: a cohort study
	Rebmann, Emeline; Hamel, Jean-Francois; Helbert, Candice; Lemasson, Florine; Legendre, Guillaume; Venara, Aurelien
通讯作者	Venara, A
来源期刊	LANGENBECKS ARCHIVES OF SURGERY
ISSN	1435-2443
EISSN	1435-2451
出版年	2024
卷号	409 期号:1
英文摘要	Purpose To assess the prevalence of anal incontinence (AI) after obstetrical anal sphincter injuries (OASIS) and its severity, as well as the risk factors for AI and AI episodes >= 6 months. Methods This prospective and observational monocentric cohort study included all the women who had an OASIS between 1 January 2005 and 31 December 2019. Information was collected by using a letter informing for the fecal incontinence quality of life (FIQL) questionnaire and by a phone interview. The main outcome measure was 1 passed or ongoing episode of AI. Results Among the 227 patients included, 19.8% had ongoing AI, and 35.2% had AI passed or ongoing episodes. A total of 46.7% of women with AI reported a change in their quality of life in all fields of the FIQL. Excluding a history of inflammatory bowel disease, no factor was associated with the incidence of an AI episode.Post-obstetrical AI >= 6 months (POAI >= 6) represented 63.7% of AI cases. This incontinence began with significant incidence in the immediate postpartum period but increased over time, unlike AI < 6 months, which appeared primarily in the immediate postpartum period. Instrumental birth was a protective factor for POAI >= 6 (OR = 0.24; CI 95% [0.08-0.78]; p = 0.016), while an increase in parity and BMI were risk factors for POAI >= 6 (OR = 4.21; CI 95% [1.01-17.71]; p = 0.05 and OR = 1.15; CI 95% [1.03-1.30]; p = 0.016, respectively). Conclusion The prevalence of AI after OASIS is not underestimated. Despite the fact that women do not seek care, the impact of AI on the quality of life is significant. A case of AI that lasts for 6 months after giving birth risks becoming chronic. Therefore, specialist advice should be recommended in this case.
英文关键词	Obstetrical anal sphincter injury Anal incontinence Quality of life Risk factors
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001163776000002
WOS关键词	FECAL INCONTINENCE ; PREVALENCE ; DELIVERY ; OASIS ; SYMPTOMS ; RUPTURE ; RISK
WOS类目	Surgery
WOS研究方向	Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/404866
推荐引用方式 GB/T 7714	Rebmann, Emeline,Hamel, Jean-Francois,Helbert, Candice,et al. Anal incontinence after obstetrical anal sphincter injury significantly impacts quality of life for women: a cohort study[J],2024,409(1).
APA	Rebmann, Emeline,Hamel, Jean-Francois,Helbert, Candice,Lemasson, Florine,Legendre, Guillaume,&Venara, Aurelien.(2024).Anal incontinence after obstetrical anal sphincter injury significantly impacts quality of life for women: a cohort study.LANGENBECKS ARCHIVES OF SURGERY,409(1).
MLA	Rebmann, Emeline,et al."Anal incontinence after obstetrical anal sphincter injury significantly impacts quality of life for women: a cohort study".LANGENBECKS ARCHIVES OF SURGERY 409.1(2024).