Ruth C. Bollard
Anal sphincter injury, fecal and urinary incontinence: a 34-year follow-up after forceps delivery
Bollard, Ruth C.; Gardiner, Angela; Duthie, Grahame S.; Lindow, Stephen W.
Angela Gardiner A.B.Gardiner@hull.ac.uk
Grahame S. Duthie G.S.Duthie@hull.ac.uk
Stephen W. Lindow
PURPOSE: This study was designed to determine the long-term outcome of forceps delivery in terms of evidence of anal sphincter injury and the incidence of fecal and urinary incontinence. METHODS: Women who delivered in 1964 were evaluated by using endoanal ultrasound, manometry, and a continence questionnaire. Women delivered by forceps were matched with the next normal delivery and elective cesarean delivery in the birth register. RESULTS: The women's overall obstetric history was evaluated. Women who had ever had a forceps delivery (n = 42) had a significantly higher incidence of sphincter rupture compared with women who had only unassisted vaginal deliveries (n = 41) and elective cesarean sections (n = 6) (44 vs. 22 vs. 0 percent; chi-squared 7.09; P = 0.03). There was no significant difference in the incidence of significant fecal incontinence between the three groups (14 vs. 10 vs. 0 percent) or significant urinary incontinence (7 vs. 19 vs. 0 percent). CONCLUSION: Anal sphincter injury was associated with forceps delivery in the past; however, significant fecal and urinary incontinence was not.
Bollard, R. C., Gardiner, A., Duthie, G. S., & Lindow, S. W. (2003). Anal sphincter injury, fecal and urinary incontinence: a 34-year follow-up after forceps delivery. Diseases of the colon & rectum, 46(8), 1083-1088. doi:10.1007/s10350-004-7284-8
|Journal Article Type||Article|
|Acceptance Date||Aug 31, 2003|
|Journal||Diseases of the colon and rectum|
|Peer Reviewed||Peer Reviewed|
|Keywords||Gastroenterology; General Medicine|
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