Fecal incontinence and parity in the Dutch population:A cross-sectional analysis

Background: It is assumed that pregnancy and childbirth increase the risk of developing fecal incontinence (FI). Objective: We investigated the incidence of FI in groups of nulliparous and parous women. Methods: Retrospectively, we studied a cross-section of the Dutch female population (N = 680) who completed the Groningen Defecation & Fecal Continence questionnaire. We also analyzed a subgroup of healthy women (n = 572) and a subgroup of women with comorbidities (n = 108). Results: The prevalence of FI and the Vaizey and Wexner scores did not differ significantly between nulliparous and p... Mehr ...

Verfasser: van Meegdenburg, Maxime M.
Trzpis, Monika
Broens, Paul M. A.
Dokumenttyp: Artikel
Erscheinungsdatum: 2018
Reihe/Periodikum: van Meegdenburg , M M , Trzpis , M & Broens , P M A 2018 , ' Fecal incontinence and parity in the Dutch population : A cross-sectional analysis ' , United European Gastroenterology Journal , vol. 6 , no. 5 , pp. 781-790 . https://doi.org/10.1177/2050640618760386
Schlagwörter: Vaginal delivery / parity / operative delivery / Rome IV criteria / accidental bowel leakage / AGED 40 YEARS / RISK-FACTORS / URINARY-INCONTINENCE / PREVALENCE / CHILDBIRTH / DELIVERY / ADULTS / WOMEN / CONSTIPATION / NETHERLANDS
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27600852
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/668467d7-8732-4f66-a2e4-452d9c8252e0

Background: It is assumed that pregnancy and childbirth increase the risk of developing fecal incontinence (FI). Objective: We investigated the incidence of FI in groups of nulliparous and parous women. Methods: Retrospectively, we studied a cross-section of the Dutch female population (N = 680) who completed the Groningen Defecation & Fecal Continence questionnaire. We also analyzed a subgroup of healthy women (n = 572) and a subgroup of women with comorbidities (n = 108). Results: The prevalence of FI and the Vaizey and Wexner scores did not differ significantly between nulliparous and parous women. Parous women were 1.6 times more likely to experience fecal urgency than nulliparous women (95% CI, 1.0-2.6, p = 0.042). Regression analyses showed that parity, mode of delivery, duration of second stage of labor, obstetrical laceration or episiotomy, and birth weight seem not to be associated with the likelihood of FI. Conclusions: Pregnancy and childbirth seem not to be associated with the prevalence and severity of FI in the Dutch population. Vacuum and forceps deliveries, however, might result in a higher prevalence of FI. Although the duration of being able to control bowels after urge sensation is comparable between nulliparous and parous women, parous women experience fecal urgency more often.