Udskriv Udskriv
Switch language
Hvidovre Hospital - en del af Københavns Universitetshospital

Anal incontinence in women with recurrent obstetric anal sphincter rupture: a case control study

Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

  1. Neonatal complications and neurophysiological development in twins - a long-term follow-up study

    Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

  2. Intravenous iron isomaltoside treatment of women suffering from severe fatigue after postpartum hemorrhage

    Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

  3. Lactate versus pH levels in fetal scalp blood during labor - using the Lactate Scout System

    Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

Vis graf over relationer

UNLABELLED: Abstract Objectives: To determine the risk of recurrent anal sphincter rupture (ASR), and compare the risk of anal incontinence (AI) after recurrent ASR, with that seen in women with previous ASR who deliver by caesarean section or vaginally without sustaining a recurrent ASR.

METHODS: Women with recurrent ASR between January 2000 and June 2011 were identified at two delivery wards in Copenhagen. The women answered a questionnaire with a validated scoring system for AI (St. Mark`s score), and the results were compared with those obtained in two control groups: women with subsequent uncomplicated vaginal delivery or caesarean section.

RESULTS: There were 93 437 vaginal deliveries. ASR occurred in 5.5% (n = 2851) of the nulliparous and 1.5% (n = 608) of the multiparous women. Recurrent ASR occurred in 8% (n = 49) of whom 50% reported symptoms of AI. We found no difference in the occurrence of AI between women with recurrent ASR, and those who delivered vaginally without repeat ASR (p = 0.37; OR = 2.0) or by caesarean section (p = 0.77; OR = 1.3).

CONCLUSION: Women with a past history of ASR have an 8% risk of recurrence. AI affects half of the women with recurrent ASR. Larger studies are required to confirm our findings.

TidsskriftThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Udgave nummer3
Sider (fra-til)288-92
Antal sider5
StatusUdgivet - feb. 2015

ID: 45046744