Display Settings:

Format

Send to:

Choose Destination
Acta Obstet Gynecol Scand. 2012 Jun;91(6):715-8. doi: 10.1111/j.1600-0412.2012.01398.x. Epub 2012 Apr 30.

Long-term outcome after obstetric injury: a retrospective study.

Author information

  • Department of Obstetrics and Gynecology, Falu Hospital, Falun, Sweden. janchrister.sundquist@ltdalarna.se

Abstract

OBJECTIVE:

To examine problems experienced by women after vaginal delivery with and without a sphincter tear and compare those with less and more severe injuries.

DESIGN:

Retrospective questionnaire study. Setting. Regional hospital in Sweden.

SAMPLE:

A total of 324 women with and 309 without sphincter tears.

METHODS:

Questionnaires were sent out four to eight years after delivery enquiring about the existence and time course of gas incontinence, fecal incontinence, dyspareunia and perineal pain. A question about vacuum delivery was also included.

MAIN OUTCOME MEASURES:

Prevalence of persisting symptoms.

RESULTS:

The reply rate was 77%. About 10% of the women with a sphincter tear had fecal incontinence initially, compared with 3% among those without a sphincter tear. In women with moderate or severe tears, 20 and 31%, respectively, had gas incontinence, compared with 6% of women without a tear. Dyspareunia and perineal pain were present 18-23% of women in the tear groups compared with 9-12% of those without a tear. Almost 45% of women with initial symptoms had remaining problems after four to eight years. There was a significantly higher risk for symptoms after vacuum extraction (p < 0.001).

CONCLUSIONS:

Gas incontinence, fecal incontinence, dyspareunia and perineal pain were common problems after delivery. The prevalence of persisting symptoms was high even among women without a tear. The higher prevalence after vacuum extraction delivery indicates that there are more complications associated with this mode of delivery than previously thought.

© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.

PMID:
22428951
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Blackwell Publishing
    Loading ...
    Write to the Help Desk