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Obstet Gynecol. 1993 Oct;82(4 Pt 1):527-31.

Incontinence following rupture of the anal sphincter during delivery.

Author information

1
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor.

Abstract

OBJECTIVE:

To determine the frequency with which patients report incontinence of flatus or stool after rupture of the anal sphincter during delivery.

METHODS:

A chart review and telephone interview were conducted with 70 primiparas, 35 of whom had rupture of the anal sphincter at delivery and 35 of whom did not. All were contacted 9-12 months postpartum and questioned about the development of incontinence of gas or liquid or formed stool, persistent dyspareunia, and perineal pain.

RESULTS:

Incontinence of gas was reported by six women (17%) in the rupture group and one (3%) in the control group (P < .05). The incidence of incontinence of stool, both liquid and solid, dyspareunia, and persistent perineal pain were similar between the groups.

CONCLUSION:

Incontinence of flatus was reported six times more often by women who experienced a third- or fourth-degree perineal laceration than by those without anal sphincter rupture.

PMID:
8377977
[Indexed for MEDLINE]

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