Does cesarean protect against fecal incontinence in primiparous women?
Does cesarean protect against fecal incontinence in primiparous women?
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DOI：
10.1007/s00192-008-0729-1
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发表时间：
2009-01-01
影响因子：
1.8
通讯作者：
Mori, Motomi
中科院分区：
文献类型：
--
作者：
Guise, Jeanne-Marie;Boyles, Sarah Hamilton;Mori, Motomi
The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3-6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio=1.45; 95% confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index >= 30 kg/m(2)), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p
