Using the Brink score to predict postpartum anal incontinence
Using the Brink score to predict postpartum anal incontinence
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DOI：
10.1016/j.ajog.2010.07.032
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发表时间：
2010-11-01
影响因子：
9.8
通讯作者：
Gregory, W. Thomas
中科院分区：
文献类型：
--
作者：
King, Virginia G.;Boyles, Sarah H.;Gregory, W. Thomas
目的：评估通过 Brink 量表测量的产前盆底肌肉强度是否可以预测产后肛门失禁。研究设计：这项针对初产妇的前瞻性队列研究使用经过验证的问卷和标准化盆腔检查来评估妊娠晚期和产后 2 个时间点的受试者。结果：在最初的 129 名受试者中，102 名和 81 名完成了 2 周和 6 个月的测试产后访视。 35% 进行剖腹产。产前大便失禁的患病率（14%）与产后（2周时17%，6个月时11%）没有显着差异。然而，扁平尿失禁的患病率从产前 (65%) 到产后下降（2 周时为 47%，P = .001；6 个月时为 49%，P = .012）。产后平均边缘评分下降； Brink 评分和问卷评分之间没有发现相关性。结论：肛门失禁症状在第一次怀孕的妊娠晚期很常见，并且在分娩后可能会消退或解决。 Brink 评分不能预测产后肛门失禁。
OBJECTIVE: To evaluate whether antepartum pelvic floor muscle strength, as measured by the Brink scale, predicts postpartum anal incontinence.STUDY DESIGN: This prospective cohort study of primigravid women used validated questionnaires and standardized pelvic examinations to evaluate subjects during the third trimester and at 2 postpartum time points.RESULTS: Of the initial 129 subjects, 102 and 81 completed 2 week and 6 month postpartum visits. 35% had cesarean deliveries. The antepartum prevalence of fecal incontinence (14%) did not differ significantly from the postpartum (17% at 2 weeks, 11% at 6 months). However, the prevalence of flatal incontinence fell from antepartum (65%) to postpartum (47% at 2 weeks, P = .001; 49% at 6 months, P = .012). Mean Brink score decreased postpartum; no correlations were found between Brink score and questionnaire scores.CONCLUSION: Anal incontinence symptoms are common in the third trimester of a first pregnancy and may regress or resolve after delivery. Brink score did not predict postpartum anal incontinence.