The study on current condition and related factors of fecal incontinence and QOL following delivery

目的和方法：对1918名产妇进行调查，以确定产后大便失禁和腹风失控的发生率。受试者填写了大便失禁和腹风失控的症状和其他相关因素的清单(自报)。组间比较采用Kruskal-Wallis检验、Bonferroni/Dunn检验和X2检验(p&lt；0.05)。结果：这些妇女中有2.9%的人在分娩后报告有大便失禁，而22.3%的人报告有无法控制的腹风。每4名女性中就有1名报告经历过大便失禁或腹风失控。大便失禁和腹风失控的发生率与年龄和分娩次数有关。导致大便失禁的危险因素除与体重指数(BMI)和绝经有关外，还与产钳分娩和引产有关。结论：我们推测产后大便失禁和腹风失控的频率与国外一些报道相似。虽然有必要积累受试者样本的数量，并对问题的发生情况进行详细检查，但也建议有必要建立长期跟踪，并在分娩后为这些问题提供支持系统。

Purpose and methods : This survey was conducted on 1,918 women to determine the incidence of fecal incontinence and uncontrolled abdominal wind after delivery. The subjects filled out a list of symptoms and other related factors of the fecal incontinence and uncontrolled abdominal wind (self report). The differences between the groups were assessed using Kruskal-Wallis test, Bonferroni/Dunn test and _X2 test (p<0.05). Results : After delivery 2.9% of these women reported having fecal incontinence, while 22.3% reported having uncontrolled abdominal wind. One out of 4 women reported having experienced either fecal incontinence or uncontrolled abdominal wind. The incidence of fecal incontinence and uncontrolled abdominal wind were related to age and the number of deliveries. The risk factors which cause fecal incontinence were related to forceps delivery and induced delivery in addition to the Body Mass Index (BMI) and menopause. Conclusions : We surmised that the frequency of fecal incontinence and uncontrolled abdominal wind after delivery is similar to that of some foreign reports. While there is a need to accumulate the number of subject samples and to carry out detailed examination of the incidence of the problem, it is also suggested that there is a necessity to establish a long-term follow-up as well as providing a support system for these problems following delivery.