The dual influences of age and obstetric history on fecal continence in parous women.

Hdl Handle:
http://hdl.handle.net/10147/217182
Title:
The dual influences of age and obstetric history on fecal continence in parous women.
Authors:
Eogan, Maeve; O'Brien, Conor; Daly, Leslie; Behan, Michael; O'Connell, P Ronan; O'Herlihy, Colm
Affiliation:
Department of Obstetrics and Gynaecology, University College Dublin, National Maternity Hospital, Dublin, Ireland.
Citation:
The dual influences of age and obstetric history on fecal continence in parous women. 2011, 112 (2):93-7 Int J Gynaecol Obstet
Journal:
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/217182
DOI:
10.1016/j.ijgo.2010.08.011
PubMed ID:
21078512
Abstract:
To assess whether women who underwent forceps delivery were more likely than those who delivered either normally (spontaneous vaginal delivery [SVD]) or by cesarean to experience deterioration in fecal continence as they aged.; The study investigated fecal continence assessment among women who gave birth to their first child 10, 20, or 30 years previously. Women who had undergone forceps delivery in the selected years were matched with women who had SVD in the same year. Two additional cohorts (1 premenopausal, 1 postmenopausal), who had only ever delivered by pre-labor cesarean, were identified for comparison.; Of the 85 women who participated, 36 had undergone forceps delivery, 35 SVD, and 14 cesarean delivery only. The mode of vaginal delivery had no significant effect on continence scores or manometry pressures. Premenopausal women who had undergone cesarean delivery had significantly higher manometry pressures than those who delivered vaginally, but this protective effect was lost after the menopause. Multivariate analysis of pudendal nerve conduction found that the adverse effect of duration since delivery was greater than the adverse effect of forceps compared with vaginal delivery.; Mode of delivery and aging affect pelvic floor function. Women who deliver via cesarean are not immune to age-related deterioration of anal sphincter function.
Language:
en
MeSH:
Adult; Age Factors; Anal Canal; Cesarean Section; Delivery, Obstetric; Extraction, Obstetrical; Fecal Incontinence; Female; Humans; Manometry; Middle Aged; Multivariate Analysis; Obstetrical Forceps; Parity; Pelvic Floor; Pregnancy; Risk Factors; Time Factors
ISSN:
1879-3479
Ethical Approval:
N/A

Full metadata record

DC FieldValue Language
dc.contributor.authorEogan, Maeve-
dc.contributor.authorO'Brien, Conor-
dc.contributor.authorDaly, Leslie-
dc.contributor.authorBehan, Michael-
dc.contributor.authorO'Connell, P Ronan-
dc.contributor.authorO'Herlihy, Colm-
dc.date.accessioned2012-03-30T13:52:58Z-
dc.date.available2012-03-30T13:52:58Z-
dc.date.issued2011-02-
dc.identifier.citationThe dual influences of age and obstetric history on fecal continence in parous women. 2011, 112 (2):93-7 Int J Gynaecol Obstet-
dc.identifier.issn1879-3479-
dc.identifier.pmid21078512-
dc.identifier.doi10.1016/j.ijgo.2010.08.011-
dc.identifier.urihttp://hdl.handle.net/10147/217182-
dc.description.abstractTo assess whether women who underwent forceps delivery were more likely than those who delivered either normally (spontaneous vaginal delivery [SVD]) or by cesarean to experience deterioration in fecal continence as they aged.-
dc.description.abstractThe study investigated fecal continence assessment among women who gave birth to their first child 10, 20, or 30 years previously. Women who had undergone forceps delivery in the selected years were matched with women who had SVD in the same year. Two additional cohorts (1 premenopausal, 1 postmenopausal), who had only ever delivered by pre-labor cesarean, were identified for comparison.-
dc.description.abstractOf the 85 women who participated, 36 had undergone forceps delivery, 35 SVD, and 14 cesarean delivery only. The mode of vaginal delivery had no significant effect on continence scores or manometry pressures. Premenopausal women who had undergone cesarean delivery had significantly higher manometry pressures than those who delivered vaginally, but this protective effect was lost after the menopause. Multivariate analysis of pudendal nerve conduction found that the adverse effect of duration since delivery was greater than the adverse effect of forceps compared with vaginal delivery.-
dc.description.abstractMode of delivery and aging affect pelvic floor function. Women who deliver via cesarean are not immune to age-related deterioration of anal sphincter function.-
dc.language.isoen-
dc.rightsArchived with thanks to International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetricsen_GB
dc.subject.meshAdult-
dc.subject.meshAge Factors-
dc.subject.meshAnal Canal-
dc.subject.meshCesarean Section-
dc.subject.meshDelivery, Obstetric-
dc.subject.meshExtraction, Obstetrical-
dc.subject.meshFecal Incontinence-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshManometry-
dc.subject.meshMiddle Aged-
dc.subject.meshMultivariate Analysis-
dc.subject.meshObstetrical Forceps-
dc.subject.meshParity-
dc.subject.meshPelvic Floor-
dc.subject.meshPregnancy-
dc.subject.meshRisk Factors-
dc.subject.meshTime Factors-
dc.titleThe dual influences of age and obstetric history on fecal continence in parous women.en_GB
dc.contributor.departmentDepartment of Obstetrics and Gynaecology, University College Dublin, National Maternity Hospital, Dublin, Ireland.-
dc.identifier.journalInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics-
dc.type.qualificationlevelN/Aen
cr.approval.ethicalN/Aen
dc.description.provinceLeinsteren
dc.description.provinceLeinster-

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