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学科主题: 临床医学
题名:
The prevalence of fecal incontinence and urinary incontinence in primiparous postpartum Chinese women
作者: Yang, Xin1; Zhang, Hong Xia2; Yu, Hai Yang1; Gao, Xue Lian1; Yang, Hui Xia1; Dong, Yue1
关键词: Fecal incontinence ; Urinary incontinence ; Post-delivery ; China
刊名: EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
发表日期: 2010-10-01
DOI: 10.1016/j.ejogrb.2010.05.031
卷: 152, 期:2, 页:214-217
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Obstetrics & Gynecology ; Reproductive Biology
研究领域[WOS]: Obstetrics & Gynecology ; Reproductive Biology
关键词[WOS]: ANAL INCONTINENCE ; VAGINAL DELIVERY ; RISK-FACTORS ; CHILDBIRTH ; EPISIOTOMY ; DAMAGE ; SYMPTOMS ; COHORT
英文摘要:

Objective: This study investigated the prevalence of fecal incontinence (FI) and urinary incontinence (UI) in primiparous postpartum Chinese women.

Study design: Questionnaires about FI and UI symptoms were completed via telephone interviews conducted within 6 months postpartum.

Results: A total of 1889 primiparous postpartum women were asked to participate in this investigation. Only 13(0.69%) of them had FI within 6 months after parturition, including loss of flatus in six women (0.32%), loss of solid stool in one (0.05%), loss of liquid stool in two (0.11%) and fecal urgency in four (0.21%). Bivariate logistic regression analysis showed that FI was significantly associated with forceps delivery OR = 37.91 (95% CI 4.20-342.18, P = 0.001) and medio-lateral episiotomy OR = 11.79 (95% CI 1.47-94.46, P = 0.02). The prevalence of UI, stress urinary incontinence (SUI), urge urinary incontinence (UUI) and mixed urinary incontinence (MUI) was 9.9% (186), 8.0% (151), 1.0% (18) and 0.9% (17), respectively. Multinomial logistic regression analysis found that SUI prevalence was related to age OR = 1.08(95% CI 1.04-1.12, P = 0.000), maternal weight OR = 1.04 (95% CI 1.02-1.06, P = 0.001), neonate head circumference OR = 1.17 (95% CI 1.01-1.36, P = 0.043), spontaneous labor OR = 5.42 (95% CI 2.60-11.32, P = 0.000), forceps delivery OR = 7.0 (95% CI 2.40-20.41, P = 0.000), and medio-lateral episiotomy OR = 5.24 (95% CI 3.15-8.72, P = 0.000).

Conclusions: 1. FI and UI prevalence was lower in our department than reported in previous studies in other areas. 2. Vaginal delivery has a risk impact on women′s FI and UI, especially forceps delivery and medio-lateral episiotomy. 3. Maternal age, weight, newborn head circumference, spontaneous vaginal delivery, forceps delivery, and medio-lateral episiotomy increase the risk of UI. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

语种: 英语
WOS记录号: WOS:000283913100020
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/49865
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Dept Ob Gyn, Beijing 100034, Peoples R China
2.Maternal & Child Hlth Hosp, Dept Ob Gyn, Tai Yuan City 030012, Shan Xi, Peoples R China

Recommended Citation:
Yang, Xin,Zhang, Hong Xia,Yu, Hai Yang,et al. The prevalence of fecal incontinence and urinary incontinence in primiparous postpartum Chinese women[J]. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,2010,152(2):214-217.
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