Mode of delivery and fecal incontinence at midlife: a study of 2,640 women in the Gazel cohort

Autor: Gérard Bréart, Virginie Ringa, Xavier Fritel, Marie Zins, Noëlle Varnoux
Přispěvatelé: Recherches épidémiologiques en santé périnatale et santé des femmes, Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Santé et de la Recherche Médicale (INSERM), Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé, Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Equipe RPPC, CETAF, GAZEL, Fritel, Xavier, Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Rok vydání: 2007
Předmět:
Episiotomy
medicine.medical_treatment
Urinary incontinence
MESH: Regression Analysis
Cohort Studies
0302 clinical medicine
MESH: Pregnancy
MESH: Health Surveys
MESH: Risk Factors
Pregnancy
Risk Factors
Perineal tear
Prevalence
Fecal incontinence
030212 general & internal medicine
MESH: Cohort Studies
2. Zero hunger
education.field_of_study
030219 obstetrics & reproductive medicine
MESH: Fecal Incontinence
MESH: Middle Aged
Obstetrics and Gynecology
Middle Aged
3. Good health
Parity
Cohort
MESH: Pelvic Floor
Regression Analysis
Female
France
medicine.symptom
Cohort study
medicine.medical_specialty
Population
[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
03 medical and health sciences
medicine
Humans
education
MESH: Prevalence
Gynecology
MESH: Humans
business.industry
MESH: Parity
Parturition
Odds ratio
Pelvic Floor
Delivery
Obstetric
Health Surveys
MESH: France
[SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
MESH: Delivery
Obstetric
business
MESH: Parturition
MESH: Female
Fecal Incontinence
Zdroj: Obstetrics and Gynecology
Obstetrics and Gynecology, 2007, 110 (1), pp.31-8. ⟨10.1097/01.AOG.0000266981.69332.db⟩
Obstetrics and Gynecology, Lippincott, Williams & Wilkins, 2007, 110 (1), pp.31-8. ⟨10.1097/01.AOG.0000266981.69332.db⟩
ISSN: 0029-7844
1873-233X
DOI: 10.1097/01.AOG.0000266981.69332.db⟩
Popis: International audience; OBJECTIVE: To estimate obstetric risk factors of fecal incontinence among middle-aged women. METHODS: We conducted a mail survey of the Gazel cohort of volunteers for epidemiologic research. In 2000, a questionnaire on anal incontinence was mailed to 3,114 women who were then between the ages of 50 and 61 years; 2,640 (85%) women returned the completed questionnaire. Fecal incontinence was defined by involuntary loss of stool. Logistic regression was used to estimate the effect of obstetric and general risk factors. RESULTS: Prevalence of fecal incontinence in the past 12 months was 9.5% (250). Significant risk factors for fecal incontinence were completion of high school (adjusted odds ratio [OR] 1.5, 95% confidence interval [CI] 1.1-2.0), self-reported depression (OR 2.1, 95% CI 1.6-2.7), overweight or obesity measured by body mass index (BMI) (OR 1.5 for BMI of 25-30, 95% CI 1.1-2.0; OR 1.6 for BMI more than 30, 95% CI 1.1-2.5), surgery for urinary incontinence (OR 3.5, 95% CI 2.0-6.1), and anal surgery (OR 1.7, 95% CI 1.1-2.9). No obstetric variable (parity, mode of delivery, birth weight, episiotomy, or third-degree perineal tear) was significant. Prevalence of fecal incontinence was similar for nulliparous, primiparous, secundiparous, and multiparous women (11.3%, 9.0%, 9.0%, and 10.4%, respectively), and among parous women, it was similar for women with spontaneous vaginal, instrumental (at least one), or only cesarean deliveries (9.3%, 10.0%, and 6.6%, respectively). CONCLUSION: In our population of women in their 50s, fecal incontinence was not associated with either parity or mode of delivery.
Databáze: OpenAIRE
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