Objective: We studied maternal health 18 years postpartum in women having sustained an anal sphincter tear and controls. Study design: We assessed symptoms with the short form of the urogenital distress inventory, the...Objective: We studied maternal health 18 years postpartum in women having sustained an anal sphincter tear and controls. Study design: We assessed symptoms with the short form of the urogenital distress inventory, the female sexual function index, and physical and mental health with the Short Form-12 summary scales. Results: Women with a sphincter tear had no increased risk of urinary symptoms (54 of 251, 22% , versus 51 of 273, 19% , risk ratio 1.2, 95% confidence interval 0.8 to 1.6) or sexual symptoms (84 of 223, 38% , versus 90 of 230, 39% , risk ratio 1.0, 95% confidence interval 0.8 to 1.2). Their physical health was also similar to controls (mean score ± SD, 47 ± 7 versus 47 ± 6), whereas their mental health was slightly lower (score 45 ± 6 versus 46 ± 6, difference 1, 95% confidence interval 0 to 2, P = .05). Conclusion: Women who sustained an anal sphincter tear have no more urinary or sexual symptoms 18 years after delivery.展开更多
Objective: We studied the long-term outcome after an anal sphincter tear. Study design: From a cohort of 4569 women who gave birth in 1982 to 1983, we identified 445 (9.7% ) who sustained a sphincter tear and 445 cont...Objective: We studied the long-term outcome after an anal sphincter tear. Study design: From a cohort of 4569 women who gave birth in 1982 to 1983, we identified 445 (9.7% ) who sustained a sphincter tear and 445 controls. Eighteen years after the delivery, we mailed them a questionnaire and graded fecal incontinence with the Wexner score, a summary of incontinence to flatus, liquid, or solid stools; need to wear a pad; and lifestyle alterations. We predefined severe incontinence as a score above 4 of 20. Results: Five hundred forty of 890 women (61% ) returned the questionnaire. Severe fecal incontinence was reported by 34 of 259 women (13.1% ) after a sphincter tear and 22 of 281 controls (7.8% ) (risk ratio 1.7, 95% confidence interval 1.0 to 2.8). Only 6.4% of the reports of fecal incontinence were attributable to a sphincter tear. Conclusion: Fecal incontinence is frequently reported, even by women who have not sustained an anal sphincter tear. Only a small fraction of fecal incontinence can be attributed to sphincter tears.展开更多
文摘Objective: We studied maternal health 18 years postpartum in women having sustained an anal sphincter tear and controls. Study design: We assessed symptoms with the short form of the urogenital distress inventory, the female sexual function index, and physical and mental health with the Short Form-12 summary scales. Results: Women with a sphincter tear had no increased risk of urinary symptoms (54 of 251, 22% , versus 51 of 273, 19% , risk ratio 1.2, 95% confidence interval 0.8 to 1.6) or sexual symptoms (84 of 223, 38% , versus 90 of 230, 39% , risk ratio 1.0, 95% confidence interval 0.8 to 1.2). Their physical health was also similar to controls (mean score ± SD, 47 ± 7 versus 47 ± 6), whereas their mental health was slightly lower (score 45 ± 6 versus 46 ± 6, difference 1, 95% confidence interval 0 to 2, P = .05). Conclusion: Women who sustained an anal sphincter tear have no more urinary or sexual symptoms 18 years after delivery.
文摘Objective: We studied the long-term outcome after an anal sphincter tear. Study design: From a cohort of 4569 women who gave birth in 1982 to 1983, we identified 445 (9.7% ) who sustained a sphincter tear and 445 controls. Eighteen years after the delivery, we mailed them a questionnaire and graded fecal incontinence with the Wexner score, a summary of incontinence to flatus, liquid, or solid stools; need to wear a pad; and lifestyle alterations. We predefined severe incontinence as a score above 4 of 20. Results: Five hundred forty of 890 women (61% ) returned the questionnaire. Severe fecal incontinence was reported by 34 of 259 women (13.1% ) after a sphincter tear and 22 of 281 controls (7.8% ) (risk ratio 1.7, 95% confidence interval 1.0 to 2.8). Only 6.4% of the reports of fecal incontinence were attributable to a sphincter tear. Conclusion: Fecal incontinence is frequently reported, even by women who have not sustained an anal sphincter tear. Only a small fraction of fecal incontinence can be attributed to sphincter tears.
