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Bibliographical entry (without author) :

Short vs long second stage of labour: is there a difference in terms of postpartum anal incontinence? - European Journal of Obstetrics & Gynecology and Reproductive Biology - Vol. 152, 2 - ISBN: 03012115 - p.168-171

Author(s) :

Badiou, Wassim; Bousquet, Philippe-Jean; Prat-Pradal, Dominique; Monroziès, Xavier; Mares, Pierre; de Tayrac, Renaud

Year of publication :

2010

URL(s) :

http://www.ejog.org/article/PIIS0301211510002915/
https://doi.org/10.1016/j.ejogrb.2010.06.004

Résumé (français)  :

Abstract (English)  :

Objective

Our purpose was to determine if prolonged second-stage labour independently increases postpartum anal incontinence.
Study design

360 primiparous women were studied retrospectively after vaginal delivery of term cephalic singletons, including a group with short second-stage labour (<30min, n=163) and a group with a prolonged second stage (>90min, n=197). A quality of life questionnaire on anal incontinence (FIQOL) was sent out at 15 months after delivery.
Results

184 women (96 with short second-stage labour and 88 with a prolonged second stage) answered the questionnaire (response rate 51%). Flatus incontinence was reported after prolonged second-stage labour in 9.1% of women vs 15.6% after short second stage (p=0.18). Fecal incontinence was reported after prolonged second-stage labour in 2.3% vs 5.2% after a short second stage (p=0.45).
Conclusion

We suggest that prolonged second stage of labour should not be associated with an increased risk of postpartum incontinence.

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Keywords :

➡ episiotomy

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Import 02/08/2014 — 02 Aug 2014