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Creado el : 29 Jun 2004
Alterado em : 02 Dec 2007

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Ficha bibliográfica (sin autores) :

Risks of anal incontinence from subsequent vaginal delivery after a complete obstetric anal sphincter tear. Br J Obstet Gynaecol. 1992 Sep;99(9):724-6.

Autores :

Bek KM, Laurberg S.

Año de publicación :

1992

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To assess the influence of various risk factors on long term anal incontinence in women with a complete obstetric tear of the anal sphincter. DESIGN: Postal questionnaire. SETTING: Department of Gynecology and Obstetrics, Aarhus University Hospital, Denmark. SUBJECTS: 152 women with complete obstetric tear of the anal sphincter. MAIN OUTCOME MEASURES: Occurrence and duration of anal incontinence in relation to any delivery. RESULTS: 56 of 121 respondents had experienced a subsequent vaginal delivery; 23 (41%) of these had had transient anorectal incontinence directly after the complete tear and four (7%) had permanent anorectal incontinence. In the 23 women with transient anorectal incontinence directly after the complete tear, 9 (39%; 95% CI 19%-59%) developed anorectal incontinence after the next delivery, and this was permanent in four (17.4%; 95% CI 2%-33%). In the 29 women without anorectal incontinence after complete tear, two had transient incontinence of flatus but for less than 14 days after the next delivery. CONCLUSIONS: Transient anal incontinence after a complete tear is a predictor of anal incontinence after subsequent vaginal delivery. The major long term problem in our study of premenopausal women was incontinence of flatus. This possibility should be discussed with the women when a further pregnancy is planned.

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Palabras claves :

➡ medicina basada en la evidencia ; lesiones ; incontinencia/prolapso ; episiotomía

Autor de este registro :

Cécile Loup — 29 Jun 2004