The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Faecal incontinence after childbirth
Abstract
Objective To measure the prevalence and severity of postpartum faecal incontinence, especially new incontinence, and to identify obstetric risk factors. Design A cohort study with information on symptoms collected in home‐based interviews and obstetric data from hospital casenotes. Setting Deliveries from a maternity hospital in Birmingham. Participants Nine hundred and six women interviewed a mean of 10 months after delivery. Main outcome measures New faecal incontinence starting after the birth, including frank incontinence, soiling and urgency. Results Thirty‐six women (4%) developed new faecal incontinence after the index birth, 22 of whom had unresolved symptoms. Twenty‐seven had symptoms several times a week, yet only five consulted a doctor. Among vaginal deliveries, forceps and vacuum extraction were the only independent risk factors: 12 (33%) of those with new incontinence had an instrumental delivery compared with 114 (14%) of the 847 women who had never had faecal incontinence. Six of those with incontinence had an emergency caesarean section but none became incontinent after elective sections. Conclusions Faecal incontinence as an immediate consequence of childbirth is more common than previously realised, and medical attention is rarely sought. Forceps and vacuum extraction deliveries are risk factors, with no protection demonstrated from emergency caesarean section. Identification and treatment is a priority.
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Cites
Anal-Sphincter Disruption during Vaginal Delivery
Sultan, A. H., Kamm, M. A., Hudson, C. N., Thomas, J. M., & Bartram, C. I. (1993) · New England Journal of Medicine · doi:10.1056/nejm199312233292601 · Cited by 1,533
Effective Care in Pregnancy and Childbirth
Newton, E. (1990) · Journal of Human Lactation · doi:10.1177/089033449000600329 · Cited by 985
INJURY TO INNERVATION OF PELVIC FLOOR SPHINCTER MUSCULATURE IN CHILDBIRTH
Snooks, S. J., Swash, M., Setchell, M., & Henry, M. M. (1984) · The Lancet · doi:10.1016/s0140-6736(84)90766-9 · Cited by 850
Effect of vaginal delivery on the pelvic floor: A 5-year follow-up
Snooks, S. J., Swash, M., Mathers, S. E., & Henry, M. M. (1990) · Journal of British Surgery · doi:10.1002/bjs.1800771213 · Cited by 610
Pudendal nerve damage during labour: prospective study before and after childbirth*
Sultan, A. H., Kamm, M. A., & Hudson, C. N. (1994) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1994.tb13005.x · Cited by 425
FAECAL INCONTINENCE: THE UNVOICED SYMPTOM
Leigh, R. J., & Turnberg, L. A. (1982) · The Lancet · doi:10.1016/s0140-6736(82)92413-8 · Cited by 279
Epidural anaesthesia and long term backache after childbirth.
MacArthur, C., Lewis, M., Knox, E. G., & Crawford, J. S. (1990) · BMJ · doi:10.1136/bmj.301.6742.9 · Cited by 196
Self-citationThe prevalence of faecal and double incontinence
Thomas, T. M., Egan, M., Walgrove, A., & Meade, T. W. (1984) · Journal of Public Health · doi:10.1093/oxfordjournals.pubmed.a043715 · Cited by 182
Pelvic floor exercises in postnatal care
Sleep, J., & Grant, A. (1987) · Midwifery · doi:10.1016/s0266-6138(87)80035-9 · Cited by 96
Investigation of long term problems after obstetric epidural anaesthesia.
MacArthur, C., Lewis, M. B., & Knox, E. G. (1992) · BMJ · doi:10.1136/bmj.304.6837.1279 · Cited by 79
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Cited by
EPIDEMIOLOGY AND NATURAL HISTORY OF PELVIC FLOOR DYSFUNCTION
Bump, R. C., & Norton, P. A. (1998) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(05)70039-5 · Cited by 696
Thompson, J. F., Roberts, C. L., Currie, M., & Ellwood, D. A. (2002) · Birth · doi:10.1046/j.1523-536x.2002.00167.x · Cited by 517
Indications for and Risks of Elective Cesarean Section
Mylonas, I., & Friese, K. (2015) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2015.0489 · Cited by 359
Glazener, C. M. A., Herbison, G. P., Wilson, P. D., MacArthur, C., Lang, G. D., Gee, H., & Grant, A. M. (2001) · BMJ · doi:10.1136/bmj.323.7313.593 · Cited by 190
Self-citationGlazener, C., MacArthur, C., Hagen, S., Elders, A., Lancashire, R., Herbison, G., Wilson, P., & The ProLong Study Group (2014) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12473 · Cited by 64
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Metadata
- Authors
- MacArthur, C., Bick, D. E., & Keighley, M. R. B.
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 1997-01
- Volume
- 104
- Issue
- 1
- Pages
- 46-50
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2048284641
- Cited by
- 366
- References
- 11
- FWCI
- 10.83
- Type
- journal article
- Language
- en
- Open access
- closed
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