Anal Incontinence Among Postpartum Women- A Hospital Based Cross-Sectional Study
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Anal incontinence is one of the under recognized problems seen in postpartum women. The common risk factors are advanced maternal age, high BMI, prolonged second stage of labour, child birth weight over 4kgs and instrumental delivery. Our objective was to find out the prevalence of anal incontinence among postpartum women and also the risk factors for anal incontinence Material and methods: All the postpartum women attending the clinic after 6 weeks of delivery were included in the study. A standard questionnaire proforma was used a tool to collect data regarding symptoms of anal incontinence. Continence grading scales according to Jorge and Wexeners (0-20) scoring system was used to assess severity of symptoms. Risk factors of anal incontinence like age of mother, parity, BMI, mode of delivery, duration of labour and birth weight of baby were recorded and then analyzed. Results: A total of 350 women in their postpartum period were studied. 9 (2.6%) of them had anal incontinence. The risk factors for anal incontinence that was statistically significant were age of the women, prolonged second stage of labour, instrumental delivery, high birth weight of the baby and high body mass index of the mother. Conclusion: Postpartum women with risk factors for anal incontinence have to be followed up in the postpartum clinic and appropriate treatment has to be suggested.
Authors and Affiliations
Sujatha B S, Vijayan C P, Raghavendra Rao
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