Institutional members access full text with Ovid®

Share this article on:

Incontinence Following Rupture of the Anal Sphincter During Delivery

CRAWFORD, LISA A. MD; QUINT, ELISABETH H. MD; PEARL, MICHAEL L. MD; DeLANCEY, JOHN O. L. MD
Obstetrics & Gynecology: October 1993
Incontinence Following Rupture of the Anal Sphincter During Delivery: PDF Only

Objective: To determine the frequency with which patients report incontinence of flatus or stool after rupture of the anal sphincter during delivery.

Methods: A chart review and telephone interview were conducted with 70 primiparas, 35 of whom had rupture of the anal sphincter at delivery and 35 of whom did not. All were contacted 9-12 months postpartum and questioned about the development of incontinence of gas or liquid or formed stool, persistent dyspareunia, and perineal pain.

Results: Incontinence of gas was reported by six women (17%) in the rupture group and one (3%) in the control group (P< .05). The incidences of incontinence of stool, both liquid and solid, dyspareunia, and persistent perineal pain were similar between the groups.

Conclusion: Incontinence of flatus was reported six times more often by women who experienced a third- or fourth-degree perineal laceration than by those without anal sphincter rupture.(Obstet Gynecol 1993;82:527-31)

From the Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor, Michigan.

© 1993 The American College of Obstetricians and Gynecologists