Evidence map›Paper›PMID 16077997›Full record

ArticleInternational urogynecology journal and pelvic floor dysfunction2006

Defecatory symptoms during and after the first pregnancy: prevalences and associated factors.

H Jorien van Brummen, Hein W Bruinse, Geerte van de Pol, A Peter M Heintz, C Huub van der Vaart

Abstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal and pelvic floor dysfunction, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 7 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 7 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions for preventing postpartum constipation.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Interventions for preventing postpartum constipation.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Interventions for treating postpartum constipation.The Cochrane database of systematic reviews · 2014
    Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Does the severity of spontaneous genital tract trauma affect postpartum pelvic floor function?International urogynecology journal and pelvic floor dysfunction · 2008
    Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

H Jorien van BrummenDepartment of Perinatology and Gynecology, University Medical Center Utrecht, Room F05.216, Heidelberglaan 100, 85500, 3508, Utrecht, The Netherlands. hbrummen@zonnet.nl
Hein W Bruinse
Geerte van de Pol
A Peter M Heintz
C Huub van der Vaart
Heidelberg University · DEUniversity Hospital Heidelberg · DEUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A prospective cohort study was undertaken to evaluate the impact of pregnancy and the first delivery on the defecatory symptoms and to identify associated factors. Included were 487 nulliparous pregnant women who completed four questionnaires. Flatus and fecal incontinence, constipation, and painful defecation are already present in early pregnancy and are significantly predictive for reporting symptoms after delivery, except for fecal incontinence. A third or fourth degree sphincter tear was significantly associated with fecal incontinence 12 months postpartum and with de novo fecal incontinence, while other factors associated with de novo onset of symptoms were of borderline significance. Defecation symptoms already present in early pregnancy are highly predictive for reported symptoms at 12 months postpartum except for fecal incontinence that is mainly related to anal sphincter lesion. Therefore, investigating the effects of childbirth in general on the anorectal function is not justified without knowledge of this function during pregnancy.

Indexed as

Pregnancy ComplicationsAdultAnal CanalBirth WeightCohort StudiesConstipationDefecationDelivery, ObstetricFecal IncontinenceFemaleFlatulenceFollow-Up StudiesHumansInfant, NewbornMaternal AgeParity

Identifiers

PMID16077997
OpenAlexW2036817387

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.