ArticleInternational urogynecology journal2014
Faecal incontinence 20 years after one birth: a comparison between vaginal delivery and caesarean section.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Obstetric risk factors for anorectal dysfunction after delivery: a systematic review and meta-analysis.International urogynecology journal · 2021Pooled it
- Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review.United European gastroenterology journal · 2020Pooled it
- Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis.Techniques in coloproctology · 2019Pooled it
- Characteristics Associated With Clinically Important Treatment Responses in Women Undergoing Nonsurgical Therapy for Fecal Incontinence.The American journal of gastroenterology · 2020Trial
- Relationship between pregnancy, delivery, and ileal pouch-anal anastomosis for inflammatory bowel disease: a retrospective chart review.Crohn's & colitis 360 · 2026Article
- Age-related long-term effects of vaginal delivery, pregnancy, and sphincter injury on anal continence: A matched cohort study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Evaluating the risk factors for the development of benign disorders of defaecation: a surgical perspective.Techniques in coloproctology · 2023Article
- Association of race with anal incontinence in parous women.International urogynecology journal · 2020Article
- Does flatus incontinence matter?International urogynecology journal · 2019Article
- Factors associated with pelvic floor disorders in Kersa District, eastern Ethiopia: a community-based study.International urogynecology journal · 2019Article
- Fecal incontinence and parity in the Dutch population: A cross-sectional analysis.United European gastroenterology journal · 2018Article
- Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study.BMJ open · 2018Observational
- Cell-based secondary prevention of childbirth-induced pelvic floor trauma.Nature reviews. Urology · 2017Review
- Knowledge of pelvic floor problems: a study of third trimester, primiparous women.International urogynecology journal · 2017Article
- Prevention of pelvic floor disorders: international urogynecological association research and development committee opinion.International urogynecology journal · 2016Article
- Can we predict and prevent pelvic floor dysfunction?International urogynecology journal · 2015Article
- Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth.International urogynecology journal · 2015Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe aetiology of bowel incontinence in middle-aged women is multifactorial and the contribution of birth-related factors later in life is still poorly defined. The aim was to assess prevalence, risk factors and severity of faecal (FI, defined as the involuntary loss of faeces-solid or liquid) and anal incontinence (AI, includes FI as well as the involuntary loss of flatus) 20 years after one vaginal (VD) or one caesarean section (CS).
methodsThis was a registry-based national cohort study of primiparae giving birth in 1985-1988 and having no further births (n = 5,236). Data from the Swedish Medical Birth Register were linked to information from a pelvic floor disorder questionnaire in 2008 (response rate 65.2%). Analysis of variance and multivariate analysis were used to obtain adjusted prevalence and odds ratios (adj-OR).
resultsOverall prevalences of FI and AI were 13.6 and 47.0%. FI prevalence was higher after VD compared with CS [14.5 versus 10.6%, adj-OR 1.43, 95% confidence interval (CI) 1.16-1.77] but was not increased after acute versus elective CS. Perineal tear (≥second degree) increased the prevalence and risk of FI compared with no tear (22.8 versus 13.9%, adj-OR 1.95, 95% CI 1.33-2.85). The prevalence of FI was lower after VD with an episiotomy (11.1%) and similar to that after CS (10.6%). With each unit increase of current body mass index the odds of FI increased by 6% (OR 1.06, 95% CI 1.04-1.08).
conclusionsLate FI and AI prevalences were higher after VD compared with CS. Perineal tear (≥second degree) versus no tear doubled the prevalence of FI. FI prevalence was similar after a CS and a VD combined with episiotomy.
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