Obstetric Trauma, Anal Sphincter Injury, Anal Incontinence
Conditions
Brief summary
Obstetrical Anal Sphincter Injury is an identified risk factor for anal incontinence. The mechanisms and the risk factors for anal incontinence in Obstetrical Anal Sphincter Injury women are not well known. Anal incontinence in such women is not well documented and probably underestimated. Cohort studies estimated that up to 53% of Obstetrical Anal Sphincter Injury women are incontinent but that most of them does not complain their doctor.
Interventions
OTHERcollection of data
collection of data for all Obstetrical Anal Sphincter Injury women (score of quality of life, experimenting anal incontinence...)
Sponsors
University Hospital, Angers
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Childbirth between 2005 January 1st and 2019 December 31th * Obstetrical Anal Sphincter Injury -≥ 18 y
Exclusion criteria
* Patients' refusal * lost of view or deceased * anal incontinence before the Obstetrical Anal Sphincter Injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anal incontinence | from the childbirth to the day of survey (2 to 16 years after childbirth) | loss of stool or gas ≥1/week during ≥1 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of anal incontinence | Incidence of anal incontinence the date of the survey (2 to 16 years after childbirth) | AI graded by the St Mark Score |
| cinetic of AI occurence | from the childbirth to the date of the survey (2 to 16 years after childbirth) | all the resolutive episodes of occurence of anal incontinence are reported |
| Quality of life with fecal incontinence quality of life score | the date of the survey (2 to 16 years after childbirth) | fecal incontinence quality of life score |
| Expectation of the women in term of information | the date of the survey (2 to 16 years after childbirth) | 2 questions on the expectation of the women in term of information towards the Obstetrical Anal Sphincter Injury |
Countries
France
Outcome results
None listed