Childbirth Problems, Fecal Incontinence
Conditions
Keywords
Anal Ultrasound, Fecal Incontinence, Childbirth
Brief summary
The incidence of obstetric sphincter tears has risen to 15-30% and the prevalence of anal incontinence (AI) symptoms after childbirth may be as high as 40%. The present study aims to evaluate the prevalence of anal sphincter defects after childbirth in primiparous women-
Detailed description
The incidence of sphincter defect in women has raised in recently with current rates as high as 30% after vaginal deliveries. Fecal incontinence could be present at the time of the delivery but it is a real problem longtime after, in women older than 60 years. It is of great importance not only an early detection but to indicates the best possible management as soon as posible. The design is a prospective observational study including primiparous woman, without previous anal surgery.
Interventions
OTHEREndoanal Ultrasound (EAUS)
Endoanal Ultrasound pre- and postpartum
Sponsors
Hospital Clínico Universitario Lozano Blesa
Instituto de Investigación Sanitaria Aragón
Universidad de Zaragoza
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Primiparous pregnant patients aged \>18 y, evaluated during pregnancy and after childbirth, including both vaginal and cesarean deliveries.
Exclusion criteria
* Non primiparous patients and patients with a history of anal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Integrity of anal sphincter | 4 months | No defect detected on EAUS |
| Defects on anal canal | 4 months | Disruption of any of the anal canal sphincters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| QoL | 4 months | According to a dedicated questionnaire |
Countries
Spain
Contacts
Primary ContactJose-M Ramirez, Prof
Outcome results
None listed