Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis

Nelson, Richard L.; Go, Chumak; Darwish, R; Gao, Jie; Parikh, Rohan; Kang, Changdon; Mahajan, Anadi; Habeeb, L; Zalavadiya, P; Patnam, M

doi:10.1007/s10151-019-02029-3

Cited by 11 publications

(4 citation statements)

References 70 publications

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“…Although the literature addresses more the in uence of types of delivery on the occurrence of AI [24][25], in the present study the number of vaginal and cesarean deliveries had no signi cant difference between the groups of elderly women with and without AI. However, another factor associated with AI in elderly women in this study was the number of pregnancies.…”

Section: Discussioncontrasting

confidence: 66%

Factors Associated With Anal Incontinence in Elderly Women Practicing Physical Exercises: A Cross-Sectional Study

Henrique

Arruda

Santos

et al. 2023

Preprint

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This study verified the risk factors for Anal incontinence (AI) in elderly women who exercise. Cross-sectional study with elderly women from southern Brazil. Gynecological-obstetric and behavioral information, anthropometric measurements and physical skills were evaluated. The symptoms of AI were assessed using the Colorectal-Anal Distress Inventory (CRADI-8). Variables with p ≤ 0.05 were taken into account for the logistic regression model. One hundred and twenty-nine elderly women (69.41 ± 4.95 years) participated in the study. The variables previous gynecological surgery (OR 2.18, 95% CI, 1.02–4.81), number of pregnancies (OR 1.32, 95% CI, 1.02–1.71) and urinary incontinence (UI) (OR 2.22; 95% CI, 1.01–4.87) were at risk for AI. Previous gynecological surgery, number of pregnancies and UI are risk factors for AI in elderly women who practice physical exercises. Implications for practice: We suggest to develop physical activity and rehabilitation programs aimed at the elderly population.

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Section: Discussioncontrasting

confidence: 66%

Factors Associated With Anal Incontinence in Elderly Women Practicing Physical Exercises: A Cross-Sectional Study

Henrique

Arruda

Santos

et al. 2023

Preprint

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“…We sought to identify the presence of SUI or POP as measured by validated questionnaires and/or pelvic exam. Anal incontinence was excluded from the model, as rates of this condition are very low after both modes of delivery, and have not been found to be significantly lower after cesarean delivery 20–22 . Cohort studies that provided prevalence to allow for attributable risk calculations for specific mode of delivery were summarized and the results were averaged.…”

Section: Methodsmentioning

confidence: 99%

“…Anal incontinence was excluded from the model, as rates of this condition are very low after both modes of delivery, and have not been found to be significantly lower after cesarean delivery. [20][21][22] Cohort studies that provided prevalence to allow for attributable risk calculations for specific mode of delivery were summarized and the results were averaged. As the true prevalence of PFDs can overestimate rates of surgery for PFDs, we also found estimated rates of surgery for PFDs following each mode of delivery.…”

Section: Risk Of Future Pfds and Surgerymentioning

confidence: 99%

Economic evaluation of elective cesarean versus vaginal delivery on cost of future pelvic floor disorders in the United States

Kuhlmann

Patel

Chen

et al. 2020

Neurourology and Urodynamics

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Aim: To analyze the cost impact of cesarean versus vaginal delivery in the United States on the development of stress urinary incontinence (SUI) and pelvic organ prolapse (POP). Methods: We compared average cost of delivery method to the lifetime risk and cost of pelvic floor disorders (PFDs) in women < 65 years. Costs of maternal care, obtained from the MarketScan® database, included those incurred at delivery and 3 months post-partum. Future costs of PFDs included those incurred after delivery up to 65 years. Previously reported data on the prevalence of POP and SUI following cesarean and vaginal delivery was used to calculate attributable risk. An incremental cost of illness model was used to estimate costs for SUI. Direct surgical and ambulatory care costs were used to determine cost of POP.

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“…Ebenso konnten sie eine erhöhte Rate einer Analinkontinenz bei vaginal-operativen Entbindungen im Vergleich zur Spontanentbindung nachweisen (OR 1,47; KI 1,22-1,78, wobei eine statistisch signifikante Aussage nur zur Forceps-Ent-bindung gezeigt werden konnte (OR 1,5; KI 1,19-1,89), während dies für die Vakuum-Entbindung (OR 1,31; KI 0,97-1,77) nicht gelang. In anderen Untersuchungen und Metaanalysen zeigte sich keine Reduktion der Inzidenz der Analinkontinenz nach Kaiserschnittentbindung im Vergleich zur vaginalen Entbindung [8,11].…”

Section: Analinkontinenzunclassified

Einfluss von Schwangerschaft und Entbindung auf den mütterlichen Beckenboden

Naumann¹

2022

Frauenheilkunde up2date

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Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis

Cited by 11 publications

References 70 publications

Factors Associated With Anal Incontinence in Elderly Women Practicing Physical Exercises: A Cross-Sectional Study

Factors Associated With Anal Incontinence in Elderly Women Practicing Physical Exercises: A Cross-Sectional Study

Economic evaluation of elective cesarean versus vaginal delivery on cost of future pelvic floor disorders in the United States

Einfluss von Schwangerschaft und Entbindung auf den mütterlichen Beckenboden

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