Anal incontinence after cesarean and vaginal delivery in Sweden: A national population-based study
The Lancet Mar 28, 2019
Larsson C, et al. - In this observational population-based study, researchers compared the risk of acquiring anal incontinence in females who had a cesarean delivery vs those who had a vaginal delivery. They diagnosed 416 of the 185,219 females in the cesarean delivery group with anal incontinence vs 5171 of 1,400,935 females in the vaginal delivery group. They overall reported an increase in the risk of developing anal incontinence after pregnancy and delivery. They observed odds ratio (OR) of 2·05 for females being diagnosed with anal incontinence among the combination of vaginal delivery and cesarean delivery vs the nulliparous control group. High maternal age, high birth weight of the baby, and instrumental delivery were the strongest risk factors for anal incontinence after vaginal delivery. But, the most frequent risk factor for anal incontinence after cesarean delivery was maternal age.
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