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WASHINGTON -- Pregnancy itself, not just delivery, contributes to the development or worsening of postparturn anorectal problems, including incontinence, Lt. Cmdr. Amy L. O'Boyle, MC, USNR, reported.
"Pregnancy produces significant alterations in virtually all organ systems. However, relatively little is known about the normal changes in the pelvic floor that occur during pregnancy," she said at the annual meeting of the Central Association of Obstetricians and Gynecologists.
To find out more about these normal, pregnancy-related changes in the pelvic floor, the researchers gave 75 women questionnaires on anorectal symptoms during at least one trimester or post partum: 34 reported on the first trimester, 32 on the second trimester, 45 on the third trimester, and 47 post partum, for a total of 158 questionnaires.
Incontinence was defined as the involuntary loss of flatus, liquid stool, or solid stool from the rectum, said Dr. O'Boyle of the Naval Medical Center, Portsmouth, Va.
Surprisingly, more women reported anal incontinence before delivery than post partum--18% in the first trimester, 19% in the second, and 29% in the third, compared with 15% post partum. Similarly, more ...
Source: HighBeam Research, Predelivery factors contribute to postpartum incontinence.(Obstetrics)