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Pelvic floor assessment in post-partum wome

Not Applicable
Completed
Conditions
Fecal incontinence in post-partum women
Obstetric anal sphincter injury syndrome (OASIS)
Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Reproductive Health and Childbirth - Childbirth and postnatal care
Registration Number
ACTRN12616000290493
Lead Sponsor
Dr Allison Malcolm
Brief Summary

A rise in the prevalence of faecal incontinence was noted on long-term follow up (20 to 25%). However, a large number of patients were noted to cross-over between the groups either becoming asymptomatic or developing faecal incontinence. Fourth degree tears and older the mother at time of developing a tear during delivery were the only obstetric factors associated with the development of faecal incontinence in the long-term. Birth weight, epidural, induction, vacuum/forceps delivery or episiotomy were not. Some abnormal results on anorectal manometry performed initially, were likely to predict the occurrence/persistence of faecal incontinence on follow up.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
249
Inclusion Criteria

Post-partum females referred to the Neurogastroenterology Unit for anorectal manometry between 1.1.2001 and 1.1.2016

Exclusion Criteria

The only exclusion criterion for the study includes patients with a history of psychological illness or condition such as to interfere with the patient’s ability to understand the requirements of the study.

Only for patients who agree to undergo repeat physiological testing, exclusion criteria include:
1.Women lactating or pregnant.
2.Patients with significant anorectal disease precluding the insertion of an anorectal tube or ultrasound probe.
3.Latex allergy

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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