第二产程长短与产后肛门失禁：两者之间是否存在差异？
Short vs long second stage of labour: is there a difference in terms of postpartum anal incontinence?
机构信息
Department of Obstetrics and Gynecology, Paule de Viguier Hospital, Toulouse Cedex 9, France.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2010 Oct;152(2):168-71. doi: 10.1016/j.ejogrb.2010.06.004. Epub 2010 Jul 21.
OBJECTIVE
Our purpose was to determine if prolonged second-stage labour independently increases postpartum anal incontinence.
STUDY DESIGN
360 primiparous women were studied retrospectively after vaginal delivery of term cephalic singletons, including a group with short second-stage labour (<30min, n=163) and a group with a prolonged second stage (>90min, n=197). A quality of life questionnaire on anal incontinence (FIQOL) was sent out at 15 months after delivery.
RESULTS
184 women (96 with short second-stage labour and 88 with a prolonged second stage) answered the questionnaire (response rate 51%). Flatus incontinence was reported after prolonged second-stage labour in 9.1% of women vs 15.6% after short second stage (p=0.18). Fecal incontinence was reported after prolonged second-stage labour in 2.3% vs 5.2% after a short second stage (p=0.45).
CONCLUSION
We suggest that prolonged second stage of labour should not be associated with an increased risk of postpartum incontinence.
目的
我们旨在确定第二产程延长是否会独立增加产后肛门失禁。
研究设计
回顾性研究了 360 名经阴道分娩的足月头位单胎初产妇，包括第二产程短（<30 分钟，n=163）和第二产程延长（>90 分钟，n=197）两组。产后 15 个月时，使用肛门失禁生活质量问卷（FIQOL）进行问卷调查。
结果
184 名妇女（短第二产程 96 名，长第二产程 88 名）回答了问卷（应答率 51%）。长第二产程后有 9.1%的妇女报告有气体失禁，而短第二产程后有 15.6%（p=0.18）。长第二产程后有 2.3%的妇女报告有粪便失禁，而短第二产程后有 5.2%（p=0.45）。
结论
我们认为第二产程延长不应与产后失禁风险增加相关。
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