Shin Grace Hewon, Toto Erin Lucinda, Schey Ron
Section of Gastroenterology, Department of Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania, USA.
Am J Gastroenterol. 2015 Apr;110(4):521-9; quiz 530. doi: 10.1038/ajg.2015.76. Epub 2015 Mar 24.
Pregnancy and the postpartum period are often associated with many gastrointestinal complaints, including nausea, vomiting, and heartburn; however, the most troublesome complaints in some women are defecatory disorders such as constipation and fecal incontinence, especially postpartum. These disorders are often multifactorial in etiology, and many studies have looked to see what risk factors lead to these complications. This review discusses the current knowledge of pelvic floor and anorectal physiology, especially during pregnancy, and reviews the current literature on causes and treatments of postpartum bowel symptoms of constipation and fecal incontinence.
怀孕和产后时期常常伴有许多胃肠道不适，包括恶心、呕吐和烧心；然而，对一些女性来说，最困扰她们的不适是诸如便秘和大便失禁等排便障碍，尤其是在产后。这些障碍的病因通常是多因素的，许多研究致力于探寻导致这些并发症的风险因素。本综述讨论了盆底和肛管直肠生理学的现有知识，尤其是在孕期的知识，并综述了关于产后便秘和大便失禁肠道症状的病因及治疗的当前文献。
