Severe obstetrical injuries and anal incontinence

Czech version

Authors: J. Záhumenský
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a FN Na Bulovce, Praha, přednosta prof. MUDr. M. Halaška, DrSc.
Published in: Ceska Gynekol 2010; 75(4): 292-296

Overview

Objective:
Commentary to article.

Subject:
Review article.

Setting:
Gynecological and obstetrical clinic, First Faculty of Medicine and Faculty hospital Bulovka, Prague.

Subject and method:
A summary of findings of the newest studies indicated on Medline.

Conclusion:
The problem of anal incontinence has a significant impact on the quality of life after its occurence and has an incidence of about 1.4% of the population. One of the risk factors is vaginal delivery. The prevalence of postpartal anal incontinence was found in one individual study to be 3-29%, the differences are certainly based on the type of questions. The same fluctuations and prevalence of anal sphincter injuries in one individual study was from 1.6 to 26.9%. The problem calls for a simple classification of obstetrical injuries and lacks a recommended approach to preventing and providing care for women with obstetrical injuries of the anal muscle sphincter.

Key words:
anal incontinence, fetal incontinence, delivery, obstetrical injuries.

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