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dc.contributor.authorStedenfeldt, Monaen_US
dc.contributor.authorPirhonen, Joukoen_US
dc.contributor.authorBlix, Ellenen_US
dc.contributor.authorWilsgaard, Tomen_US
dc.contributor.authorVonen, Bartholden_US
dc.contributor.authorØian, Pålen_US
dc.date.accessioned2015-02-26T13:52:54Z
dc.date.available2015-02-26T13:52:54Z
dc.date.issued2014en_US
dc.identifier.citationStedenfeldt, M., Pirhonen, J., Blix, E., Wilsgaard, T., Vonen, B. & Øyan, P. (2014). Anal incontinence, urinary incontinence and sexual problems in primiparous women - a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury. BMC Women's Health, 14(157). doi:10.1186/s12905-014-0157-yen_US
dc.identifier.issn1472-6874en_US
dc.identifier.otherFRIDAID 1189904en_US
dc.identifier.urihttps://hdl.handle.net/10642/2425
dc.description.abstractBackground: Obstetric anal sphincter injuries (OASIS) might cause anal incontinence (AI) and sexual dysfunction, and might be associated with urinary incontinence (UI). Episiotomy has been identified both as a risk and a protective factor of OASIS. Lately, episiotomies with specific characteristics have shown to be protective against the risk of OASIS. However, little is known about episiotomy characteristics and pelvic floor dysfunction. This study investigates AI, UI, and sexual problems in primiparous women with episiotomy, comparing women with and without OASIS. Associations between episiotomy characteristics and AI, UI, and sexual problems were assessed. Methods: This is a matched case–control study investigating 74 women with one vaginal birth, all with an episiotomy. Among these, 37 women sustained OASIS and were compared to 37 women without OASIS. The two groups were matched for vacuum/forceps. AI, UI and sexual problem symptoms were obtained from St. Mark’s scoring-tool and self-administered questionnaires. The episiotomy characteristics were investigated and results assessed for the whole group. Results: The mean time from birth was 34.5 months (range1.3-78.2) for those with OASIS and 25.9 months (range 7.0-57.4) for those without OASIS, respectively. More women with OASIS reported AI: 14 (38%) vs. 3 (8%) p = 0.05 (OR 4.66, 95% CI 1.34-16.33) as well as more problem with sexual desire p = 0.02 (OR 7.62, 95% CI 1.30-44.64) compared to women without OASIS. We found no association between episiotomy with protective characteristics and dysfunctions. Conclusion: Women with OASIS had more AI and sexual problems than those without OASIS. Episiotomy characteristics varied greatly between the women. Episiotomy with protective characteristics was not associated with increased dysfunctions. OASIS should be avoided, and correct episiotomy used if indicated.en_US
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.relation.ispartofseriesBMC Women's Health;14(157)en_US
dc.subjectUrinary incontinenceen_US
dc.subjectAnal incontinenceen_US
dc.subjectEpisiotomy characteristicsen_US
dc.subjectSexual problemsen_US
dc.subjectObstetric anal sphincter injuriesen_US
dc.titleAnal incontinence, urinary incontinence and sexual problems in primiparous women – a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injuryen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.version© 2014 Stedenfeldt et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.identifier.doihttp://dx.doi.org/10.1186/s12905-014-0157-y


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