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International Urogynecology Journal
Published in: International Urogynecology Journal 10/2010

01-10-2010 | Original Article

Faecal incontinence after first instrumental vaginal delivery using Thierry’s spatulas

Authors: Olivier Parant, Caroline Simon-Toulza, Christelle Cristini, Christophe Vayssiere, Catherine Arnaud, Jean-Michel Reme

Published in: International Urogynecology Journal | Issue 10/2010

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Abstract

Objective

The purpose of this study is to estimate the prevalence of faecal incontinence after first vaginal delivery and to assess the impact of Thierry’s spatulas-assisted delivery.

Methods

A prospective observational study of primiparas who underwent a vaginal delivery at term was conducted. Faecal incontinence was assessed at 2 and 6 months postpartum by a questionnaire (Wexner score ≥5 was considered significant). Univariate and multivariate analyses were performed.

Results

Five hundred thirty-eight women were recruited with undergoing 176 spatulas-assisted deliveries and 362 spontaneous vaginal deliveries. The response rate was 85.9% (2 months) and 80.5% (6 months). The prevalence of faecal incontinence was similar between the two groups at 2 months (14.3% and 9.7%). Episiotomy (odds ratio [OR] = 5.0) and maternal age over 35 years (OR = 4.1) were independently associated with faecal incontinence after adjustment.

Conclusions

Anal symptoms are common after the first vaginal delivery. Thierry’s spatulas do not increase the prevalence of faecal incontinence after delivery given that an episiotomy is performed.
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Metadata
Title
Faecal incontinence after first instrumental vaginal delivery using Thierry’s spatulas
Authors
Olivier Parant
Caroline Simon-Toulza
Christelle Cristini
Christophe Vayssiere
Catherine Arnaud
Jean-Michel Reme
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 10/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1176-3

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