Obstetric Risk Factors and Anal Incontinence among Women with Previous History of Vaginal Delivery

Abstract

Objective: To investigate the obstetric risk factors of the anal
incontinence in mothers with previous history of vaginal
delivery.
Methods: The was a case-control study conducted in the Obstetrics
and Gynecology Department of Dr.Wahidin Sudirohusodo Hospital,
Faculty of Medicine, Universitas Hasanuddin, Makassar, during the
period of February 2015 through January 2016. The research
instruments were used to evaluate obstetric risk factors and the
anal incontinence was the self-administered questionnaire and Fecal
Incontinence Severity Index. The data were analyzed statistically
using the Chi-square test with the significant value of p<0.05.
Results: A total of 300 subjects were recruited in this study. The
research results indicated that the parity of  3, the assisted vaginal
delivery history (vacuum extraction), and the prolong second
stage of labor had a significant correlation with the anal incontinence
with p value=0.026, OR (95% CI) = 1.8 (1.07-3.03), p=0.018
with OR (95% CI) =3.65 (1.2-10.7) and p=0.006 with OR (95% CI)
= 2.9 (1.2-6.7).The history of episiotomy and the delivery of the
baby  4000 gram had no correlation with the anal incontinence.
Conclusion: Parity, vacuum delivery and prolong second stage of
labor have an association with anal incontinence among women
who has history of vaginal delivery.
Keywords: anal incontinence, obstetric risk factors, vaginal delivery