The impact of fecal and urinary incontinence on quality of life 6 months after childbirth

Victoria L. Handa, Halina M. Zyczynski, Kathryn L. Burgio, Mary Pat Fitzgerald, Diane Borello-France, Nancy K. Janz, Paul M. Fine, William Whitehead, Morton B. Brown, Anne M. Weber

Research output: Contribution to journalArticle

Abstract

Objective: The objective of the study was to investigate the impact of postpartum fecal incontinence (FI) and urinary incontinence (UI) on quality of life (QOL). Study Design: Seven hundred fifty-nine primiparous women in the Childbirth and Pelvic Symptoms study were interviewed 6 months postpartum. FI and UI were assessed with validated questionnaires. We measured QOL with SF-12 summary scores, health utility index score (a measure of self-rated overall health), and the modified Manchester Health Questionnaire. Results: Women with FI had worse self-rated health utility index scores (85.1 ± 9.8 vs 88.0 ± 11.6, P = .02) and Medical Outcomes Study Short Form Health Survey (SF-12) mental summary scores (46.8 ± 9.2 vs 51.1 ± 8.7, P < .0001) than women without FI or flatal incontinence. Women with UI had worse SF-12 mental summary scores (48.3 ± 9.8 vs 51.6 ± 7.8, P < .01) and self-rated health utility index scores (84.1 ± 12.5 vs 88.7 ± 10.1, P < .01) than women without UI. Women with both FI and UI had the lowest SF-12 mental summary scores (44.5 ± 9.0). Conclusion: Six months after delivery, women experiencing FI or UI reported negative effects on health-related QOL. FI and UI together have a greater impact than either condition alone.

Original languageEnglish (US)
Pages (from-to)636.e1-636.e6
JournalAmerican journal of obstetrics and gynecology
Volume197
Issue number6
DOIs
StatePublished - Dec 2007

Keywords

  • childbirth
  • fecal incontinence
  • quality of life
  • urinary incontinence

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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  • Cite this

    Handa, V. L., Zyczynski, H. M., Burgio, K. L., Fitzgerald, M. P., Borello-France, D., Janz, N. K., Fine, P. M., Whitehead, W., Brown, M. B., & Weber, A. M. (2007). The impact of fecal and urinary incontinence on quality of life 6 months after childbirth. American journal of obstetrics and gynecology, 197(6), 636.e1-636.e6. https://doi.org/10.1016/j.ajog.2007.08.020