What question did this study set out to answer?

The study investigates how pregnancy, delivery type, obstetric anal sphincter injury, and age impact anal incontinence in women aged 40-64.

May 20, 2026Acta Obstetricia Et Gynecologica ScandinavicaOpen Access

Age‐related long‐term effects of vaginal delivery, pregnancy, and sphincter injury on anal continence: A matched cohort study

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Authors

INIda NilssonSödra Älvsborg Hospital JOJwan Al-Mukhtar OthmanUniversity of Gothenburg JLJennie Larsudd-KåverudSahlgrenska University Hospital

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Implication

Matched cohort study assesses anal incontinence's relation to delivery mode, injury, and age in women aged 40-64 years, suggesting prevention strategies.

Key Points

The study investigates how pregnancy, delivery type, obstetric anal sphincter injury, and age impact anal incontinence in women aged 40-64.
Linked data from Swedish Medical Birth Register and Total Population Register to anal incontinence questionnaire results from 2014-2015.
Included 13,480 women matched by age and BMI, forming three cohorts of 1961 women each.
Conducted subgroup analysis comparing women with vaginal delivery and those with obstetric anal sphincter injury.
Fecal incontinence prevalence was highest in women with two vaginal deliveries (14.2%) and lowest in those with two cesarean deliveries (10.2%).
Women with obstetric anal sphincter injury reported higher fecal incontinence (23.3% vs 13.7%).
Significant age-related increase in fecal incontinence was observed only among women with two vaginal deliveries.

Cite This Study

Nilsson et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4fbff03e14405aa9b391 https://doi.org/10.1111/aogs.70226

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Implication

Matched cohort study assesses anal incontinence's relation to delivery mode, injury, and age in women aged 40-64 years, suggesting prevention strategies.

Age‐related long‐term effects of vaginal delivery, pregnancy, and sphincter injury on anal continence: A matched cohort study

Discussion

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Implication

Key Points

Cite This Study

Age‐related long‐term effects of vaginal delivery, pregnancy, and sphincter injury on anal continence: A matched cohort study

Discussion

Member takes

Implication

Key Points

Cite This Study

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