Approximately 5% of women sustain an obstetric anal sphincter injury at their first delivery; of these, about 20% report fecal incontinence postpartum. Over the next 6 months, many women improve, but some don't. Currently, the standard of care is simply expectant management with no treatment. In this cohort study determine the incidence of FI symptoms at 6 and 12 weeks postpartum in primiparous women sustaining an OSASI. .
Secondary aims of the cohort study are:
1. To determine the incidence rates of FI symptoms at 24 weeks post delivery in primiparous women sustaining an OASI.
2. To examine the relationship between the modified WHO sphincter tear classification types and FI symptoms.
3. To examine predictors (socio-demographic, physical and clinical) associated with WHO sphincter tear classifications (3a, 3b and 4) and predictors associated with FI symptoms.
4. To evaluate the incidence of fecal urgency and flatal incontinence at 24 weeks postpartum in primpiarous women sustaining an OASI.
Principal Investigator: Ingrid Nygaard