{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T15:57:31Z","timestamp":1781107051829,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,3,4]],"date-time":"2014-03-04T00:00:00Z","timestamp":1393891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Norwegian Extra Foundation for Health and Rehabilitation through EXTRA funds"},{"name":"the Norwegian Women's Public Health Association"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,7]]},"abstract":"Objective<\/jats:title>To evaluate the association between different types of anal incontinence (AI<\/jats:styled-content>) and Q<\/jats:styled-content>uality of L<\/jats:styled-content>ife (Q<\/jats:styled-content>oL<\/jats:styled-content>) in late pregnancy.<\/jats:p><\/jats:sec>Design<\/jats:title>Cross\u2010sectional study.<\/jats:p><\/jats:sec>Setting<\/jats:title>Two maternity units in Norway 2009\u20132010.<\/jats:p><\/jats:sec>Population<\/jats:title>Primiparae aged 18 or over.<\/jats:p><\/jats:sec>Methods<\/jats:title>Participants answered questions about AI<\/jats:styled-content> during the last 4\u00a0weeks of pregnancy on the S<\/jats:styled-content>t. M<\/jats:styled-content>ark's score and impact of Q<\/jats:styled-content>oL<\/jats:styled-content> in the F<\/jats:styled-content>ecal I<\/jats:styled-content>ncontinence Q<\/jats:styled-content>oL<\/jats:styled-content> score. Socioeconomic data were obtained from hospital records.<\/jats:p><\/jats:sec>Main outcome measures<\/jats:title>Self\u2010reported AI<\/jats:styled-content> and impact on Q<\/jats:styled-content>oL<\/jats:styled-content>.<\/jats:p><\/jats:sec>Results<\/jats:title>1571 primiparae responded; 573 (37%) had experienced AI<\/jats:styled-content> during the last 4\u00a0weeks of pregnancy. One third of the incontinent women reported reduced Q<\/jats:styled-content>oL<\/jats:styled-content> in the domain \u2018C<\/jats:styled-content>oping\u2019. \u2018Women experiencing urgency alone reported markedly better Q<\/jats:styled-content>oL<\/jats:styled-content> compared to any other AI<\/jats:styled-content> symptoms. AI<\/jats:styled-content> appeared to have the strongest impact on the domains \u2018C<\/jats:styled-content>oping\u2019 and \u2018E<\/jats:styled-content>mbarrassment\u2019. D<\/jats:styled-content>epression was only associated with experiencing the combination of all three symptoms [odds ratio (OR<\/jats:styled-content>) 13; 95%confidence interval (CI<\/jats:styled-content>) 3.2\u201351]. Experiencing flatus alone weekly or more was associated with the highest impact on \u2018Embarrassment\u2019 (OR<\/jats:styled-content> 20; 95%CI<\/jats:styled-content> 6.4\u201361) compared with all other symptoms or combination of AI<\/jats:styled-content> symptoms, except the combination of all three AI<\/jats:styled-content> symptoms.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Between 3 and 10% of the primiparae in this material experienced AI<\/jats:styled-content> to such a extent that it affected Q<\/jats:styled-content>oL<\/jats:styled-content>. The greatest impact was seen in the Q<\/jats:styled-content>oL<\/jats:styled-content> domain \u2018Coping\u2019. These findings highlight the importance of an increased awareness of AI<\/jats:styled-content> in late pregnancy among health professionals and the need to implement routine discussions about AI<\/jats:styled-content> with expectant and new mothers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12643","type":"journal-article","created":{"date-parts":[[2014,3,4]],"date-time":"2014-03-04T06:06:37Z","timestamp":1393913197000},"page":"978-987","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Anal incontinence and Quality of Life in late pregnancy: a cross\u2010sectional study"],"prefix":"10.1111","volume":"121","author":[{"given":"HH","family":"Johannessen","sequence":"first","affiliation":[{"name":"Department of Physiotherapy \u00d8stfold Hospital Trust Fredrikstad Norway"},{"name":"Department of Public Health and General Practice Norwegian University of Science and Technology Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"M\u00f8rkved","sequence":"additional","affiliation":[{"name":"Department of Public Health and General Practice Norwegian University of Science and Technology Trondheim Norway"},{"name":"Department of Research St. Olavs Hospital Trondheim University Hospital Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Stordahl","sequence":"additional","affiliation":[{"name":"Department of Surgery \u00d8stfold Hospital Trust Fredrikstad Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Sandvik","sequence":"additional","affiliation":[{"name":"Centre of Biostatistics and Epidemiology Oslo University Hospital Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Wibe","sequence":"additional","affiliation":[{"name":"Department of Cancer Research and Molecular Medicine Norwegian University of Science and Technology Trondheim Norway"},{"name":"Department of Surgery St. Olavs Hospital Trondheim University Hospital Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,4]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"985","volume-title":"Incontinence. 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