{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T12:04:12Z","timestamp":1791201852768,"version":"4.2.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,12,14]],"date-time":"2010-12-14T00:00:00Z","timestamp":1292284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p> <jats:italic>Objective.<\/jats:italic> To study long\u2010term effects with respect to anal incontinence, pain, attitude to and mode of second delivery following complete rupture of the anal sphincter. <jats:italic>Design.<\/jats:italic> Case\u2010control study. <jats:italic>Settings.<\/jats:italic> S\u00f6dersjukhuset, a university hospital in Stockholm. <jats:italic>Population.<\/jats:italic> A case group of 136 primiparas who had experienced a complete rupture of the anal sphincter. Two matched control groups of primiparas, one of whom had cesarean section and the other a normal vaginal delivery. <jats:italic>Methods.<\/jats:italic> The case women were examined and asked for symptoms of anal incontinence 3\u20136 months after delivery; 3\u20138 years later they and two matched control groups answered a postal questionnaire. Response rate was 89%. <jats:italic>Main outcome measures.<\/jats:italic> Symptoms of pelvic floor dysfunction and, as secondary end\u2010point, the attitude to and mode of second delivery. <jats:italic>Results.<\/jats:italic> Anal incontinence after delivery was reported by 31% in the case group, and at long\u2010term follow\u2010up by 54% in the case group, 21% in the cesarean section and 23% in the normal delivery group (<jats:italic>p<\/jats:italic> &lt; 0.0001). A wish to postpone or abandon further childbirth was significantly more common in the case women (33 and 18%) than in the other groups, but about 60% delivered again in all groups. In the case group, the next delivery was by cesarean section in 49%. <jats:italic>Conclusion.<\/jats:italic> At long\u2010term follow\u2010up after a complete rupture of the anal sphincter, anal incontinence was common and many women wished to postpone or avoid further delivery.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2010.01037.x","type":"journal-article","created":{"date-parts":[[2010,11,16]],"date-time":"2010-11-16T10:11:16Z","timestamp":1289902276000},"page":"258-263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Complete rupture of anal sphincter in primiparas: long\u2010term effects and subsequent delivery"],"prefix":"10.1111","volume":"90","author":[{"given":"GISELA","family":"WEGNELIUS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARGARETA","family":"HAMMARSTR\u00d6M","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,14]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00138.x"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080009830.x"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.00088.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.00260.x"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00400.x"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(98)00207-0"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1992.tb13870.x"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2000.tb03330.x"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2001.00185.x"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(03)00008-3"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000151114.35498.e9"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02048338"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.10.797"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349709024592"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01502.x"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.01.053"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00346.x"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730-7659.2004.00287.x"},{"issue":"4","key":"e_1_2_7_20_2","first-page":"CD007471","article-title":"Pelvic floor muscle training for in prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women","author":"Hay\u2010Smith J","year":"2008","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_7_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31816c4402"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1600-0412.2010.01037.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1600-0412.2010.01037.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T01:56:00Z","timestamp":1697421360000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1600-0412.2010.01037.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,12,14]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["10.1111\/j.1600-0412.2010.01037.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1600-0412.2010.01037.x","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,12,14]]},"assertion":[{"value":"2010-12-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}