Pregnancy, puerperium and perinatal constipation - an observational hybrid survey on pregnant and postpartum women and their age-matched non-pregnant controls
Tiedosto(t)
Rinnakkaistallenteen versio
final draftPäivämäärä
2021Tekijä(t)
Yksilöllinen tunniste
10.1111/1471-0528.16559Metadata
Näytä kaikki kuvailutiedotLisätietoa
Rinnakkaistallenne
Viittaus
Kuronen, Moona. Hantunen, Sari. Alanne, Leena. Kokki, Hannu. Saukko, Cesarina. Sjövall, Sari. Vesterinen, Kaisu. Kokki, Merja. (2021). Pregnancy, puerperium and perinatal constipation - an observational hybrid survey on pregnant and postpartum women and their age-matched non-pregnant controls. Bjog: an international journal of obstetrics and gynaecology, 128 (6) , 10.1111/1471-0528.16559.Oikeudet
Tiivistelmä
Objective
To evaluate the prevalence of constipation during pregnancy and early puerperium.
Design
Observational survey.
Setting
Secondary and tertiary hospital in Finland.
Population
Pregnant (n = 474) and postpartum (n = 403) women and a control group of 200 non‐pregnant women who did not give birth in the past year.
Methods
Women reported bowel function and other gastrointestinal symptoms on a structured questionnaire using an 11‐point numerical rating scale (0 = no symptom, 10 = most severe symptom) and binominal yes/no questions during the second and third trimesters and few days and 1 month after childbirth.
Main outcome measure
Prevalence of constipation based on the Rome IV criteria.
Results
The data consist of five cohorts of women: second trimester (n = 264), third trimester (n = 210), after vaginal delivery (n = 200) or caesarean section (n = 203), and a control group (n = 200). The prevalence of constipation was 40% in pregnant women and 52% (P < 0.001) in postpartum women, which was a higher prevalence than that in the control group, where 21% had constipation (P < 0.001). A few days after delivery, the prevalence of constipation was lower after vaginal delivery (47%) than caesarean section (57%, P < 0.039). One month postpartum, the prevalence of constipation was low: 9% after vaginal delivery (P = 0.002 compared with the control group) and 15% after caesarean section. Other gastrointestinal symptoms were common; pregnant women had the highest prevalence (34%) of nausea/vomiting.
Conclusion
The prevalence of constipation was two‐ to three‐fold higher in pregnant women and a few days after delivery than in non‐pregnant women. During puerperium, bowel function returned to or below that reported in non‐pregnant women.
Avainsanat
Linkki alkuperäiseen julkaisuun
http://dx.doi.org/10.1111/1471-0528.16559Julkaisija
WileyKokoelmat
- Terveystieteiden tiedekunta [1735]