Research Article

Prevalence and Risk Indicators for Anal Incontinence among Pregnant Women

Table 2

Risk of anal incontinence defined in St. Mark’s score 3–16 compared to women with St. Mark’s score 0–2. Crude OR and adjusted OR with confidence intervals. Adjusted OR is presented for significant variables only.

Nulliparous ( )Parous ( )
Crude OR Adj. OR (95% CI)Crude OR Adj. OR (95% CI)

Born in/maternal origin
Western (Western Europe, North America, Oseania)1111
Non-Western (Asia, Africa, Eastern-Europe, Turkey,
or South or Central America)
2.21 (1.45–3.37)1.54 (0.85–2.78)2.44 (1.46–4.06)1.04 (0.44–2.46)
Household income, NOK/USD
500 000 or more 91,0001111
Less than 500,0001.53 (1.02–2.30)1.07 (0.63–1.80)2.36 (1.36–4.08)1.40 (0.63–3.14)
Marital status
Married 1111
Co-habitating 1.04 (0.71–1.51)1.16 (0.76–1.77)0.65 (0.39–1.08)0.78 (0.46–1.36)
Unmarried/living alone/single2.74 (1.43–5.22)2.08 (0.91–4.74)2.89 (1.01–8.24)2.06 (0.54–7.89)
Maternal educational level
University 5 years or more1111
College/University 4 years0.99 (0.66–1.48)0.91 (0.60–1.40)1.45 (0.85–2.45)1.42 (0.81–2.49)
High school 1.30 (0.77–2.21)1.16 (0.65–2.09)2.52 (1.34–4.72)1.85 (0.86–3.99)
Elementary/secondary school 5.89 (2.90–11.97)3.88 (1.46–10.32)3.17 (1.21–8.31)1.00 (0.21–4.03)
Maternal age
Less than 35 years111
35 or more years1.59 (1.03–2.47)1.62 (1.01–2.62)1.06 (0.67–1.65)
BMI
16–24.9111
25–44.41.10 (0.75–1.61)1.66 (1.05–2.61)1.36 (0.81–2.29)
Pregnancy duration when answered
First trimester (6–12 weeks)111
Second or third trimester (13–38)0.61 (0.38–0.99)0.53 (0.32–0.90)1.78 (0.84–3.77)
Illness/disease
Dermatological disease
No1111
Yes1.97 (1.15–3.40)2.39 (1.36–4.20)2.85 (1.51–5.40)3.02 (1.51–6.02)
Ulcerative stomach
No11
Yes2.60 (1.13–6.00)2.42 (0.95–6.15)
Hypertension
No111
Yes2.60 (1.13–6.00)2.05 (0.77–5.48)0
Rheumatoid arthritis or other muscular-skeletal problems
No111
Yes2.77 (1.36–5.62)2.45 (1.14–5.31)1.83 (0.74–4.51)
Kidney/urinary problems
No11
Yes1.36 (0.85–2.18)1.87 (0.94–3.72)
Medication
Pain killers
No111
Yes1–10 (0.50–2.43)2.40 (1.02–5.66)1.80 (0.62–5.20)
Obstetrical history
OASIS
No11
Yes3.20 (1.51–6.76)3.83 (1.68–8.73)
Previous macrosomy, >4000 g
No1
Yes0.80 (0.42–1.51)
Previous vacuum extraction
No1
Yes0.58 (0.29–1.15)
Forceps
No1
Yes0.83 (0.19–3.58)