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Objective: We studied maternal health 18 years postpartum in women having sustained an anal sphincter tear and controls. Study design: We assessed symptoms with the short form of the urogenital distress inventory, the female sexual function index, and physical and mental health with the Short Form-12 summary scales. Results: Women with a sphincter tear had no increased risk of urinary symptoms (54 of 251, 22% , versus 51 of 273, 19% , risk ratio 1.2, 95% confidence interval 0.8 to 1.6) or sexual symptoms (84 of 223, 38% , versus 90 of 230, 39% , risk ratio 1.0, 95% confidence interval 0.8 to 1.2). Their physical health was also similar to controls (mean score ± SD, 47 ± 7 versus 47 ± 6), whereas their mental health was slightly lower (score 45 ± 6 versus 46 ± 6, difference 1, 95% confidence interval 0 to 2, P = .05). Conclusion: Women who sustained an anal sphincter tear have no more urinary or sexual symptoms 18 years after delivery.
Objective: We studied maternal health 18 years postpartum in women having sustained an anal sphincter tear and controls. Study design: We assessed symptoms with the short form of the urogenital distress inventory, the female sexual function index, and physical and mental health with the Short Form-12 summary scales. Results: Women with a sphincter tear had no increased risk of urinary symptoms (54 of 251, 22%, versus 51 of 273, 19%, risk ratio 1.2, 95% confidence interval 0.8 to 1.6) Their physical health was also similar to controls (mean score ± SD, 47 ± 7 versus 47 ± 83, 39%, risk ratio 1.0, 95% confidence interval 0.8 to 1.2) 6), while their mental health was slightly lower (score 45 ± 6 versus 46 ± 6, difference 1, 95% confidence interval 0 to 2, P = .05). Conclusion: Women who sustained an anal sphincter tear have no more urinary or sexual symptoms 18 years after delivery.