Table 3.

Risk of urinary and anal incontinence 4 years after first delivery according to episiotomy policy (routine versus restrictive) adjusted for variables associated with maternity hospital (logistic regression).

			Urinary Incontinence			Anal Incontinence
Characters		N	n (%)	Crude OR (95% CI)	Adjusted OR (95% CI)	n (%)	Crude OR (95% CI)	Adjusted OR (95% CI)
Maternity	A restrictive	320	82 (26)	1	1	33 (11)	1	1
	B systematic	307	99 (32)	1.35 (0.95–1.91)	1.21 (0.80–1.83)	49 (16)	1.65 (1.03–2.64)	1.84 (1.05–3.22)

High school	No	199	57 (29)	1	1	26 (13)	1	1
Diploma	Yes	411	118 (29)	0.98 (0.67–1.42)	0.74 (0.49–1.10)	54 (13)	0.95 (0.58–1.58)	0.80 (0.47–1.35)
Age at deli very	< 30 years	415	98 (24)	1	1	48 (12)	1	1
	≥ 30 years	212	83 (39)	2.07 (1.45–2.97)	2.13 (1.46–3.13)	34 (16)	1.45 (0.90–2.34)	1.31 (0.79–2.17)
Gestational age	< 40 weeks	306		1	1		1	1
	≥ 40 weeks	321		1.22 (0.86–1.72)	1.51 (1.03–2.22)		0.84 (0.53–1.33)	0.98 (0.60–1.61)
Epidural	No	101	28 (28)	1	1	17 (17)	1	1
	Yes	526	153 (29)	1.06 (0.66–1.70)	0.88 (0.52–1.49)	65 (12)	0.69 (0.38–1.23)	0.47 (0.24–0.91)
Active 2^nd phase	< 20 min	561	161 (29)	1	1	68 (12)	1	1
	≥20min	59	19 (32)	1.16 (0.65–2.06)	1.00 (0.54–1.85)	13 (22)	1.97 (1.01–3.83)	2.17 (1.07–4.43)
Mode of delivery	Spontaneous	368	102 (28)	1	1	45 (12)	1	1
	Operative	209	68 (33)	1.25 (0.86–1.80)	1.08 (0.73–1.61)	30 (14)	1.19 (0.72–1.96)	1.13 (0.67–1.92)
	Caesarean	50	11 (22)	0.72 (0.35–1.46)	0.63 (0.29–1.34)	7 (14)	1.21 (0.51–2.86)	1.22 (0.49–3.00)
Birth weight	< 4000 g	605	175 (29)	1	1	81 (13)	1	1
	≥ 4000 g	22	6 (27)	0.90 (0.35–2.35)	0.74 (0.26–2.07)	1 (5)	0.66 (0.15–2.88)	0.34 (0.04–2.74)
Postpartum pelvic floor exercises	No	361	82 (23)	1	1	40 (11)	1	1
	Yes	240	95 (40)	2.20 (1.54–3.14)	2.12 (1.45–3.10)	39 (17)	1.54 (0.96–2.48)	1.43 (0.86–2.36)