Table 5.
Multivariate analysis of postnatal bowel function, maternal, intrapartum, obstetric anal sphincter injury (OASI) and neonatal characteristics on poor quality-of-life (QoL) scores post-subsequent birth. Results comparing caesarean section with vaginal delivery for each of the QoL domains
| MHQ QoL domains | aORb | 95% CI | p |
|---|---|---|---|
| General health perception | 1.42 | (0.61–3.30) | 0.418 |
| Incontinence impact | 2.91 | (1.03–8.21) | 0.044 |
| Role limitations | 0.84 | (0.28–2.48) | 0.749 |
| Physical limitationsa | 4.56 | (1.02–20.45) | 0.048 |
| Social limitationsa | 7.37 | (0.89–61.18) | 0.064 |
| Personal relationshipsa | 0.90 | (0.14–5.61) | 0.908 |
| Emotions | 2.20 | (0.79–6.11) | 0.131 |
| Sleep/energy | 4.77 | (0.90–25.17) | 0.066 |
| Severity measures | 2.18 | (0.69–6.82) | 0.182 |
MHQ Manchester Health Questionnaire, QoL quality of life
aBowel symptom of faecal urgency was removed as a contributory characteristic owing to the low number of events) at initial hospital review, maternal age at OASI, years between OASI and questionnaire completion, total parity, OASI classification, repair method and birthweight
bOR adjusted for OASI birth mode, mode of study birth, vaginal interval birth, bowel symptoms