Dr. Ryan Stewart, DO
Ryan Stewart, DO
Fellowship-Trained Urogynecologist
Urogynecology & Reconstructive Pelvic Surgery
Green Bay, Wisconsin
✓ Medically reviewed March 2026

Is Fecal Incontinence Common After Childbirth?

Accidental bowel leakage after childbirth is more common than most women realize, but it’s rarely discussed openly. Research shows that anal sphincter injuries occur in up to 11% of vaginal deliveries, and many of these injuries go undiagnosed. Even when recognized and repaired at the time of delivery, some women develop bowel control problems later in life.

Why Childbirth Is a Risk Factor

  • Anal sphincter tears — the sphincter muscles can be partially or completely torn during delivery
  • Nerve injury — the pudendal nerve, which controls sphincter function, can be stretched or damaged
  • Pelvic floor trauma — overall weakening of the pelvic floor affects bowel support

Risk factors for sphincter injury include forceps delivery, prolonged pushing, large baby, and first vaginal delivery.

Many women who develop fecal incontinence after childbirth had a sphincter injury that either wasn’t recognized or was repaired but didn’t heal completely. The symptoms may not appear until years later when natural aging further weakens the muscles.

When to Seek Help

If you’re experiencing any accidental leakage of stool or gas — whether it started right after delivery or developed years later — it’s worth evaluation. This is a treatable condition, and there’s no need to suffer in silence.

I understand the courage it takes to bring up this topic. I want every patient to know that I treat fecal incontinence regularly, I take it seriously, and I can help.

← Learn more about Fecal Incontinence


Frequently Asked Questions

Can a sphincter injury be repaired years later? Yes. While immediate repair at the time of delivery is ideal, delayed sphincter repair can still be performed and is often effective. Your doctor can assess whether repair is appropriate.
I had a fourth-degree tear — am I at higher risk? Yes. Fourth-degree tears involve the anal sphincter and increase the risk of fecal incontinence. However, with proper repair and ongoing care, many women with fourth-degree tears maintain good bowel control.
Should I tell my OB about gas leakage? Absolutely. Involuntary gas leakage can be an early sign of sphincter weakness. Mentioning it allows your doctor to evaluate and potentially address it before stool leakage develops.

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The information provided is for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional for personalized medical guidance.

Page last modified: Mar 14 2026.