This document discusses postpartum fecal incontinence. Childbirth can cause injury to the internal and external anal sphincters and pelvic floor nerves, resulting in incontinence. Avoiding episiotomies when possible and being careful of previous tears can help reduce risks. Evaluating incontinence scores before and after delivery allows monitoring. Proctological evaluation and early repair of any sphincter defects can achieve better results. Anal endosonography is useful for identifying blind sphincter defects. Managing postpartum incontinence requires a multidisciplinary pelvic floor team approach.