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The app T\u00e4t\u00ae has been developed for the treatment of stress UI with a focus on PFMT. The aim of this study was to investigate factors associated with the improvement of incontinence symptoms and retained continence in pregnant and postnatal women who used the app.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort study was carried out based on user questionnaires from the app T\u00e4t\u00ae. We included pregnant and postnatal women who answered the inclusion questionnaire between June 19, 2019 and September 19, 2020. The questionnaire included questions about the frequency and amount of leakage, the impact that UI has on everyday life, and experienced improvements at follow\u2010up. We analyzed factors associated with improvement and retained continence using logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 10,307 pregnant and 13,670 postnatal women, and 44% of the pregnant women and 52% of the postnatal women were incontinent. A total of 3680 women were included in the follow\u2010up analysis, and 52% of the pregnant incontinent women and 73% of the postnatal incontinent women experienced improvement. Pregnant women who performed PFMT and used the app at least once per week had increased odds of improvement (odds ratio [OR]: 1.83, 95% confidence interval [CI]: 1.01\u20133.29 and OR: 3.38, 95% CI: 1.94\u20135.90, respectively) compared to those who performed no training and had no app usage. Postnatal women who used the app at least once per week and had more severe incontinence had increased odds of improvement (OR:\u00a04.26, 95% CI: 2.37\u20137.64 and OR: 1.11, 95% CI: 1.05\u20131.16, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The app T\u00e4t\u00ae is widely used by pregnant and postnatal women in Sweden for the prevention and treatment of UI. Majority of the women with incontinence experienced improvement after using the app. Regular PFMT and app use seemed to be important factors for experiencing improvement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.781","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T18:05:15Z","timestamp":1660845915000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["App\u2010based pelvic floor muscle training in pregnant and postnatal women: A prospective cohort study exploring factors associated with prevention and improvement of urinary incontinence"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4422-0032","authenticated-orcid":false,"given":"Erika","family":"L\u00f6jdahl","sequence":"first","affiliation":[{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6230-0354","authenticated-orcid":false,"given":"Anna","family":"Lindam","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine, Unit of Research, Education and Development, \u00d6stersund Hospital Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7500-663X","authenticated-orcid":false,"given":"Ina","family":"Asklund","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_12_3_1","first-page":"1","volume-title":"Incontinence: 6th International Consultation on Incontinence","author":"Altman D","year":"2017"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2061-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349.2010.526188"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2016.06.008"},{"key":"e_1_2_12_7_1","first-page":"1443","volume-title":"Incontinence: 6th International Consultation on Incontinence","author":"Dumoulin C","year":"2017"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-018-5036-6"},{"issue":"5","key":"e_1_2_12_9_1","article-title":"Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women","volume":"5","author":"Woodley SJ","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.801117.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/154099903322404339"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2004.09.014"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7383"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23116"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040819"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20041"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20674"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.379"},{"key":"e_1_2_12_19_1","unstructured":"Statistiska centralbyr\u00e5n \u201cscb.se.\u201d\u00a0Utbildningsniv\u00e5 efter f\u00f6delseland och k\u00f6n\u00a02019 25\u201064 \u00e5r. 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