{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:33:40Z","timestamp":1782992020439,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,3,5]],"date-time":"2022-03-05T00:00:00Z","timestamp":1646438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate prevalence and risk factors of pregnancy\u2010related urinary\/fecal incontinence (UI\/FI) in a large Italian population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective cohort study analyzing patient\u2010reported outcome (PRO) measures obtained from the systematic longitudinal survey on the maternity pathway of Tuscany from March 2019 to April 2021. Four questionnaires were completed by 6023 women from the beginning of pregnancy until 6\u00a0months postpartum, each including two PRO measures\u2014Wexner scale for FI and ICIQ\u2010SF for UI\u2013, and questions investigating sociodemographic\/clinical factors. After assessing UI\/FI prevalence at each time\u2010point, we run panel regressions to explore the related risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women reporting UI and FI were, respectively, 24.3% and 6.2% in the third trimester, and 12.6% and 4.2% 6\u00a0months postpartum. UI occurrence and severity were higher in highly educated, aged &gt;30, and overweight\/obese women. Spontaneous tears or episiotomy were risk factors for postpartum UI, while receiving cesarean\u2010section and performing pelvic\u2010floor\u2010muscle\u2010training during pregnancy were protective, mainly in specific groups. Finally, higher FI prevalence and severity emerged in overweight, aged &gt;40, highly educated, non\u2010Italian women and in those undergoing tears.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We employed PRO measures to investigate the epidemiology of pregnancy\u2010related UI\/FI and detect the main risk groups. Pelvic\u2010floor\u2010muscle\u2010training may be recommended in women with peculiar sociodemographic\/clinical features.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14132","type":"journal-article","created":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T17:47:52Z","timestamp":1644083272000},"page":"435-443","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Patient\u2010reported outcome measures for pregnancy\u2010related urinary and fecal incontinence: A prospective cohort study in a large Italian population"],"prefix":"10.1002","volume":"159","author":[{"given":"Amerigo","family":"Ferrari","sequence":"first","affiliation":[{"name":"Sant'Anna School of Advanced Studies Institute of Management MeS (Management and Health) Laboratory  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manila","family":"Bonciani","sequence":"additional","affiliation":[{"name":"Sant'Anna School of Advanced 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