{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:13:12Z","timestamp":1747149192040,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore how the COVID\u201019 pandemic influenced self\u2010reported occurrence and severity of pregnancy\u2010related urinary incontinence (UI) in the maternity pathways of Tuscany, Italy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective pre\u2010post cohort study, we selected a pre\u2010pandemic (<jats:italic>n<\/jats:italic>\u00a0=\u20091018) and a post\u2010pandemic (<jats:italic>n<\/jats:italic>\u00a0=\u20093911) cohorts of women that completed, from the first trimester until 3\u00a0months postpartum, three surveys including validated patient\u2010reported outcome measures for UI. Data were obtained from systematic surveys on the maternity pathways of Tuscany from March 2019 to June 2021. We performed panel regression models to explore how UI risk differed between COVID\u201019 groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>UI occurred less frequently and less severely in post\u2010pandemic patients\u2014especially stress\/mixed UI in women never performing pelvic floor muscle training (PFMT)\u2014whereas no difference emerged in women performing during\u2010pregnancy PFMT. During COVID\u201019, obese women had higher risk of UI, whereas women undergoing operative delivery had lower risk. The post\u2010pandemic group reported more severe UI symptoms at the third trimester, but less severe UI postpartum in women suffering from UI during pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During the COVID\u201019 pandemic, women reported fewer UI symptoms because they might have lacked chances to identify UI symptoms as a result of pandemic\u2010related sedentarism and inactivity. The risk in women performing during\u2010pregnancy PFMT was not increased, but just six of 26 health districts organized remote PFMT sessions, thus revealing limited resilience to the pandemic in Tuscany.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14522","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T04:11:12Z","timestamp":1666325472000},"page":"187-194","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Influence of the <scp>COVID<\/scp>\u201019 pandemic on self\u2010reported urinary incontinence during pregnancy and postpartum: A prospective study"],"prefix":"10.1002","volume":"160","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5309-2813","authenticated-orcid":false,"given":"Amerigo","family":"Ferrari","sequence":"first","affiliation":[{"name":"MeS (Management and Health) Laboratory, Institute of Management Sant'Anna School of Advanced Studies  Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Corazza","sequence":"additional","affiliation":[{"name":"MeS (Management and Health) Laboratory, Institute of Management Sant'Anna School of Advanced Studies  Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Mannella","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine Division of Obstetrics and Gynecology University of Pisa  Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tommaso","family":"Simoncini","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine Division of Obstetrics and Gynecology University of Pisa  Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manila","family":"Bonciani","sequence":"additional","affiliation":[{"name":"MeS (Management and Health) Laboratory, Institute of Management Sant'Anna School of Advanced Studies  Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18020580"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/op.20.00237"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02677-1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncics\/pkaa104"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-021-01726-5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263941"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2020-218705"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2020.08.1689"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.11600"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04542-8"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14132"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/19073"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20041"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24121"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-049826"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13149"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0b013e3181d04dff"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.18315"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007471.pub4"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12232"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03426.x"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14010"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24610"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-019-0888-2"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c186"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.12927\/hcpap.2017.25408"}],"container-title":["International Journal of Gynecology &amp; 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