{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:52Z","timestamp":1781812552548,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This paper examines the incidence, risk factors, and clinical variables of lower urinary tract symptoms (LUTS) following vaginal delivery and evaluates the diagnostic accuracy of urethral angles and bladder neck descent (BND) in stress urinary incontinence using two dimensional (2D) transperineal ultrasoufnd.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Four hundred and eight low\u2010risk women at \u226537\u2009weeks gestation undergoing vaginal delivery were recruited. On day 2 postpartum, the ICIQ\u2010FLUTS questionnaire was applied for presence of urinary symptoms. Cases were defined as women having LUTS on day 2 postpartum (\n                      <jats:italic>n\u2009=<\/jats:italic>\n                      \u200982). An equal number of controls were taken from the cohort without LUTS as per nested case\u2013control study design (\n                      <jats:italic>n\u2009=<\/jats:italic>\n                      \u200982). At 6\u2009weeks, subjects were re\u2010evaluated for resolution or persistence of urinary symptoms. In addition, Pelvic Floor Distress Inventory 20 (PFDI 20) score and Oxford grading were performed for pelvic floor dysfunction. 2D transperineal ultrasound was performed to compare the pubourethral angle (\u03b1), the posterior urethrovesical angle (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      ) at rest, and Valsalva.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Incidence of LUTS on day 2 postpartum was 20.1%, nocturia being the most common symptom. Approximately 43% of these subjects reported persistence of symptoms at 6\u2009weeks. Multivariate logistic regression analysis revealed prolonged second stage of labor (odds ratio [OR], 1.054;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009&lt;0.001) and higher birth weight (OR, 3.132;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.026) as risk factors. Cutoffs obtained for R\u03b1, R\u03b2, and BND were &gt;10\u00b0, &gt;13\u00b0, and 12\u2009mm, respectively, with almost equal accuracy in diagnosing stress urinary incontinence and posterior urethrovesical rotation angle (R\u03b2) being the best predictor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Incidence of LUTS postpartum is high and urinary symptoms might persist for several weeks after vaginal delivery. Careful attention in the postnatal clinics, counseling, appropriate management, and follow\u2010up should be offered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70811","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:54:02Z","timestamp":1769496842000},"page":"291-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of lower urinary tract symptoms in postpartum women: A nested case\u2013control study"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6945-9790","authenticated-orcid":false,"given":"Sandhya","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Health Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chethan","family":"Gowda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Health Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3366-2003","authenticated-orcid":false,"given":"Upasana","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University College of Health Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7858-956X","authenticated-orcid":false,"given":"Anupama","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Radio\u2010Diagnosis University College of Health Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshuja","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of Radio\u2010Diagnosis University College of Health Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2471-4078","authenticated-orcid":false,"given":"Bineeta","family":"Kashyap","sequence":"additional","affiliation":[{"name":"Department of Microbiology University College of Health Sciences and Guru Teg Bahadur Hospital  Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"GrimesWR StrattonM.Pelvic Floor Dysfunction. 2023 Jun 26. 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