{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:44:49Z","timestamp":1792176289086,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"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":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To prospectively evaluate the perineal card, a risk\u2010based scoring system, for identifying women at increased risk of postpartum urinary incontinence (UI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective observational study included women without previous vaginal delivery who underwent vaginal birth at a tertiary referral center between June 2023 and October 2024. The perineal card was completed at hospital discharge to assess obstetric and perineal risk factors and classify patients into low\u2010, intermediate\u2010, and high\u2010risk groups. Postpartum pelvic floor outcomes were assessed at follow\u2010up using a standardized screening tool with validated questionnaires. Logistic regression identified factors independently associated with UI, and discriminative performance was evaluated by receiver operating characteristic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 296 enrolled women, 265 were included in the final analysis. At follow\u2010up, 18.3% reported UI. Women with UI had higher median perineal card scores than asymptomatic women. UI during pregnancy, pre\u2010pregnancy body mass index (BMI), labor induction, and postpartum urinary retention lasting more than 24\u2009h were independently associated with postpartum UI. The perineal card showed moderate discriminative ability, with an area under the curve of 0.65.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Use of the perineal card at discharge may help identify women at increased risk of postpartum UI and support timely referral for pelvic floor rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71099","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T13:27:32Z","timestamp":1779715652000},"page":"807-816","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An external validation study of a practical scoring system for identifying patients at risk of pelvic floor dysfunction following childbirth"],"prefix":"10.1002","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8257-0618","authenticated-orcid":false,"given":"Martina","family":"Arcieri","sequence":"first","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Segatti","sequence":"additional","affiliation":[{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Bordin","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9531-8159","authenticated-orcid":false,"given":"Doriana","family":"Armenise","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"De Martino","sequence":"additional","affiliation":[{"name":"Department of Medicine (DMED), Institute of Statistics University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Isola","sequence":"additional","affiliation":[{"name":"Department of Medicine (DMED), Institute of Statistics University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Mattiussi","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Barbui","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Filippin","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Tius","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Delneri","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine Unit Trieste, \u201cSan Polo\u201d Hospital \u2010 Monfalcone, Azienda Sanitaria Universitaria Giuliano Isontina  Monfalcone Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Dialti","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation \u2013 Severe Brain Injury Unit \/ General Rehabilitation, Institute of Physical Medicine and Rehabilitation \u201cGervasutta,\u201d Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7848-0329","authenticated-orcid":false,"given":"Stefano","family":"Restaino","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"PhD School in Biomedical Sciences, Gender Medicine, Child and Women Health, University of Sassari  Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenza","family":"Driul","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Vizzielli","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynecology, \u201cSanta Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale  Udine Italy"},{"name":"Department of Medicine (DMED) University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.18315"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05397-x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e37988"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-06059-6"},{"key":"e_1_2_11_6_1","unstructured":"Associazione Italiana di Ostetricia Perineal 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