{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:13:22Z","timestamp":1788315202378,"version":"build-2803163510"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>As more women serve in physically demanding military roles, they are increasingly vulnerable to pelvic floor dysfunction (PFD). Our aim was to improve the pelvic health of postpartum women by creating a standardized screening and referral program for PFD at a US military medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This quality improvement project utilized a pre-post design, evaluating data from a historical group and an intervention group. The intervention utilized a standardized screener to assess women for PFD at a 2-week postpartum phone call and a 6-week postpartum clinic visit. The primary outcome was referral rate to pelvic floor physical therapy (PFPT). Additional variables assessed included screening compliance, referral utilization, and provider satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 122 postpartum women in the historical group and 181 in the intervention group. The referral rate nearly doubled when comparing the historical and intervention groups (17.2% vs 33.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). Referral utilization was also higher in the intervention group (18.2% vs 14.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). At the time of the 2-week phone call, screening compliance was 96%, compared with 67% at the 6-week visit. A pre-intervention provider survey indicated that most providers screened for PFD without a standardized screening tool. A post-intervention survey indicated that the implemented screening process helped to direct patient conversations, was feasible, and assisted with identifying dysfunction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>A universal standardized screening program for PFD in postpartum patients at a US military medical center was significantly associated with increased PFPT referral and utilization. Time was the biggest barrier to screening. Providers were largely supportive and accepting of the screening process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06534-6","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T14:08:04Z","timestamp":1774879684000},"page":"2597-2604","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum Screening and Referral for Pelvic Floor Dysfunction at a United States Military Medical Center"],"prefix":"10.1007","volume":"37","author":[{"given":"Jenny Sue","family":"DeWalt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0608-268X","authenticated-orcid":false,"given":"Tanner","family":"Carlock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Nagy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halei","family":"Wong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Kreke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Niemczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"issue":"6","key":"6534_CR1","doi-asserted-by":"publisher","first-page":"e195","DOI":"10.1097\/SPV.0000000000001183","volume":"28","author":"JE Wheat","year":"2022","unstructured":"Wheat JE, Khan M, Banaag A, Vaccaro C, Greer JA, Koehlmoos TP, et al. 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