{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:55:55Z","timestamp":1791327355901,"version":"4.3.1"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,7,9]],"date-time":"2014-07-09T00:00:00Z","timestamp":1404864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["191222 and 433006"],"award-info":[{"award-number":["191222 and 433006"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the extent to which primary\u2010care practitioners routinely inquire about postpartum urinary and faecal incontinence, and assess the proportion of women who disclose symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective pregnancy cohort study of nulliparous women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      elbourne,\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      ustralia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>A total of 1507 nulliparous women recruited in early pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Women were recruited from six public maternity hospitals, with follow up at 3, 6, 9 and 12\u00a0months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Standardised measures of urinary and bowel symptoms, and measures of health service use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the first 12\u00a0months postpartum, the period prevalence of urinary incontinence was 47%, and of faecal incontinence was 17%. In all, 86% of women visited a primary health\u2010care practitioner at least once to discuss their own health in the first year after childbirth. However, only around a quarter were asked about urinary incontinence, and fewer than one in five women were asked about faecal incontinence. Discussion of symptoms with health professionals was most likely to occur in the first 3\u00a0months postpartum, and happened only rarely during the remainder of the first postnatal year. Over 70% of women reporting severe urinary incontinence and\/or faecal incontinence had not discussed symptoms with a health professional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings provide robust evidence that many women experiencing postpartum urinary and faecal incontinence\u2014including women with moderate and severe symptoms\u2014do not receive adequate primary\u2010care follow up in the first 12\u00a0months postpartum. Systems of maternal health surveillance need to include routine inquiry about urinary and faecal incontinence to overcome women's reluctance to seek help.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.12963","type":"journal-article","created":{"date-parts":[[2014,7,9]],"date-time":"2014-07-09T01:55:01Z","timestamp":1404870901000},"page":"954-962","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Consultation about urinary and faecal incontinence in the year after childbirth: a cohort study"],"prefix":"10.1111","volume":"122","author":[{"given":"S","family":"Brown","sequence":"first","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute Parkville Vic. Australia"},{"name":"General Practice and Primary Health Care Academic Centre University of Melbourne Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Gartland","sequence":"additional","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Perlen","sequence":"additional","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"McDonald","sequence":"additional","affiliation":[{"name":"Healthy Mothers Healthy Families Research Group Murdoch Children's Research Institute Parkville Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"MacArthur","sequence":"additional","affiliation":[{"name":"Public Health, Epidemiology and Biostatistics School of Health and Population Sciences College of Medical and Dental Sciences University of Birmingham Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000257120.23260.00"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920050067"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-1011-x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d04dff"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-2004-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00840.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1080\/pri.20.2.102.107","article-title":"Help\u2010seeking and associated factors in female urinary incontinence. 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