ArticleInternational urogynecology journal2025
Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study.
Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Effectiveness and Adherence Determinants of Digital Pelvic Floor Interventions in Pregnancy and Postpartum: A Mixed Methods Systematic Review and Meta-Analysis.International urogynecology journal · 2026Review
- Clinical outcomes of pelvic floor muscle training, electrical stimulation, and magnetic stimulation in women with postpartum stress urinary incontinence: a retrospective cohort study.BMC women's health · 2026Article
- Surprised by the transition to an unknown body: quantitative and qualitative aspects of activity limitations and physical changes during the first year post-partum.BMC pregnancy and childbirth · 2025Observational
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Authors and funding
5 authors.
Funding
Abstract
introduction and hypothesisPostpartum urinary incontinence (UI) is prevalent, and women with bothersome UI tend to seek more help. This study was aimed at evaluating the association between pelvic floor muscle (PFM) strength and bothersome UI in the 1st year postpartum.
methodsA prospective cohort study was conducted with 504 participants. UI was evaluated by the International Consultation on Incontinence Questionnaire Short Form (online) and PFM strength was assessed via vaginal palpation (Modified Oxford Scale, MOS), at 3, 6, 9, and 12 months postpartum. Logistic regression analysis was used to analyze the data.
resultsAt 3 months postpartum, 52% of women had a PFM strength of ≥ 3 MOS, increasing to 84% at 12 months. 42% of women reported UI at 3 months, which remained unchanged by 12 months. PFM strength ≥ 3 MOS was moderately associated with less UI at 3 months (OR = 0.63, 95% CI 0.42-0.94) and at timepoints 6, 9, and 12 months. Antepartum UI was strongly associated with postpartum UI at all time points: 3 months (OR = 10.23, 95% CI 4.90-21.37), 6 months (OR = 7.75, 95% CI 3.95-15.21), 9 months (OR = 9.95, 95% CI 4.61-21.47), and 12 months (OR = 4.55, 95% CI 2.29-9.04). Grade 2 perineal tears were moderately associated with UI at 9 months postpartum (OR = 1.82, 95% CI 1.11-3.0).
conclusionsA stronger pelvic floor was associated with less bothersome UI in the 1st year postpartum. UI during pregnancy was most strongly associated with bothersome UI after childbirth. Antenatal screening for UI and promoting PFM training may be warranted to support postpartum recovery and minimize UI.
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