Personalised risk prediction for pelvic floor dysfunction in women

Pelvic Floor Dysfunction (PFD) (prolapse, urinary and faecal incontinence) negatively affects women’s lives
and is costly to treat. Childbirth is a major cause of PFD. We have developed a way to calculate a woman’s
PFD risk score. We call this intervention “UR-CHOICE” as knowing the risk may lead to choices during
pregnancy and after birth that prevent PFD. In this study, new data will be utilised to improve the prediction
model, and new biomechanical monitoring of tissue behaviour (in the pelvic perineum) to enhance risk
assessment will be tested. Risk status will be mapped to stepped care interventions. We will then conduct a
multi-site trial of the impact of using the personalised risk prediction model and biomechanical monitoring in
improving PFD outcomes for women. We will also establish educational and training interventions for women
and healthcare staff (via a website) to increase awareness of PFD and improve use of self-care.