在“全面两孩”背景下，孕产妇尿失禁日益成为一个不容忽视的临床医学问题，及时识别出尿失禁的高风险人群并提供有效的干预，对提高女性群体的生活质量具有十分重要的意义。申请人前期已完成孕期尿失禁风险评估工具的研究，并初步构建了产后尿失禁风险评估模型，本项目拟在前期研究基础上，聚焦产后尿失禁重点人群，以整体理论为指导，1）采用前瞻队列研究设计，通过动态监测孕早、中、晚期多时间节点的指标（尿失禁危险因素、盆底超声参数），以优化产后尿失禁的风险评估模型，并进行临床内外部验证；2）进而，构建包括信息收集模块、风险评估模块、信息教育模块、盆底肌训练模块的孕产妇尿失禁防控云平台，开展基于云平台的孕产妇尿失禁风险管理的实证研究，以评价其有效性。本项目将形成较实用、便于操作、易推广的孕产妇尿失禁风险管理模式，可为尿失禁的早识别早干预和健康管理提供新的研究路径和思路，为相关部门制定健康管理政策提供理论支撑和决策依据

With the implementation of the “Two-Child Policy” in China, urinary incontinence during and after pregnancy has become a clinically important problem that cannot be ignored. It is of great significance to identify high-risk groups of urinary incontinence and provide effective interventions to improve the quality of life of women. The applicant has previously completed the research on the risk assessment tool for urinary incontinence during pregnancy, and primitively constructed the risk assessment model for postpartum urinary incontinence. This project will build up from the previous research, and aim to help the at-risk population of postpartum urinary incontinence by 1) designing a prospective cohort study to dynamically monitor risk factors of urinary incontinence, and pelvic floor ultrasound parameters at the first, second and third trimester. These data will optimize the risk assessment model of postpartum urinary incontinence, as well as external and internal clinical verification; 2) developing a Urinary Incontinence Prevention and Control Model based on cloud platform for pregnant women, which will include data collection module, risk assessment module, knowledge education module and pelvic floor muscle training module. Empirical research on risk management of postpartum urinary incontinence will be carried out based on data collected in the cloud platform. This project will form a risk management model for urinary incontinence during and after pregnancy that is more practical, easy to operate and easy to promote. It can provide new research angles and ideas for early identification, intervention and management of urinary incontinence. It can also provide theoretical support and decision-making evidence for relevant departments to formulate health management policies